Presentation
Breech delivery.
Patient Data
Age: 1 month
Gender: Female
From the case:
Developmental dysplasia of the hip
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The cartilaginous femoral heads are normal and relatively symmetric. There is at least 50% coverage of the right femoral head with the alpha angles >60 degrees. However, there is approximately 30-40% coverage of the left femoral head with alpha angles measuring ~50 degrees. The bony acetabulum displays an abnormal sloped morphology.
Case Discussion
This is a case of developmental dysplasia of the hip (DDH) in a patient who was at risk for developing DDH given their history of a breech presentation. Pediatric orthopedic surgery was consulted who placed the patient in a harness. Over several subsequent hip ultrasounds, the left hip significantly improved.
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