+++
CONDITION/DISORDER SYNONYMS
++
++
754.3 Congenital dislocation of hip
754.30 Congenital dislocation of hip unilateral
754.31 Congenital dislocation of hip bilateral
754.32 Congenital subluxation of hip unilateral
754.33 Congenital subluxation of hip bilateral
754.35 Congenital dislocation of one hip with subluxation of other hip
756.9 Other and unspecified congenital anomalies of musculoskeletal system
++
Q65.00 Congenital dislocation of unspecified hip, unilateral
Q65.1 Congenital dislocation of hip, bilateral
Q68.8 Other specified congenital musculoskeletal deformities
Q79.8 Other congenital malformations of musculoskeletal system
Q79.9 Congenital malformation of musculoskeletal system, unspecified
+++
PREFERRED PRACTICE PATTERNS
++
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction
4F: Impaired Joint Mobility, Motor Function, Muscle Performance, and ROM Associated with Spinal Disorders1
4I: Impaired Joint Mobility, Motor Function, Muscle Performance, and ROM Associated with Bony or Soft Tissue Surgery2
++
PATIENT PRESENTATION
A 6-month-old infant is referred to physical therapy for congenital muscular torticollis. The mother reports an uneventful pregnancy but difficult delivery requiring forceps. Upon examination, the therapist notes asymmetry of the gluteal folds and limited passive right hip abduction and hip flexion in addition to the typical signs of congenital torticollis and gross motor delay. The therapist contacts the physician to discuss the findings. Subsequently, radiologic studies are completed with a resulting diagnosis of developmental dysplasia of the hip. Following evaluation by a pediatric orthopedist, the infant is placed in a Pavlik harness for 23 hours per day except for bathing and therapy.
++
++
Group of bony abnormalities on hip joint
Femoral head does not fit tight into the acetabulum
Femoral head can be manually dislocated from the acetabulum easily3
Congenital or acquired deformation/misalignment of the hip joint4
Hip may be unstable, malformed, dislocated, dislocatable, or subluxated4
+++
Essentials of Diagnosis
++