Hip Dislocation Management in the ED Guidelines

Updated: Jan 07, 2022
  • Author: Stephen R McMillan, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Guidelines

Clinical Practice Guidelines

The American College of Radiology published the following guidelines for DDH [11] :

  • Imaging is not recommended for the initial imaging of children younger than 4 wk with an equivocal physical examination or risk factors shown for DDH.
  • Ultrasonography (US) of the hips is usually appropriate for the initial imaging of children between the ages of 4 wk and 4 mo with an equivocal physical examination or risk factors shown for DDH.
  • US of the hips is usually appropriate for the initial imaging of children younger than 4 mo with physical findings of DDH at initial imaging.
  • Radiograph of the pelvis is usually appropriate for the initial imaging of children 4-6 mo of age with a concern for DDH at initial imaging.
  • Radiograph of the pelvis is usually appropriate for the initial imaging of children older than 6 mo with a concern for DDH.
  • US of the hips is usually appropriate for children younger than 6 mo with a known diagnosis of DDH during nonoperative surveillance imaging in harness.