What Causes DDH?
The cause of DDH is unknown, but it is commonly seen in first-born babies, especially Caucasian or Native American girls who are born breech, or feet first. How Is DDH Found? The condition can be found by checking a baby’s hips and, if suspected, performing an ultrasound of the hip. Your baby’s doctor should look for: • A hip click or clunk • Limited hip movement • A difference in leg lengths • Increased skin folds on thighs How Is DDH Treated? DDH treatment depends on the child’s age and results of the hip exam and ultrasound or X-ray. Observation may be needed, and treatment options may include harnessing, traction and/or surgery. • Observation: The doctor may want to watch the child’s hips closely. Sometimes babies’ hips are loose at birth, and they may tighten on their own after a few weeks. • Harnessing: For babies less than 6 months old, the doctor may recommend a soft, fabric brace called a Pavlik harness. The Pavlik harness keeps the hips in a “frog-leg” position, holding the b