Strategies to Improve Nonoperative Childhood Management

Developmental dysplasia of the hip is a frequent condition in newborns. Clinical examination using the Barlow/Ortolani tests in newborns or by the finding of limited abduction after the age of 6 weeks may reveal the diagnosis, but neonates with an inconclusive examination or with a risk factor should be referred for further screening. Ultrasonography can detect dysplasia that may not be evident on physical examination or plain radiographs. When dysplasia is identified, treatment should be instituted; in young children, dynamic splinting with the Pavlik harness is safe and effective. Early detection and treatment provides the best long-term outcomes.