By vgreene, 21 February, 2017 Clinicians could obtain an imaging study before age 6 mo in infants w/ breech presentation1 and/or (+)FHx2 [M] as risk factors3
By vgreene, 21 February, 2017 Surveillance. For infants w/ previously NL physical exam: Clinicians might re-examine on subsequent visits6 up to age 6 mo [L]
By vgreene, 21 February, 2017 Imaging options: US btwn age 2-6 wk or an AP pelvis x-ray @ age 4 mo [M] have been studied, though optimal age4 for imaging is unknown. For infants age 4-6 mo, AP pelvis x-ray might be preferred5 to US [L]
By vgreene, 21 February, 2017 Dev Hip Dysplasia in Infants <6 mo: Detection + Nonoperative Mgmt | 2014 AAOS Guideline
By vgreene, 21 February, 2017 American Academy of Orthopaedic Surgeon. Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age: Evidence-based Clinical Practice Guideline. Adopted September 5, 2014.
By vgreene, 21 February, 2017 Clinicians could obtain an imaging study before age 6 mo in infants w/ clinical hip instability hx [M] as a risk factor1
By vgreene, 21 February, 2017 Brace monitoring:6 Serial physical exams & periodic imaging (US or x-ray, based on age6) [L]
By vgreene, 21 February, 2017 Brace type: von Rosen splint might be used over Pavlik, Craig, or Frejka splints as initial tx5 [L] for unstable hip
By vgreene, 21 February, 2017 Brace timing:4 Clinicians might consider either immediate or delayed (eg, by 2-9wk) brace tx [L]
