Frontal radiograph shows a steep acetabular

roof bilaterally.
Bilateral DDH.
Coronal US shows a rounded superolateral
acetabulumand the epiphysis is displaced out
of the acetabulum toward the transducer.
Developmental dysplasia of the hip.
Coronal US image demonstrates the alpha
angle which is obtained by the intersection of
lines drawn in tangent to the iliac crest and
the superior acetabulum. (femoral epiphysis).

Normal hip.
Axial US of the hip shows femur, epiphysis,
ischium, pubis.
Normal hip.
Sagittal US of the hip shows a rounded
superolateral acetabular margin and less than
50% coverage. (line extending from iliac crest
does not bisect the head)
DDH.
Frontal radiograph in left DDH demonstrating
Perkin's line, Hilgenreiner's line, and
acetabular line. The proximal epiphysis is
displaced outward (from the normal lower
inner quadrant). Shenton's arc.
Left DDH with chronic
subluxation/dislocation.
Frontal radiograph showing bilateral chronic
dislocation. Pseudoarticulation with iliac
bones.
Chronic bilateral hip dislocation from DDH.
Frog leg lateral radiograph of the hips with
abnormal superior position and
pseudoarticulation with the right iliac crest.

Right DDH with dislocation.
Frontal radiograph in a child with abnormal
left hip treated with closed reduction and
application of spica cast.
Left DDH.
Axial C-CT of the hips after re-reduction
shows a normal right hip and normal
alignment of the left femoral epiphysis at the
acetabulum.
Left DDH with second intraoperative
reduction and placement of a spica cast.
Normal alignment has been restored.
Hip arthrogram shows enlarged pulvinar,
ligamentum teres creating a filling defect.
There is a widened medial pocket of contrast
and tight limbus.
Advanced DDH.
Frontal radiograph during bilateral hip
arthrograms shows normal appearance on the
right. Left: steep acetabular roof and pooling
of contrast medially resulting in widening of
the joint space.
Left DDH.
Frontal radiograph of the pelvis shows
avascular necrosis.
Right DDH with secondary avascular necrosis.

Frontal radiograph of the pelvis shows
persistent lack of ossification of the femoral
epiphysis .
Left DDH with secondary AVN.
Frontal radiograph status post femoral varus
osteotomy.
Right DDH post femoral varus osteotomy.
Frontal radiograph shows the
right"neoacetabulum."
Status post right acetabular osteotomy for
DDH.
Frontal radiograph of the pelvis shows left
metallic hardware through an iliac osteotomy
site.
Status post left acetabular osteotomy for
DDH.
Frontal radiograph of the hips post left
femoral varus osteotomy.
Left DDH after femoral varus osteotomy.