DDH Protocol

[ZaidPT]

Hello,

I'm a new member here @ Physiobob, I looked everywhere for Developmental Dysplasia of the Hip Protocols but I wasn't successful. I have many guidelines and management references but I'm asked to bring a formal Protocol.

I'm hoping you guys would have a number of different DDH Protocols.

Many Thanks in Advance,

Zaid

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[estherderu]

dear Said,

protocols can differ per surgeon and certainly per country..... look up Hip dysplasia (human) - Wikipedia, the free encyclopedia) for the many references.... and I suggest you look at https://www.cebp.nl, maybe you will find some information there..
good luck

Esther

[ZaidPT]

Thanks Esther, but even thought I looked through those links, I still haven't found any PT DDH Protocols.

I need any Physiotherapy DDH protocol, for any kind of surgical or non-surgical treatment. Its for an orthopedic consultant in our hospital. I already gave him guidelines for how we manage DDH but thats not what he is seeking and its so embarrasing for me as a PT not to have any protocols for it.

Regards

Zaid

[estherderu]

dear Zaid,
Do not be embarrased!

DDH protocols for PT can probably not be found because the dysplasia is primarily treated by surgeons and not by PT/physio´s.

Clinical hip examination, radiographic examination or ultrasonography are the tools surgeons have.
Hips can be diagnosed radiographically as:
acetabular dysplasia ( without subluxation or dislocation),
subluxated, with associated acetabular dysplasia and
dislocated.

treatment from birth - 9 months is restrictive devices or traction
treatment 9 months and older... abduction orthesis in walkers and traction.
If the diagnosis is late ( after 2 yrs) open reduction is often necessary.

Some children, with mild acetabular dysplasia are never diagnosed.
The further development in time may lead to: further alignment problems and limping. Mild dysplasia can come to light only when patients develop a degenerative joint disease.

We physiotherapists should be alert when we see a child with a limp. The history and clinical examination should give us sufficient information to in- or exclude this possibility.

As a physiotherapist I have been involved with these children only when asked by their physician to monitor the motor development ( mostly after bracing).

Good luck.....

Esther