Congenital Hip Dysplasia
Hip instability or dislocation detected at birth. Orthopedic and physiotherapy management.
Congenital Hip Dysplasia
Developmental dysplasia of the hip (DDH) affects 1-3% of newborns (AAP, 2000). Screening uses Ortolani and Barlow maneuvers with hip ultrasound at 4-6 weeks. Treatment with Pavlik harness enables gradual reduction.
Physiotherapy maintains joint range, monitors motor development, and prepares for weight-bearing and walking. In Luxembourg, DDH screening is part of neonatal care.
Signs and characteristics
- Detection by clinical exam and ultrasound
- Treatment with abduction brace or harness
- Regular orthopedic follow-up
Physiotherapy assessment
Assessment is individualised. It considers the observed characteristics, the child's history and comfort, and the family's goals. It does not replace a medical diagnosis.
Physiotherapy care
- Gentle hip mobilizations
- Motor development monitoring
- Exercises after brace removal
- Walking preparation
Indicative duration: 6 to 12 months
Home Exercises and Tips
- Practice the exercises shown by the physiotherapist
- Follow the recommended positioning for your baby
- Perform nasal washes if prescribed
- Stimulate motor development through play
Frequently asked questions
What signs may be observed?
Detection by clinical exam and ultrasound Treatment with abduction brace or harness Regular orthopedic follow-up
What can physiotherapy offer?
Gentle hip mobilizations Motor development monitoring Exercises after brace removal Walking preparation
How long does support last?
6 to 12 months