Developmental Dysplasia of Hips
Developmental Dysplasia of the Hip (DDH) is a condition where the hip joint does not develop properly, leading to instability, partial dislocation (subluxation), or complete dislocation of the femoral head from the hip socket. Early detection and treatment are crucial to prevent long-term mobility issues and hip osteoarthritis.
Symptoms of DDH may include
- Uneven leg lengths or thigh folds
- Limited range of motion in one or both hips
- Clicking or popping sounds in the hip joint
- Difficulty spreading the legs apart (especially in infants)
- Waddling or limping gait (if diagnosed later)
DDH can range from mild (shallow hip socket) to severe (fully dislocated hip) and is more common in first-born girls, breech babies, and those with a family history of hip dysplasia.
Relevant Screening & Assessment Webforms
- DDH Risk Factor Checklist: A fillable online form for parents to identify potential risk factors such as breech birth, family history, and symptoms.
- Hip Screening Symptom Tracker: Allows parents to document concerns about their child’s hip movement, flexibility, and asymmetry.
Blood or Laboratory Tests
DDH is primarily diagnosed through physical examinations and imaging studies rather than blood tests. Diagnostic tools include:
- Physical Examination (Ortolani & Barlow Tests): Performed in newborns to detect hip instability.
- Ultrasound (for Infants <6 Months Old): The preferred imaging test for early detection of hip abnormalities.
- X-ray (for Infants >6 Months Old): Helps assess hip joint development as bones mature.
- MRI/CT Scan: Used in severe cases to guide treatment planning.
Management Options
Early intervention can prevent long-term mobility problems and reduce the need for surgery. Treatment options depend on age and severity:
Newborns & Infants (below 6 months old)
Pavlik Harness (worn for several weeks to hold the hips in proper alignment).
Close monitoring with ultrasounds and regular follow-ups.
Older Infants (6-18 months)
Closed reduction & hip spica casting if the hip remains unstable despite bracing.
Toddlers & Older Children (above 18 months)
Open reduction surgery may be required if non-surgical methods fail.
Physical therapy post-surgery to regain mobility.
Early treatment has a high success rate, but delayed diagnosis may require more complex interventions such as osteotomies (bone realignment surgery).
Latest High-Tech Evidence-Based Treatment Options Worldwide
3D Printing for Custom Orthopaedic Braces
Advanced 3D-printed hip braces offer a more comfortable, patient-specific fit for infants.
Telehealth-Based Physiotherapy & Monitoring
Virtual rehabilitation programs provide guided hip-strengthening exercises post-treatment.
Artificial Intelligence (AI) in Imaging
AI-enhanced ultrasound and X-ray analysis improves early detection accuracy, reducing misdiagnosis rates.
Wearable Motion Sensors for Post-Treatment Monitoring
Devices track hip movement recovery and mobility progress after surgery.
Funding Options in Australia
NDIS (National Disability Insurance Scheme)
DDH may be covered if it leads to significant functional impairment requiring mobility aids, physiotherapy, or long-term support.
Medicare
Covers paediatrician and orthopaedic specialist consultations, imaging tests (ultrasound, X-rays), and surgical procedures if necessary.
Private Health Insurance
Depending on coverage, may assist with imaging, bracing devices, physiotherapy, and surgical procedures.
Patient Education Resources in Australia
- Raising Children Network: Provides parent-friendly guides on DDH diagnosis, treatment, and long-term care.
- Healthy Hips Australia: Offers information on early detection, treatment options, and family support networks.
- The Australian Paediatric Orthopaedic Society (APOS): Shares guidelines on hip screening and care pathways for DDH.
Foundations & Volunteering Agencies in Australia
- Healthy Hips Australia: A support network for parents, offering advocacy, education, and community engagement.
- Cerebral Palsy Alliance (For Severe Cases): Provides mobility support and early intervention therapies for children with long-term movement impairments.
- Hip Dysplasia Australia: Promotes awareness, early screening programs, and access to specialist care.
What to Expect from Telehealth Consultations
Initial Screening & Risk Assessment
Review of risk factors, symptoms, and developmental milestones.
Parents complete screening forms to aid in diagnosis.
Imaging & Diagnosis Coordination
If DDH is suspected, referrals for hip ultrasounds or X-rays are arranged remotely.
Treatment Planning & Follow-Up
If DDH is diagnosed, a treatment plan is created, including bracing, monitoring, or referral for surgery if needed.
Parental Education & Home Care Guidance
Telehealth sessions provide step-by-step instructions on using a Pavlik harness, positioning tips, and mobility exercises.
Ongoing Monitoring & Physiotherapy Support
Regular check-ins to track hip development progress and guide post-treatment rehabilitation.
Why Choose Smart Paediatrics for Developmental Dysplasia of the Hip (DDH) Management?
At Smart Paediatrics, we offer:
✔ Expert Orthopaedic & Paediatric Consultations via telehealth.
✔ Early Detection Screening & Imaging Referrals to ensure prompt diagnosis.
✔ Guidance on Bracing, Post-Treatment Monitoring & Home Exercises.
✔ Personalized Care Plans & NDIS Support for Long-Term Mobility Needs.
✔ Convenient & Accessible Telehealth Follow-Ups, reducing unnecessary clinic visits.
Early intervention and telehealth-based support ensure children with DDH receive timely treatment, avoid complications, and develop healthy, functional mobility for the future.