Abstract
To the Editor. We thank Bialik and colleagues1 for emphasizing the naturally high spontaneous resolution rate of developmental dysplasia of the hip (DDH) in otherwise healthy, term newborns. However, their findings are hardly new. Since the 1960s, it has been recognized that up to 90% of infants with DDH identified at birth, by any diagnostic method, require absolutely no intervention.2–11 Given that the rate of spontaneous resolution appears to be most rapid in the first 3 months of life, the reported incidence of DDH obviously depends highly on the age at which the infant was tested. Ultrasound technology has complicated matters by identifying sonographic abnormalities in otherwise clinically normal infants. Not surprisingly, the abduction splinting rates in populations …
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