Developmental dysplasia of the hip (DDH) Surveillance

Are hip problems always detected at birth?

Not all hip problems are detected at birth. Your baby’s hips will be examined again at the routine 6-8 week assessment with your GP practice.

You may also be able to detect if your baby has a hip problem. 
What should I look for in the future?

Consult your GP or Health visitor if 

• one of your baby’s legs looks shorter than the other
  and
• an extra deep crease develops in your baby’s groin which extends around the buttock
  and
• you notice any hip stiffness for example, when you change your baby’s nappy, one leg does not move outwards as fully as the other leg
  and
• our baby walks with a limp or consistently on their tiptoe with the heel off the floor

Your GP or Health Visitor can refer your baby to the Baby Hip clinic for examination and ultrasound of your baby’s hips.

What is DDH surveillance?

All babies have their hips examined as part of the newborn examination. Any hip stiffness or excessive movement may indicate developmental dysplasia of the hip (DDH) or a dislocated hip. This is more common in baby girls.

Is my baby at risk of DDH?

There is an increased risk of hip problems if

• there is a family history of DDH eg a parent or brother/ sister
• your baby was in the breech position shortly before or at birth
• your baby is a girl and weighed over 4kg at birth
• your baby is a girl and was born over a week later than  the expected due date
• your baby appears to be ‘moulded’ or lying squint
• you tightly ‘wrap’ or swaddle your baby in a blanket

What if DDH is suspected?

If there are any concerns about your baby’s hip from the newborn examination or if risk factors are identified, your baby will be referred for a hip ultrasound scan. This may be done on the ward before you take your baby home or within a few weeks at the Baby Hip Clinic. Ultrasound will give a clear image of your baby’s hip and its development.

Contact us

Joyce Henderson (Lead Advanced Physiotherapy Practitioner) – 
joyce.henderson3@nhs.scot

Suzy Campbell (Advanced Physiotherapy Practitioner) -
suzy.campbell2@nhs.scot 
Tel: 01592 643355 extension 29071 / 29070