Developmental dysplasia of the hip (DDH) on X‑ray: 4 real cases

Real, openly licensed radiographs showing developmental dysplasia of the hip (ddh). Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • Shallow, steep acetabulum (increased acetabular index).
  • Femoral head ossification centre small or displaced superolaterally, outside the inner lower quadrant formed by Hilgenreiner's and Perkin's lines.
  • Disrupted Shenton's line. Ultrasound is preferred in young infants before the femoral head ossifies.

Learn: Paediatric hip

Quiz yourself on paediatric images

Cases

Other paediatric diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.