Fludder Christian J, Keil Braden G
Private practice, Victoria, Australia.
J Can Chiropr Assoc. 2020 Aug;64(2):144-154.
Developmental Dysplasia of the Hip (DDH) is a common musculoskeletal condition of infancy, but diagnosis can be delayed. In parts of Australia, after the four-month routine assessment, there is a 16-week interval before the next well-child assessment. This may result in a delay in diagnosing late developing DDH.
This case report describes the diagnosis and management of an 18-week old infant with late-onset DDH who was successfully managed with simultaneous Pavlik harnessing with Denis Browne Bar.
This case underscores the importance of routine ongoing hip joint screening, inter-professional collaboration of all health care practitioners, and the importance of appropriate training of all practitioners seeing infants, to reduce instances of undetected DDH, reduce medical burden, and prevent otherwise unnecessary surgical intervention.
发育性髋关节发育不良（DDH）是婴儿期常见的肌肉骨骼疾病，但诊断可能会延迟。在澳大利亚的部分地区，四个月常规评估后，到下一次健康儿童评估有16周的间隔期。这可能导致晚发性DDH的诊断延迟。
本病例报告描述了一名18周大晚发性DDH婴儿的诊断和治疗，该婴儿通过同时使用帕夫利克吊带和丹尼斯·布朗杆成功治疗。
本病例强调了持续进行髋关节常规筛查、所有医护人员跨专业协作的重要性，以及对所有诊治婴儿的医护人员进行适当培训的重要性，以减少未被发现的DDH病例，减轻医疗负担，并避免不必要的手术干预。
