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Developmental dysplasia of the hip — DRCOG MCQ

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HardNeonatal Care BasicsDevelopmental dysplasia of the hipDRCOG

A 6-week-old born breech has restricted left hip abduction and a reproducible Ortolani clunk. What is the next step?

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Reveal the answer and explanation

Correct answer: D — Arrange urgent specialist hip assessment without waiting for routine imaging results

Explanation lettering: E = shown as A · D = shown as C · C = shown as D · A = shown as E

C is correct. C positive instability examination requires urgent specialist assessment. D is ineffective and delays care. E risks harm outside a treatment harness pathway. A radiographs are insensitive at this age and must not delay referral. B breech presentation remains a risk factor.

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