Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of right hip dysplasia. Caregiver reports [asymptomatic/limited abduction/asymmetric skin folds]. No history of trauma. Family history positive for DDH [Yes/No]. Breech presentation at birth [Yes/No].
Clinical Examination Findings
Physical exam reveals positive Ortolani and Barlow maneuvers on the right hip. Asymmetric gluteal/thigh skin folds noted. Limited hip abduction on the right side compared to the left. Galeazzi sign positive (right knee lower than left).
Treatment Protocol
Initiate treatment with Pavlik harness for [X] weeks, 23 hours/day. Maintain hip in flexion and abduction. Follow-up ultrasound scheduled in [X] weeks to assess acetabular development and femoral head position.