Cdh Ddh

CDH DDH C ongenitalD islocation of theHip D evelopmentalDysplasia of the Hip .L. Copeliovitch M.D Assaf Harofe Medical Center

Sub-Luxation Luxation

HIP ANATOMY

HIP Sub Luxation

HIP Luxation

Incidence of DDH 1.5% - 0.5% Time of diagnosisGeographic and and racial variation-

Predisposing Factors Positive family history Female, first born Breech presentation Oligohydramnios Malposition of hip and knee Ligamentous laxity

Associated Deformities Feet malformation Congenital torticollis Plagiocephaly

Diagnosis• Mainly clinic

Imaging Ultra Sound Radiography CT MRI Arthrography

Clinical Tests Ortolani Barlow: dislocated - dislocatable

Clinical Diagnosis

Walking Age

Neonate Radiography

Dislocated Hip

Radiographic Measurements

Ultra Sound Examination Graf method

Triple Diapers

Von Rozen Splint

Von Rosen Splint

Pavlik Harness

Pavlik pitfall

Pavlik pitfall

Pavlik pitfall

Pavlik pitfall

Jordan Splint•

Jordan Splint

Frejka Pillow

Avascular Necrosis

Safe Zone

Avascular Necrosis

Bryant’s Traction

Obstructing Factors

Arthrography Hourglass constriction

Lorenz Position Cast

Varus Derotation Osteotomy

Salter Osteotomy

Sub Luxation – Late Arthritis

Osteoarthritis

Hip Replacement

Von Rozen Doll