A 2-week-old girl has a positive Ortolani maneuver at newborn follow-up. She was born breech at term. There is no fever, trauma, or limb-length

Question

A 2-week-old girl has a positive Ortolani maneuver at newborn follow-up. She was born breech at term. There is no fever, trauma, or limb-length discrepancy visible at rest. Feeding and weight gain are normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Refer for pediatric orthopedic evaluation

Answer

Apply adult hip spica cast in clinic

Answer

Order knee radiographs

Answer

Reassure because newborn clicks are diagnostic of normality

Answer

Delay evaluation until walking age

Developmental dysplasia of hip — USMLE Step 3 MCQ

A 2-week-old girl has a positive Ortolani maneuver at newborn follow-up. She was born breech at term. There is no fever, trauma, or limb-length discrepancy visible at rest. Feeding and weight gain are normal. Which of the following is the most appropriate next step in management?