Feel if HIP goes partially or fully out. Then abduct to feel if slide back in. Check HIP abduction. Lless than 60 degrees is suspicious. With the pelvis flat, note the height of the two knees with the thighs together.
Check gait in the older child.
The HIP should be reduced within the first six weeks if the dislocation is recognized. The earlier the diagnosis is made, the easier and safer the treatment. Even up until age 6-8 years, reduction is worthwhile. Click and subluxation followed with serial exam, many improve within one week. Bracing should be done by an orthopaedist familiar with pediatrics.