Abnormal Hip Abduction
photo by David A Clark, MD
Normally, the hips can abduct widely at birth. In this infant, the degree of limitation of abduction is clearly visible. Limited abduction can be a sign of DDH, so it is a useful tool in assessment, especially for older infants when Ortolani and Barlow manuevers are not helpful. The infant in this photo also has abnormalities of other joints -- in this case, the evaluation should extend well beyond the hips.
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