article: PDF OnlyPrevention of Developmental Dysplasia of the HipWilkinson, John A.Author Information Southampton, England Journal of Pediatric Orthopaedics B: Volume 2 - Issue 2 - p 122-126 Buy Abstract Its mysterious etiology, variable presentation, and potent deterioration throughout skeletal growth makes developmental dysplasia of the hip (DDH) the greatest challenge in the care of neuromuscular skeletal disorders in otherwise “normal” children. The low manifestation of this congenital malformation creates difficulties in its clinical detection. DNA chromosome studies are the hope of the future in identifying children at risk and may prevent the maldevelopment. Gone is the concept that all cases present as simple and reversible displacements of the hip at birth, because ultrasound and magnetic resonance imaging (MRI) scanning confirm the finding in anatomic studies of stillborns. Only intimate knowledge of the nature and of malformation will eliminate iatrogenic disablement in the treatment of established cases. © Williams & Wilkins 1993. All Rights Reserved.