By vgreene, 21 February, 2017 If US shows morphologic abnormality, clinicians might observe w/o bracing. In general, for infants w/ NL physical hip exam, clinicians might subsequently re-examine, up to age 6 mo
By vgreene, 21 February, 2017 Surveillance: In general, for infants w/ previously NL physical exam: Clinicians might re-examine on subsequent visits1 up to age 6 mo [L]
By vgreene, 21 February, 2017 If morphologically abnl US: observation w/o brace tx [L]; serial US up to age 6 wk
By vgreene, 21 February, 2017 Sequential US might aid determining when to initiate brace tx for infants up to 8 wk old [L]. If on brace tx, serial physical exams & periodic imaging might be done [L]
By vgreene, 21 February, 2017 Brace monitoring:5 Serial physical exams & periodic imaging (US or x-ray, based on age5) [L]
By vgreene, 21 February, 2017 Brace type: von Rosen splint might be used over Pavlik, Craig, or Frejka splints as initial tx4 [L] for unstable hip
By vgreene, 21 February, 2017 Brace timing:3 Clinicians might consider either immediate or delayed (eg, by 2-9wk) brace tx [L]
By vgreene, 21 February, 2017 Imaging options:1 US @ age 2-6 wk or x-ray @ age 4 mo. For infants age 4-6 mo: AP pelvis x-ray might be preferred2 to US [L]
By vgreene, 21 February, 2017 There’s moderate evidence to NOT screen all1 newborn infants [M]; universal screening has potential to result in over-tx
By vgreene, 21 February, 2017 Surveillance. For infants w/ previously NL physical exam: Clinicians might re-examine on subsequent visits2 up to age 6 mo [L]
