eMedicine Specialties > Orthopedic Surgery > Hip

Developmental Dysplasia of the Hip: Follow-up

Author: James J McCarthy, MD, FAAOS, FAAP, Associate Professor, Consulting Orthopedic Surgeon, Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health;
Contributor Information and Disclosures

Updated: Sep 23, 2009

Outcome and Prognosis

Overall, the prognosis for children treated for hip dysplasia is very good, especially if the dysplasia is managed with closed treatment. If closed treatment is unsuccessful and open reduction is needed, the outcome is less favorable, although the short-term outcome appears to be satisfactory. If secondary procedures are needed to obtain reduction, then the overall outcome is significantly worse.

Future and Controversies

Early diagnosis is the most crucial aspect of the treatment of children with DDH. The use of ultrasonography and other diagnostic imaging modalities and the implementation of improved educational programs will most likely decrease the number of children with DDH diagnosed late. Newer, less invasive surgical techniques (eg, endoscopic techniques, image-guided surgery) are in the process of development in an effort to decrease the morbidity of surgery and to ease recovery.

 


More on Developmental Dysplasia of the Hip

Overview: Developmental Dysplasia of the Hip
Workup: Developmental Dysplasia of the Hip
Treatment: Developmental Dysplasia of the Hip
Follow-up: Developmental Dysplasia of the Hip
Multimedia: Developmental Dysplasia of the Hip
References
Further Reading

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Further Reading

Related eMedicine topics

Developmental Dysplasia of the Hip (Radiology)

Fracture, Hip (Emergency Medicine)

Dislocation, Hip (Emergency Medicine)

Hip Dislocation (Sports Medicine)

Hip Fracture (Sports Medicine)


Clinical guidelines

Screening for developmental dysplasia of the hip: recommendation statement. United States Preventive Services Task Force - Independent Expert Panel. 2006. 10 pages. NGC:004705

ACR Appropriateness Criteria® developmental dysplasia of the hip - child. American College of Radiology - Medical Specialty Society. 1999 (revised 2007). 7 pages. NGC:007008

Clinical studies

Treatment for Mild Hip Dysplasia in Newborns

Keywords

developmental dysplasia of the hip, DDH, developmental dislocation of the hip, congenital dislocation of the hip, CDH, hip dysplasia, hip subluxation, hip dislocation, teratologic hip dislocation, hip instability, displaced hip, dislocated hip, cerebral palsy, myelomeningocele, arthrogryposis, Larsen syndrome, proximal femoral focal deficiency, Charcot-Marie-Tooth disease, Ortolani maneuver, Galeazzi sign

Contributor Information and Disclosures

Author

James J McCarthy, MD, FAAOS, FAAP, Associate Professor, Consulting Orthopedic Surgeon, Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health;
James J McCarthy, MD, FAAOS, FAAP is a member of the following medical societies: Alpha Omega Alpha, American Academy for Cerebral Palsy and Developmental Medicine, American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, American Orthopaedic Association, Limb Lengthening and Reconstruction Society ASAMI-North America, Orthopaedics Overseas, Pediatric Orthopaedic Society of North America, Pennsylvania Medical Society, Pennsylvania Orthopaedic Society, and Philadelphia County Medical Society
Disclosure: Nothing to disclose.

Medical Editor

B Sonny Bal, MD, Associate Professor, Department of Orthopedic Surgery, University of Missouri School of Medicine
B Sonny Bal, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

B Sonny Bal, MD, Associate Professor, Department of Orthopedic Surgery, University of Missouri School of Medicine
B Sonny Bal, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

William L Jaffe, MD, Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Vice Chairman, Department of Orthopedic Surgery, New York University Hospital for Joint Diseases
William L Jaffe, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, Eastern Orthopaedic Association, and New York Academy of Medicine
Disclosure: Stryker Orthopaedics Consulting fee Speaking and teaching

 
 
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