Developmental Dysplasia of the Hip in Later Life

Description

Dr Jonathan Vigdorchik gives his expert insights as he discusses developmental dysplasia of the hip (DDH), a condition often found in adolescents and sometimes overlooked from childhood. He begins by highlighting the Ortolani and Barlow maneuvers, which are conducted on newborns to detect hip instability. Follow-up ultrasounds are mentioned to assess the acetabulum's shape and angle to determine if misalignment exists. Dr Vigdorchik notes that some cases might be diagnosed later in life among teenagers or women in their 30s and 40s, typically when they present with hip pain. Key characteristics of DDH include a shallow acetabulum and lateral center edge angles less than 20 degrees, indicating mild dysplasia. As individuals mature, adjustment in femoral anteversion and neck-shaft angle occurs, with a standard angle around 130 degrees. The transcript concludes by underscoring the importance of identifying shallow hip sockets as an indicator of DDH.

DOI: 10.1302/3114-251139

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