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The American Journal of Nursing Vol. 56, No. 10 (Oct., 1956) , pp. 1274-1280 (7 pages) Published By: Lippincott Williams & Wilkins https://doi.org/10.2307/3461161 https://www.jstor.org/stable/3461161 Read and download Log in through your school or library Journal Information The American Journal of Nursing (AJN) is the oldest and largest circulating nursing journal in the world. The Journal's mission is to promote excellence in professional nursing, with a global perspective, by providing cutting edge, evidence-based information that embraces a holistic perspective on health and nursing. Clinical articles focus on acute care, health promotion and prevention, rehabilitation, emergencies, critical care, home health care, etc. Columns present additional perspectives on clinical care, such as ethics, the law, practice errors, pain and symptom management, and professional issues. Publisher Information Wolters Kluwer Health is a leading provider of information for professionals and students in medicine, nursing, allied health, pharmacy and the pharmaceutical industry. Major brands include traditional publishers of medical and drug reference tools and textbooks, such as Lippincott Williams & Wilkins and Facts & Comparisons; electronic information providers, such as Ovid Technologies, Medi-Span and ProVation Medical; and pharmaceutical information providers Adis International and Source®. Wolters Kluwer Health is a division of Wolters Kluwer, a leading multi-national publisher and information services company with annual revenues (2005) of €3.4 billion and approximately 18,400 employees worldwide. Wolters Kluwer is headquartered in Amsterdam, the Netherlands. Its depositary receipts of shares are quoted on the Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Rights & Usage This item is part of a JSTOR Collection. On this page
Hip dysplasia (developmental dysplasia of the hip — DDH) occurs when your baby’s hip doesn’t develop normally. What is baby hip dysplasia?Hip dysplasia is sometimes noticed in babies, and sometimes in children around the time they’re learning to walk. Usually, the ball at the top of your baby’s thighbone (the femoral head) is held in a cup-shaped socket in the pelvis. The ball is held in the socket by ligaments and muscles. In hip dysplasia, the femoral head is not in the right place and your baby’s hip will not develop correctly. Nobody really knows what causes hip dysplasia. It is more common in babies who were in a breech position before birth. It is more common in girls than boys and can run in families. It can also be caused by wrapping your baby tight or swaddling them, if you swaddle your baby, make sure they can bend their legs. How would I know if my baby has hip dysplasia?Sometimes hip dysplasia is not obvious. Doctors and early childhood nurses do regular checks to look for hip dysplasia. They look for a baby who:
And they look for an older child who:
Your doctor, midwife or early childhood nurse can check your baby’s hips at any time, but often will check them during baby checks done:
Your doctor, midwife or early childhood nurse might also arrange an ultrasound or refer you to a paediatrician (children’s doctor). What treatment will my child need?Treatment varies depending on your baby’s age and how severe the condition is. If hip dysplasia is picked up at birth, your baby could wear a soft brace (a Pavlik harness) or a plaster cast for up to several months. This helps the hip develop normally. Babies with braces usually have regular ultrasounds to check their progress. Some babies will need an operation to put the femoral head back into the socket. This is more common if babies are diagnosed after 6 months of age. Sometimes further surgery may be needed. Your baby’s hips should develop normally after treatment. Your doctor will monitor your child for rare problems such as arthritis. Where to get helpIf you think your baby might have hip dysplasia, speak to your doctor. For help and support with caring for your baby if they need a harness, you can speak to a maternal child health nurse at Pregnancy, Birth and Baby using video call or the telephone on 1800 882 436. You can also learn how to:
Read more about hip dysplasia on the Sydney Children’s Hospital Network and the International Hip Dysplasia Institute websites.  Which is a sign of developmental hip dysplasia?Common symptoms of DDH in infants may include: The leg on the side of the affected hip may appear shorter. The folds in the skin of the thigh or buttocks may appear uneven. There may be a popping sensation with movement of the hip.
How do you assess hip dysplasia in infants?During well-baby visits, doctors typically check for hip dysplasia by moving an infant's legs into a variety of positions that help indicate whether the hip joint fits together well. Mild cases of hip dysplasia can be difficult to diagnose and might not start causing problems until you're a young adult.
What is developmental dysplasia of the hip?Developmental dysplasia of the hip (DDH) is a condition where the "ball and socket" joint of the hip does not properly form in babies and young children. It's sometimes called congenital dislocation of the hip, or hip dysplasia. The hip joint attaches the thigh bone (femur) to the pelvis.
What causes hip dysplasia in newborns?What causes hip dysplasia? Genetics plays a strong role, but other influences during pregnancy and birth – such as congenital conditions caused by the fetus being in a uterus that is too small – and cases of breech birth can also lead to developmental hip dysplasia.
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When bathing an infant, what sign does the nurse recognize as a sign of developmental hip dysplasia
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