Recommendations for early diagnosis of Developmental Dysplasia of the Hip (DDH): working group intersociety consensus document

Rino Agostiniani,Marco Cirillo,Maurizio De Pellegrin,Daniela Di Bello,Salvatore Bonforte,Nicola Romeo,Carolina Casini,Paolo Tomà,Francesco Esposito,Ambra Galla,Norberto Vezzali,Giorgio Marrè Brunenghi,Giuseppe Atti

doi:10.1186/s13052-020-00908-2

Abstract

This consensus document has been prepared by a multidisciplinary group of experts (Paediatricians, Radiologists, Paediatric Orthopaedics) and it is mainly aimed at paediatricians, hospitals and primary care providers. We provide recommendations for the early diagnosis and treatment of Developmental Dysplasia of the Hip (DDH) and indications on its management.

Highlights

Developmental Dysplasia of the Hip (DDH) is the most common congenital disease of the musculoskeletal system in newborns
The disease ranges from a simple flattening of the acetabular cavity to the complete dislocation of the femoral head
Methodology used The document has been prepared according to the following steps: 1) identification of a multidisciplinary group of experts (Paediatricians, Radiologists, Paediatric Orthopaedics) with all the skills required to draft the document; 2) formulation, by the group of experts, of the most relevant scientific questions, with particular attention to the areas of major interest

Summary

Introduction

Developmental Dysplasia of the Hip (DDH) is the most common congenital disease of the musculoskeletal system in newborns. The disease ranges from a simple flattening of the acetabular cavity to the complete dislocation of the femoral head. DDH can cause early hip osteoarthritis and, in the most severe forms, the presence of a limp with severe functional limitations, since walking age. An early diagnosis, which is essential for an early treatment, is the fundamental prerequisite in order to achieve the best treatment results and to reduce the possibility. Paediatricians, radiologists, paediatric orthopedics worked together to design and write this document. The aim is to provide recommendations for early diagnosis and treatment of hip developmental dysplasia (DDH) and indications on its management

Methods

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Conclusions