Diagnosis and Referral Pathway
Diagnosis and Referral Pathway for DDH
This DDH Diagnosis Pathway is appropriate for metropolitan regions and also for remote regions that lack access to reliable hip ultrasonography. For patients with certain risk factors and a normal examination the Guidelines of the American Academy of Pediatrics state, “…imaging with an ultrasonographic examination at 6 weeks of age or a radiograph of the pelvis at 4 months of age is recommended.” Therefore, these guidelines substitute the use of radiographs when ultrasound studies may be unavailable or unreliable. This practice should allow non-surgical treatment of most cases of hip dislocation that cannot be detected by clinical examination in the newborn period.
Click on the image below to download a larger version.
The DDH Diagnosis Pathway was approved by the Medical Advisory Board of the International Hip Dysplasia Institute in December, 2015 after being developed and implemented by the St. Luke’s Health System of Idaho. This system of hospitals provides healthcare services for a wide region of the Northwest United States including remote regions and indigenous people. The accompanying Power Point presentation explains the basis for development and implementation. This includes a program for quality assessment and documentation of performance with outcome metrics. For more information, please contact IHDI.