DDH, developmental dysplasia of hip, congenital hip dislocation, CHD

In this video, I am giving an overview of DDH. I am describing the pathology and the risk factors of the disease outlining the algorithm for screening of DDH. I will also explain the clinical picture of DDH in different age groups and analyze the findings of ultrasound and XR in cases of DDH. Fianlly, I will mention the different treatment options for DDH.

[@niyamath20]

Such a clarity!!!! I havenot come across such an excellent lecture!!! Many thanks

[@sidneyfrattinijr.9700]

If a compliment still matters after 5 years this video was posted, so ThankYou! It was an Excellent and clear presentation!

[@melely5555]

بارك الله فيك وزادك علما ونفع بك اول مره أفهم الزوايا

[@Dr.AbdellatifElalwany]

The explanation of Ultrasonography was realy great . Thank you .

[@hggihfv]

Thanks a lot for this teaching video . I am a radiologist and i noticed many radiolgists are learning from these videos and we want more especially dysplasia . Thanks again .

[@Pediatricorthopedic]

I am glad you like it. I will do my best to have more videos that all specialties dealing with pediatric musculuskeletal conditions can benefit for it

[@zai4booc]

Wow you are amazing Dr.Amr!!! am having a final exam in orthopedics for tmro and this ls a huge help.

[@syedsaddam3769]

thank you doctor....for such simple and educational video.....please keep posting.....

[@vasylpryshliak8432]

Excellent presentation. I'm ultrasound tech. U/s part explained very well
Like your attention to details

[@abossomss496]

How interesting is this !!!
I hope that our professors adopt your lectures as a curriculm
Thank you 💕💕💕💕💕💕💕💕💕💕💕💕💕💕💕💕

[@Pediatricorthopedic]

I am glad you like it.
Thanks for the nice comment

[@sameermanchanda7313]

Great lecture
Exhaustive still lucid👏🏽👏🏽👍🏽

[@Pediatricorthopedic]

I am glad you like it

[@ahmedzahran5964]

Excellent presentation

[@sujandhamala5203]

thank you professor, this is an amazing lecture

[@sujikaranmuthuge1414]

thank you sir for very nice presentation. please add more presentations .

[@vaniagasca6460]

Excellent presentation. thank you so much

[@ihssanabdul-kareem3484]

Excellent presentation, now I understand this topic better.
Thanks,

[@Pediatricorthopedic]

I am glad you like it

[@user-hu5wc3ew1t]

Super excellent presentation and unlimited thanks for you

[@Pediatricorthopedic]

I am very glad you like it

[@rohankore4104]

Thanku Dr AMR
It was very enlightening...!!!

[@shahooaso5591]

great explanation,thank you so much

[@dr.valehmahmudov2563]

Thanks for excellent presentation

[@ramaymd]

Very informative!

[@thabokanye744]

Thank you very much for this educational presentation!

[@ArzMughal]

Excellent.. thank you 😊

[@hevinjaafar969]

Thanks for the effort

[@farooqahmed4916]

very nice sir..........am from Kashmir........... nice presentation

[@amnaeyad7290]

Thank you for the lecture. It's very helpful

[@Pediatricorthopedic]

I am glad you like it

[@bini4joe]

Well explained !

[@MrAbdoabdoo]

I am a radiologist, this is a pretty video ... thank you very much

[@Pediatricorthopedic]

It is my pleasure sir.

[@mehmetdeveer289]

nice presentation.Thank you

[@CM-cl6zv]

Thank you for the video! It was very informative. I would like to ask why pain is never a symptom of untreated DDH, however. I had DDH as a young teen, and pain was actually the reason why it was discovered.

[@Thejehan555]

thanks, this is very informative

[@anwarorakzai5916]

Nice presentation

[@pediatricboardalastminuter1892]

Great work

[@standingnsucceeding]

Excellent Presentation! Please keep doing videos.

[@Pediatricorthopedic]

Thanks for your nice comments.

[@MrBONECRU]

thanks for this video ! I did't know abot Barlow test , because all use Ortolani test all time? I liked your explanation ultrasound x-ray )

[@MDNaHas_Mahmoud]

THANK YOU SO MUCH ❤❤

[@majedhammouda9813]

Thank you very much.

