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Developmental dysplasia of the hip — MRCPCH FOP MCQ

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ModerateNeonatologyDevelopmental dysplasia of the hipMRCPCH FOP

A 2-week-old girl born by breech delivery has a positive Barlow test on newborn examination. She is otherwise well and feeding normally. What is the most appropriate investigation?

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Correct answer: B — Urgent hip ultrasound and orthopaedic referral

A positive Barlow test and breech history require early hip ultrasound and orthopaedic referral. Plain radiographs are less useful at this age because the femoral head is not ossified. Waiting until walking risks delayed treatment and worse outcomes. The pearl is that breech presentation is a specific risk factor even if the examination is equivocal.

Reference: NICE CKS Developmental dysplasia of the hip; NIPE standards