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Warning-sign checks

Developmental dysplasia of the hip: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care if the toes below a harness or cast become blue, very pale, cold, or markedly swollen, or if the child cannot move them.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Follow up promptly if your baby was breech or has a close family history of DDH and recommended screening has not been completed.

    If a child is wearing a harness or cast, contact the treatment team the same day about skin sores, a harness that slips or no longer fits, a wet or cracked cast, worsening pain, fever, or a bad smell from inside the cast.

    Severe or rapidly worsening pain also needs urgent assessment.

    These signs may indicate pressure on circulation or nerves.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a prompt, non-emergency appointment if a baby moves one leg less, has difficulty opening one hip during routine care, or appears to have unequal leg lengths.

    A new limp, waddling walk, or persistent hip or groin pain also needs assessment.

The article also says

DDH itself is not usually an emergency, but early assessment matters because treatment is often simpler in younger babies.

Every sign above is quoted from the sofidex article on Developmental dysplasia of the hip. If you are not sure, err upward — it is always reasonable to be checked.