RECOMMENDATIONS

Document Overview

Design and created by Guideline Central in participation with the American Academy of Orthopaedic Surgeons.

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age

American Academy of Orthopaedic Surgeons

Publication Date: Sep 5, 2014

Page Last Updated: May 5, 2026

Interpreting the Strength of Evidence

Strength of Recommendation
Strength	Overall Strength of Evidence	Description of Evidence Quality
Strong	Strong	Evidence from two or more “High” quality studies with consistent findings for recommending for or against the intervention.
Moderate	Moderate	Evidence from two or more “Moderate” quality studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention.
Limited	Low Strength Evidence or Conflicting Evidence	Evidence from two or more “Low” quality studies with consistent findings or evidence from a single “Moderate” quality study recommending for against the intervention or diagnostic or the evidence is insufficient or conflicting and does not allow a recommendation for or against the intervention.
Consensus*	No Evidence	There is no supporting evidence. In the absence of reliable evidence, the guideline development group is making a recommendation based on their clinical opinion. Consensus statements are published in a separate, complimentary document.

Document Overview

Document Title: Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age

Authoring Society: American Academy of Orthopaedic Surgeons

Endorsing Societies

American Academy of Pediatrics

Pediatric Orthopaedic Society

Document Publication Date: Sep 5, 2014

Page Last Reviewed/Updated: May 5, 2026

Document Type: Guideline

Country of Publication: United States

Full Text Freely Available: Yes

Full Text Guideline: www.aaos.org/globalassets/quality-and-practice-resources/pddh/pediatric-developmental-dysplasia-hip-clinical-practice-guideline-4-23-19.pdf

Supplemental Implementation Resources

Document Scope, Criteria, and Use Cases

Scope: Assessment and Screening, Diagnosis, Treatment

Keywords: dysplasia, hip dysplasia, infant dysplasia, pediatric dyplasia

Target Patient Population: infants with hip dysplasia

Target Provider Population: Orthopedic surgeons; pediatricians; radiology

Inclusion Criteria: Female, Male, Infant

Health Care Settings: Ambulatory, Hospital, Radiology Services

Intended Users: Nurse, Nurse Practitioner, Physician, Physician Assistant, Radiology Technologist

Recommendation Development Processes & Methodology

Supplemental Methodology Resources: Data Supplement Data Supplement

Number of Source Documents: 129

Includes peer/external review process?: Yes

Includes public comment process?: Yes

Methodologist involvement?: Yes

Patient involvement?: No

Includes multi-disciplinary group?: Yes

Includes systematic review?: Yes

Grades quality of strength of evidence?: Yes

Grades quality of strength of recommendation?: Yes

Discloses funding source?: Yes

Discloses conflicts of interest?: Yes

Includes benefits/harms analysis with recommendations?: Yes

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age

RECOMMENDATIONS

UNIVERSAL ULTRASOUND SCREENING

EVALUATION OF INFANTS WITH RISK FACTORS FOR DDH

IMAGING OF THE UNSTABLE HIP

IMAGING OF THE INFANT HIP

SURVEILLANCE AFTER NORMAL INFANT HIP EXAM

STABLE HIP WITH ULTRASOUND IMAGING ABNORMALITIES

TREATMENT OF CLINICAL INSTABILITY

TYPE OF BRACE FOR THE UNSTABLE HIP

MONITORING OF PATIENTS DURING BRACE TREATMENT

Interpreting the Strength of Evidence

Document Overview

Supplemental Implementation Resources

Document Scope, Criteria, and Use Cases

Recommendation Development Processes & Methodology