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Developmental dysplasia of the hip — DRCOG MCQ

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HardNeonatal CareDevelopmental dysplasia of the hipDRCOG

A 6-week-old has a definite hip clunk on Barlow and Ortolani testing and was breech until 36 weeks. What is the most appropriate management?

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Correct answer: AArrange urgent hip ultrasound with specialist assessment

A definite hip clunk and breech presentation are referral features for developmental dysplasia of the hip. Arrange hip ultrasound and specialist assessment rather than repeated provocative testing or delayed reassurance.

Reference: UK NIPE screening programme handbook: https://www.gov.uk/government/publications/newborn-and-infant-physical-examination-programme-handbook/newborn-and-infant-physical-examination-screening-programme-handbook