ASSESSMENT OF HIP INSTABILITY IN HIGH RISK DELIVERIES IN NEWBORN BY CLINICAL EXAMINATION AND ULTRASONOGRAPHY

Abstract

Background: Developmental dysplasia of hip (DDH) is one entity which occasionally comes across in orthopaedic or paediatric outpatient department. The knowledge of risk factors and awareness of the condition is must for every orthopaedic surgeon and paediatrician so that the diagnosis won’t be missed. An early diagnosis can alter the prognosis of the disease and prevent late disabilities. Material And Methods: Diagnosis of instability in the neonatal period can be easily assessed with the Barlow and Ortolani manoeuvres. Sonography is valuable in the first months of life. Graf et al established a method to evaluate the infant hip according to morphology. Result: It has been found that first born female with breech presentation has more chances of this hip instability as compare to male born with left side more affected assessed by clinically and graf et al method. Conclusion: Neonatal hip instability is common and a screening programme should be initiated to detect its incidence and prognosis can be better if diagnosed early.