Questions
An 18 month-old girl is brought to you clinic as her parents have noticed the left leg appears shorter than the right. She is their first child and has no past medical history. On clinical examination she has a 2 cm leg length discrepancy (LLD) with a lumbar scoliosis.
- What relevant clinical examination findings would support a late presentation of developmental dysplasia of the hip?
- What are your differential diagnoses
- The x-ray demonstrates a dislocated left hip, what radiographic lines would you draw
- What is your management plan?
- What structures would block the reduction of the hip