American Academy of Family Physicians. These maneuvers cannot be performed in a fussy, crying infant whose muscle activity may inhibit the movement of an unstable hip. For the Ortolani maneuver, the contralateral hip is held still while the thigh of the hip being tested is abducted and gently pulled anteriorly. DDH is variable at presentation but is defined as an abnormal formation of the hip joint occurring between organogenesis and maturity as a result of instability. The change from congenital to developmental is crucial because clear evidence has shown that not all cases are diagnosable at birth.
Incidence varies with race.
There is an increased incidence in native American populations, and a decrease incidence in the black, Korean, and Chinese populations. Associated birth factors include breech presentation, torticollis, talipes equinovarus, metatarsus adductus, and being first born. This site offers information mostly for educational purposes. This site is not intended to alter health care protocols nor to serve as a sole source of medical information. Please read full disclaimer .