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Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age

Intended for Use by General Pediatricians and Referring Physicians

Julie, Samora, MD, PhD, MPH, MPA; Quinn, Robert H., MD; Murray, Jayson, MA; Pezold, Ryan, MA; Hall, Quinn, MHA

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: April 15, 2019 - Volume 27 - Issue 8 - p e356–e359
doi: 10.5435/JAAOS-D-18-00512
AAOS Appropriate Use Criteria Summary

The American Academy of Orthopaedic Surgeons has developed the Appropriate Use Criteria (AUC) for the Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians AUC clinical patient scenarios were derived from indications typical of patients presenting with developmental dysplasia of the hip in clinical practice. The 24 patient scenarios and four treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. Next, a separate multidisciplinary, Voting Panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).

From the American Academy of Orthopaedic Surgeons, Rosemont, IL.

Dr. Samora or an immediate family member serves as a paid consultant to Globus Medical and serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons, the American Society for Surgery of the Hand, and the Ruth Jackson Orthopaedic Society. Dr. Quinn or an immediate family member serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons and the Wilderness Medical Society. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Mr. Murray, and Mr. Pezold, and Ms. Hall.

These appropriate use criteria were approved by the American Academy of Orthopaedic Surgeons on March 5, 2018.

The complete Appropriate Use Criteria for Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians includes all tables, figures, and appendices and is available at aaos.org.

Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians Appropriate Use Criteria Writing Panel: Pablo Castaneda, MD, Brian Shaw, MD, Eduardo Novais, MD, Ted Whitten, BA, RDMS, RVT, FSDMS, Hamad Ghazle, EDD, RDMS, Sarah Bixby, MD, Jie Chen Nguyen, MD, MS, Amisha J. Shah, MD, Kishore Mulpuri, MD, Cynthia N. Baker, MS, FAAP, Joseph A. Janicki, MD, MS, FAAP, John P. Lubicky, MD, FAAP, Harriet Paltiel, MD, FAIUM, Lynn Fordham, MD, FACR, FAIUM, Boaz Karmazyn, MD, Sarah Milla, MD, and Shannon Dowler, MD, FAAFP. Voting Panel: Sheryl Goss, MS, RT(R) (S), RDMS, RDCS, RVT, FSDMS, Nabile M. Safdar, MD, MPH, Randall T. Loder, MD, Vineeta Swaroop, MD, Jennifer Lim-Dunham, MD, Lee Segal, MD, FAAP, Vidyadhar Upasani, MD, Alfred A. Mansour III, MD, Travis Matheney, MD, Stephanie Holmes, MD, Keith Bachmann, MD, and Paul D. Choi, MD. Moderator: Julie B. Samora, MD, PhD, MPH. Staff of the American Academy of Orthopaedic Surgeons: William O. Shaffer, MD, Deborah S. Cummins, PhD, Jayson Murry, MA, Ryan Pezold, MA, Kaitlyn Sevarino, MBA, Peter Shores, MPH, Anne Woznica, MLS, and Mary DeMars, BA.

© 2019 by American Academy of Orthopaedic Surgeons
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