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How to use… Hip examination and ultrasound in newborns
  1. Yoshua Colyn Collins-Sawaragi1,
  2. Kapila Jain2
  1. 1 Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK
  2. 2 Radiology Department, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, UK
  1. Correspondence to Dr Yoshua Colyn Collins-Sawaragi, Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, St Peter’s Road, Margate CT9 4AN, UK; y.collins-sawaragi{at}


Developmental dysplasia of the hip (DDH) ranges from a clinically detectable dislocation of the hip to radiologically diagnosed hip abnormalities. It is caused by both antenatal and postnatal factors. The Neonatal and Infant Physical Examination Screening Programme recommends that newborns should undergo a hip ultrasound (USS) when risk factor or clinical features suggestive of DDH are present. The aim of hip ultrasonography is to detect DDH early and prevent late complications through early treatment. Here, we discuss how to use hip examination and USS in newborns.

  • hip ultrasound
  • neonatology
  • DDH
  • developmental dysplasia of the hip

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  • Contributors Substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data: YCC-S, KJ. Drafting the work or revising it critically for important intellectual content: YCC-S, KJ. Final approval of the version published: YCC-S, KJ. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: YCC-S, KJ.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Ethics approval Hospital approval obtained for photographs of the clinical examinations (permission granted from Paediatrician, Medical Director of the Hospital, Risk Governance Manager, Risk Governance Matron and Lead Consultant).

  • Provenance and peer review Commissioned; externally peer reviewed.