6 responses to “Swaddling and developmental dysplasia of the hips”

  1. how reliable is hip ultrasound in the screening of patients with possible
    DDH when used in addition to the physical examination?

  2. interesting to hear swaddling is making a comeback. I thought we were more successful in explaining the risk. Time to revisit this during pregnancy.

  3. Useful reminder to discuss and review techniques of swaddling, rather than just the fact of it…especially with the increasing use of swaddling and the variety of swaddling techniques and materials/devices on the market and promoted through cultural practices or the “mom and baby” business.

  4. If the baby has a clearly abnormal hip examination, I would suggest referring straight to orthopedics.
    If the baby has an equivocal hip examination and/or significant risk factors as outlined in the review, ultrasonography is a reliable investigation.

  5. I had not noticed an increase in this type of swaddling so I will ask and watch more carefully

  6. As a matter of curiosity, has anyone looked into the incidence of DDH in the Inuit. Most Inuiit children are carried in their mothers’ amautis ( a rather convenient sort of child carrier come Parka) until they are three years old or even more. The kids seem to sit in there with their hips (and knees) flexed and externally rotated. I couldn’t help but wonder
    if this contributed to the incredible flexibility of Inuit women’s hips which I noted in the deliver room. What about other “squatting cultures”?

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