Introduction: Because of the risk of developmental dysplasia of the hip in infants born breech-despite a normal physical exam-the American Academy of Pediatrics (AAP) guidelines recommend ultrasound (US) hip imaging at 6 weeks of age for breech females and optional imaging for breech males.
Do breech babies have problems with their hips?
Breech position: Babies whose bottoms are below their heads while their mother is pregnant with them often end up with one or both legs extended in a partially straight position rather than folded in a fetal position. Unfortunately, this position can prevent a developing baby's hip socket from developing properly.
When do you repeat hip ultrasound for breech baby?
Patients who were considered 'normal' had clinically stable hips, full, symmetric abduction, and normal ultrasounds; they were brought back at 4–6 months for repeat physical examination and plain radiographic evaluation.
What percentage of breech babies have hip dysplasia?
Breech presentation is an important risk factor for developmental dysplasia of the hip (DDH), with breech newborns having an estimated incidence of neonatal hip instability ranging from 12% to 24%.
Do all babies have hip scans?
Your baby should have an ultrasound scan of their hip between 4 and 6 weeks old if a doctor, midwife or nurse thinks their hip feels unstable. Babies should also have an ultrasound scan of their hip between 4 and 6 weeks old if: there have been childhood hip problems in your family (parents, brothers or sisters)