Congenital Hip Dislocation/Dysplasia months)  Trendelenburg’s Sign – when weight is

placed in affected hip, the pelvis tilt

- Displacement of femoral head from the
downward
acetabulum
 Prominent greater trochanter (hip
- Most common in women
prominence, swelling in affected gluteal
Types:  Barlow’s Test – audible click when hips region)
is adducted  Marked lordosis (bilateral dislocation)
1. Partial
 Waddling gait (bilateral
2. Subluxation
dislocation)/Duck walk
 Limping or uneven gait (unilateral)
 Late walking (bilateral)

Treatment:
 Galeazzi Test – shortening of limb of
affected side 1. Newborn to 6 months
a. Pavlik Harness – worn
continuously about 3-6 months
for 24 hours

3. Complete

Predisposing Factors:  Unequal gluteal folds (infant prone)

1. Maternal hormone secretion –
estrogen, relaxes maternal pelvis at the
3rd trimester also affects fetal joints
2. Intrauterine Posture – breech
3. Twinning
4. Large infant size
5. Infant Handling
Diagnostics Tests:
 Positive Ortolani’s and Barlow’s Test
b. Skin Traction – when there is
Older Infant and Child adduction contracture
c. Hip Spica Cast – used when
 Affected leg shorter than the other
there is difficulty maintaining
 Telescoping of piston mobility of joint – stable reduction
head of femur can be felt to move up 2. 6-18 months
and down in the buttocks when a. Bryant’s Traction
extended thigh is pushed towards
child’s head and then pulled distally Nursing Diagnosis

 Ortolani’s Test – audible click when the  Impaired Physical Mobility

hip is flexed and abducted (in child < 24  Impaired Social Interaction
 Constipation
 Risk for Injury