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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
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
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
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