[@Pediatricorthopedic]

Thanks for the nice comment. I am glad you like it

[@DoctorAby11]

Thank you very much Dr.Amr ,

[@DrMasfiqueAhmedBhuiyan]

excellent outstanding lecture...i am just impessed. great job. the channel i subcribe and feel that i am connecting with a great thing.

[@Pediatricorthopedic]

Dr.Masfique Ahmed Bhuiyan I am glad you like it

[@drshaimaahmed5322]

Thanks alot

[@danahelwani7654]

شكرا جزيلا

[@raghavendrahk4904]

Nice presentation...like to hear more lectures

[@Pediatricorthopedic]

Thanks. I am glad you like it

[@tifamed]

thank a lot Dr.Amr

[@Pediatricorthopedic]

You are welcome Dr Khalil. Please let me know if you have any feedback

[@alhatmi9595]

Thank you very much Dr

[@Pediatricorthopedic]

you are welcome, I am glad you like it

[@alhapponyful]

Big Beta Bad
I'll never forget that , thank you sir

[@norabdul1n1]

Really helpful thanks a lot

[@Pediatricorthopedic]

You are welcome

[@mayomionuwaje1947]

thanks that was great

[@M4gcfr]

Ok then, thanks. I will be waiting.

[@teror1231]

Really awesome man.....can u please upload a video on CTEV

[@waleedbagdady6738]

in min 17.55 how dynamic us change parameters of reference angles to indicate dysplasia? Or that is just hyperlaxity state ??

[@amalalmoamary1983]

This is perfect

[@Pediatricorthopedic]

+Amal Almoamary Thanks for the nice comment, I am glad you like it

[@samreenmakhdo1094]

Thank you sir my concept cleared

[@Pediatricorthopedic]

I am glad you like it

[@waleedbagdady6738]

in min 17 .55 how dynamic us indicate dysplasia or changing Eastrington angles? Is that only soft tissue element due to limb positioning??

[@Pediatricorthopedic]

will do soon

[@oyundaribatsaixan3856]

Hi , would you upload about Pavlik harness complications , next time , it will interesting

[@M4gcfr]

Great job...do you have the online copy of your handbook? Which website can i download it?

[@aaa11122232]

you are great

[@Pediatricorthopedic]

+aaa11122232 Thanks

[@Pediatricorthopedic]

You are welcome

[@thucnguyen3113]

thank you very much ! an amazing video ^^ .

[@Pediatricorthopedic]

+Thức Nguyễn Thanks for the nice comment. I am glad you like it.

[@Dr.Khattak]

Awesome explanation sir, i don't understand why a professor in medical university makes it so difficult.

[@Pediatricorthopedic]

Thanks, I am glad you like it

[@rupamsonu2555]

Hi sir. 17th month me closed reduction successful ho jata h kya

[@ahmedalgredly8800]

Thank you
I got it

[@Pediatricorthopedic]

You are welcome

[@abedzahar]

Thank doctor

[@Pediatricorthopedic]

You are welcome sir

[@allamousa5687]

Thankyou

[@jainrh3568]

thank u

[@avinashrazdan9514]

Gud lecture. ..thanku

[@Pediatricorthopedic]

Avinash Razdan Thanks for the nice comment, I am glad you like it

[@Bailey973]

Pediatric Orthopedic Thank you so much for the video! I was diagnosed with congenital hip dysplasia: and I had surgery this summer and I am having another surgery the next year.. :Just wondering, why did it take so long for doctors to FINALLLY make a diagnosis?

[@Pediatricorthopedic]

Sometimes, mild dysplasia is very hard to diagnose

[@ffolqlwderfgf8140]

female is 12 months have dislocation of the hip in new born and the pavlic harnais is indicated and put but in control Rx there is a right small head hip and the head hip is poorly focused what is the treatment is the spica cast is indicated?

[@Pediatricorthopedic]

+Ffolqlwd Erfgf 12 month is usually treated with closed reduction and spica cast (possible adductor tenotomy), this is a general statement and not patient specific

[@daniachavez4066]

Thank you for the video it was very informative! My daughter is 20 months old and she will be having open reduction surgery to repair her hip. Have you done any of these surgeries?

