Rosh Pediatrics Practice Exam

What is the most relevant follow-up for the management of developmental dysplasia of the hip?

1. ARefer to orthopedic surgery

2. BObservation and counseling for parents

3. CContinue using a Pavlik harness

4. DRepeat physical examination in four weeks

The correct answer is: BObservation and counseling for parents

For the management of developmental dysplasia of the hip, the most relevant follow-up involves observation and counseling for parents. This approach is essential as it allows healthcare providers to monitor the child's hip development over time, especially in cases where initial treatment may not be intensive. It is crucial to ensure parents are informed about the condition, possible outcomes, and signs to watch for. In many instances, if a child is diagnosed with mild dysplasia or is being monitored post-treatment, immediate surgical intervention or continued aggressive treatment may not be necessary. Observing the child’s development can help determine if further intervention is needed later on. Counseling is also vital so that parents understand the condition, feel supported, and know what to expect as their child grows, including any necessary follow-ups. This contrasts with the other management options. Referring to orthopedic surgery may not be appropriate for cases that are not severe or where the condition may resolve on its own. Continuing the use of a Pavlik harness is only relevant if there is a need for continued treatment, which may not be the case in every situation. Lastly, simply repeating a physical examination in four weeks may not provide the comprehensive understanding and support that comes from observation and counseling, especially considering the broader context of the child’s growth