Cite this article: Bone Joint J 2018 100-B:1249-52.Ĭlicking Clicky DDH Developmental dysplasia of the hip Hip. In the absence of universal ultrasound screening, we would encourage individual units to carefully assess their own outcomes and protocols for 'clicky hip' referrals and tailor ongoing service provision to local populations and local referral practices. Our study provides further evidence that the 'clicky hip' referral can represent an underlying diagnosis of DDH and should, in our opinion, always lead to further clinical and radiological assessment. In total, 11 (15.9%) of the 69 'clicky hip' referrals required intervention with either harness or surgery. Of these, ten children were treated with a Pavlik harness, with two requiring subsequent closed reduction in theatre one child was treated primarily with a closed reduction and adductor tenotomy. A total of 19 children (28%) referred as 'clicky hips' were noted to have hip abnormalities on ultrasound scan, including 15 with Graf Type II hips (7 bilateral), one Graf Type III hip, and three Graf Type IV hips. They can be just as mean as girls about the outcasts of the social group. The mean age at presentation was 13.6 weeks (1 to 84). Sometimes that means sacrificing some freedom and following the leader rather. This represented 26.9% of the total 257 referrals received in that time. There were 69 'clicky hip' referrals over the three-year period. Depending on their age, they were all imaged with either ultrasound scan or radiographs. We aimed to quantify rates of developmental dysplasia of the hip (DDH) in babies referred with 'clicky hips' to our dedicated DDH clinic.Ī three-year prospective cohort study was undertaken between 20 assessing the diagnosis and treatment outcomes of all children referred specifically with 'clicky hips' as the primary reason for referral to our dedicated DDH clinic. KHANDBAHALE.COM is world's number one (# 1) Indian languages knowledge-based digital resource, preferred by over a hundred million language learners, student-teachers, authors, translators, and scholars of the different fields across the world.The significance of the 'clicky hip' in neonatal and infant examination remains controversial with recent conflicting papers reigniting the debate.
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