BACKGROUND/PURPOSE: Developmental dysplasia of the hip is a leading cause of hip arthritis resulting in total hip replacement and it is the most common congenital defect in the newborn. Research shows that early detection and treatment can decrease complications of developmental hip dysplasia. The purpose of this paper is to explore whether screening for developmental dysplasia of the hip by physical therapists could improve early diagnosis and therefore trigger early treatment of developmental dysplasia of the hip ultimately decreasing complications. CASE DESCRIPTION: Little Girl is a 4 y/o patient seen in acute care hospital recovering from her second surgery to reduce her left hip. Little Girl was diagnosed with developmental dysplasia of the hip at age 2. OUTCOMES: 8 articles were reviewed utilizing evidence based practice forms to answer the current PICO question. 7 of the 8 articles helped to answer the question. DISCUSSION: The current findings suggest that a physical therapist working with newborns should screen for developmental dysplasia of the hip and refer high risk patients back to their pediatrician. This may detect developmental dysplasia of the hip at an earlier age which will get the child earlier treatment, and result in decreased complications. The reviewed articles suggest that a similar patient in the future presenting with a limp at walking age would be screened for developmental dysplasia of the hip.
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developmental dysplasia of the hip, physical therapy, screening
Jiron, Katie. "Physical Therapy Screening for Developmental Dysplasia of the Hip." (2014). http://digitalrepository.unm.edu/dpt/96
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