{
  "schema_version": 1,
  "kind": "condition",
  "id": "developmental-dysplasia-hip-referral",
  "name": "Developmental Dysplasia of the Hip Referral",
  "category": "chronic",
  "sources": "AAP Clinical Practice Guideline: Early Detection of Developmental Dysplasia of the Hip 2016",
  "review_status": "reviewed",
  "verified_against": "AAP Clinical Practice Guideline: Early Detection of Developmental Dysplasia of the Hip 2016",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 571,
      "generic": "No drug therapy required (Urgent Orthopaedic Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Urgent paediatric orthopaedic referral. Hip ultrasound under 6 months, X-ray over 6 months. No medicine treats this and none is needed.",
      "adult_duration": "Urgent referral",
      "dose_source": "AAP Clinical Practice Guideline: Early Detection of Developmental Dysplasia of the Hip 2016",
      "rationale": "Structural orthopaedic condition requiring urgent specialist referral for harness bracing; routine pharmacotherapy is not indicated.",
      "cautions": [
        "URGENT ORTHOPEDIC REFERRAL: Early diagnosis (<6 weeks) allows non-surgical treatment with Pavlik harness with >90% success.",
        "The screening maneuvers are Barlow (dislocates unstable hip) and Ortolani (reduces dislocated hip).",
        "The risk factors are female sex, breech presentation, family history of DDH, and swaddling with legs extended."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Urgent referral to pediatric orthopedics for hip ultrasound (if <6 months) or X-ray (if >6 months). No routine pharmacotherapy",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "developmental-dysplasia-hip-referral"
    }
  ]
}