February Week 3: Congenital Dysplasia of the Hip

Article:

1. Schwend R. What Is the Optimal Strategy To Screen for Hip Dysplasia? AAP Grand Rounds. 2009;22;37.
2. Shipman S, et al. Screening for Developmental Dysplasia of the Hip: A Systematic Literature Review for the US Preventive Services Task Force. Pediatrics. 2006;117;557.
3. Shipman S, et al. Screening for Developmental Dysplasia of the Hip: Recommendation Statement. Pediatrics. 2006 (A NICE TABLE/ SUMMARY)

Case 1:
You are seeing a full term newborn girl in the well baby nursery who was born via C-section for breech presentation. Her exam is completely normal and she and mom are going to be discharged today.
What are the Barlow and Ortolani maneuvers?
What is developmental dysplasia of the hip (DDH)?

What are risk factors for DDH? 
How is DDH treated?

What is the most concerning risk factor for both surgical and non-surgical treatement of DDH? 
Discuss the USPSTF recommendations regarding screening for DDH (see Table 4 of Pediatrics article). How does this compare with AAP guidelines?