[@Pediatricorthopedic]

Dania Chavez Thanks for the comment. Yes I do these surgeries

[@mayaghaith6508]

This is the best video ever done in ddh ...but i have a question if i may ask ..i sent my four month's female patient for hips x ray..with drawing the lines everything was perfectly normal except that the theta angle was 28 left and 30 in the right ..as far as i know that up to 30 dgree is normal for theta angle at age of four months..radiologist mentioned that it is mild dysplasia of the rt hip..ossification centers are both in the inferomedial quadrant except that the left ossification center is a little bit smaller (very small difference in size)...patient has normal physical examination ...her orthopedic surgeon ordered pavlic harness for two months , i wish to know your opinion ,best regards

[@Pediatricorthopedic]

Thanks for the comment. 30 degree angle is normal at 4 months.

[@simonau1127]

Why ultrasound of hip before six weeks has a high false positive rate? Thanks for your excellent video.

[@aaa11122232]

+Simon Au what my teacher says the femoral head ossifies by that time and ultrasound penetrates soft tissues only.

[@Pediatricorthopedic]

+Simon Au During the first few weeks in life, there are many cases of dislocated hips that will reduce by spontaneously. So the ultrasound will detect these case (that will improve by themselves with no need for intervention), that is why some physicians recommend to wait few weeks, to allow these hips to reduce and avoid intervention for hips that does not need to have anything done.

[@simonau1127]

Thanks

[@Pediatricorthopedic]

+Simon Au You are welcome

[@OSCAR-bd3ei]

Thanks duct

[@Pediatricorthopedic]

OSCAR I am glad you like it

[@Pediatricorthopedic]

not yet, it should be ready in few months

[@tecmedimagen]

Dr. What is the reason of the female patients have more risk DDH , thanks .!!

[@Pediatricorthopedic]

It is not known exactly why, but about 80% of patients are females.

[@jayke1405]

Why the measurement were not shown properly in neutral as well as in stress.Another things is the percentage coverage of the head of the femur.I have seen so many videos but none of them explained very thing,something ir other is always missing

[@sumantsinha59]

Nicely explained , but the "Clik & Clunk " part is subjective , any way to quantify ?

[@Pediatricorthopedic]

Thanks for the nice comment. Click is a sound that you hear or feel with no change of the position of the head of the femur. Cluck (can be associated with a sound), but you feel the head of femur is coming out and in of the acetabulum. If not sure what you are feeling is a click or a clunk, get ultrasound for confirmation.

[@tecmedimagen]

Pediatric Orthopedic thanks for that , i didnt understand !! dont stop making videos Dr. Grettings FRom Chile

[@Pediatricorthopedic]

Thanks for the nice comment. It is my pleasure.

[@silvasaran1176]

I am in India my son left side I think DDH. he is 2 and 1/2years older.he sitting inward left leg.

[@yahyayahyaoui5807]

thanks but we nned traduction to frensh sir

[@hawashalyan6992]

Ok

[@user-eh6rm4ef8c]

What dose it mean? "T" .Please write the precise spelling.Thank you!!

[@mohamedeissa3899]

at 5 Months one doctor used X-Ray which showing dislocation while another used US said it is normal(50% covered whose correct )

[@Pediatricorthopedic]

you can start with XR. If you see ossific nucleas, you can use it to judge the head position. If not, get US

[@mohamedeissa3899]

thanks for advise ,can I have your mail soi can share with you the X-Ray image . I`m so sorry for the interruption but the case is very sensitive as the baby seems to be floppy and wearing the harness may affect his movement development

[@Pediatricorthopedic]

[e-mail]

[@mohamedeissa3899]

Thanks Dr. Amr Appreciate your help

[@mohamedeissa3899]

I have sent all available reports and images I have ,please confirm if it is received as I experience some difficulties in sending to your mail ,Thanks and sorry again

[@febinaismail8744]

Excellent presentation

[@waleedbagdady6738]

in min 17.55 how dynamic us change parameters of reference angles to indicate dysplasia? Or that is just hyperlaxity state ??

[@waleedbagdady6738]

in min 17 .55 how dynamic us indicate dysplasia or changing Eastrington angles? Is that only soft tissue element due to limb positioning??

[@waleedbagdady6738]

in min 17 .55 how dynamic us indicate dysplasia or changing Eastrington angles? Is that only soft tissue element due to limb positioning??