Which of the following assessment findings on an infant lead the nurse to suspect developmental dysplasia of the hip (DDH), formerly known as congenital hip dislocation? Select all that apply
A) Gluteal fold asymmetry
B) Shortening of the thigh, so the knee on affected side is higher
C) Joint capsule tightness to the point that there is no normal range of motion
D) Delayed crawling on the knees
Ans: A, B
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In infants, signs of possible DDH include asymmetry of the hip or gluteal folds, shortening of the thigh so that one knee (on the affected side) is higher than the other knee, and limited abduction of the affected hip. Instability of the hip may produce a delay in walking. In less severe cases, the hip joint may be unstable, with excessive laxity of the joint capsule.
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