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Infant Hip Ultrasound Service

Guidelines for referral

 

Urgent  - Scan within 2 weeks

 

- Any infant suspected with dislocated / unstable hips

- Infants with positive Barlow or Ortolani tests

- All infants presenting with unequal leg lengths, unequal / tight hip abduction or asymmetric skin creases

Urgent referral by phone - 01736 758892

Email TandOBookingOffice@nhs.net

 

Routine / At risk  - Scan at 6 weeks of age (corrected age for pre-term babies)

 

- Family history of hip dysplasia or instability

- Breech deliveries

- Caesarian Section delivery for breech or transverse lie

- Pregnancy complicated by oligohydramnos

- Babies with foot abnormalities especially talipes

- Infants with torticollis or ‘sternomastoid tumour’

- Infants with plagiocephaly

- Infant with any signs of inter-uterine compression ie ‘moulded babies’

- Infants with birth weight below 3rd centile for gestational age

- Infants with other congenital skeletal abnormalities

- Infants with ‘clicky hips’

- Twins (both)

- Parental concern

Referrals should be sent on ERS to the Referral Management Service under the urgent priority to ensure the patient is scanned at 6 weeks. 

 

Notes

 

All infants with suspected DDH below the age of 18 months should be referred for ultrasound in the first instance.

 

Babies requiring the application of a Pavlik harness are referred to the Paediatric Orthopaedic Physiotherapy Team and progress monitored with regular ultrasound scans. Those not responding to harness treatment will be referred to the next available Paediatric Orthopaedic Surgical Clinic.

 

Infants with positionaltalipes, plagiocephaly or torticollis are referred to the paediatric orthopaedic physiotherapists. Any other leg abnormality noted on examination will be referred to the paediatric orthopaedic surgeons

 

For further advice, contact Carol Scott (Infant Hip Ultrasonographer)        

Mobile         07525 439142

E-mail         carol.scott18@nhs.net

 

August 2018