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Developmental Dysplasia of the Hip: Nursing Implications and Anticipatory Guidance for Parents

Hart, Erin S.; Albright, Maurice B.; Rebello, Gleeson N.; Grottkau, Brian E.

Orthopaedic Nursing:
Article
Abstract

Developmental dysplasia of the hip (DDH) is a comprehensive term used to describe an abnormal relationship between the femoral head and the acetabulum. Developmental dysplasia of the hip includes a very wide spectrum of abnormality from a frank dislocation (very unstable) to a stable hip with a slightly shallow acetabulum. As many of these findings may not be present at birth, the term developmental more accurately reflects the biologic features than does the term congenital. Despite the recent increased awareness of DDH and the importance of thorough screening programs, hip dysplasia continues to be a frequently missed diagnosis in pediatrics. Earlier detection and diagnosis of DDH is associated with a much more successful and less invasive outcome.

Author Information

Erin S. Hart, MS, RN, CPNP, Massachusetts General Hospital for Children, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, Boston.

Maurice B. Albright, MD, Massachusetts General Hospital for Children, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, Boston.

Gleeson N. Rebello, MD, Massachusetts General Hospital, Department of Pediatric Orthopaedics, Boston.

Brian E. Grottkau, MD, Massachusetts General Hospital for Children, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, Boston.

© 2006 National Association of Orthopaedic Nurses