Newborn Nursery at LPCH

Hip Dysplasia

The evaluation of a newborn for hip dysplasia is an important part of the initial physical exam.  Frequently the "clunk" that is felt when an unstable hip dislocates out of, or reduces back into, the hip socket is significant enough that the first-time examiner wonders if they have injured the baby.  The difficulty lies in the fact that not all dysplasia presents with an abnormal exam at birth, so repeat exams and screening for high risk infants are important.  Because a positive family history impacts the risk for the infant, family history of hip problems in childhood should specifically be sought. 

 

 

Background Information

Assessing Risk

Physical Examination

Screening and Management Recommendations

AAP Clinical Practice Guideline

 

 

Background 

 

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Risk Factors 

 

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Physical Examination

 

Identify 1 of 4 Possible Scenarios:

 

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Recommendations for Screening and Management

If a positive Ortolani or Barlow sign is found at newborn examination: 

If the examination at birth is "equivocally" positive:

If the examination at birth is negative:

If the examination at birth is negative and no risk factors:

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Stanford Medicine Resources:

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