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pediatric

Developmental Dysplasia of the Hip (DDH)

ICD-10 Code
Q65.89

Clinical Criteria for Developmental Dysplasia of the Hip (DDH).

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents for evaluation of hip stability. History includes [birth weight/gestational age/breech presentation/family history of DDH]. No reported clicking, limited abduction, or gait abnormalities noted by caregivers.

Clinical Examination Findings

Physical exam reveals [symmetrical/asymmetrical] gluteal folds. Ortolani maneuver is [positive/negative] for hip reduction. Barlow maneuver is [positive/negative] for hip dislocation. Galeazzi sign is [positive/negative] indicating limb length discrepancy. Hip abduction is [symmetrical/asymmetrical] and measured at [degrees].

Treatment Protocol

Plan: 1. Referral for hip ultrasound (if < 6 months) or pelvic X-ray (if > 6 months). 2. Orthopedic consultation for bracing (e.g., Pavlik harness) if indicated. 3. Follow-up in [timeframe] to monitor joint development and stability.

Detailed clinical guide coming soon.