مولودة عمرها أسبوعان، أول طفلة لأمها، وولدت بالمقعدة. في فحص المتابعة الروتيني سُمع صوت طقطقة عند تبعيد الورك الأيسر (علامة أورتولاني إيجابية)، والرجل اليسرى أقصر قليلاً. ما العلاج المتوقع غالباً؟

A 2-week-old girl, her mother’s firstborn, was delivered breech. At a routine check a clunk is felt on abducting the left hip (positive Ortolani) and the left leg looks slightly shorter. What is the usual expected treatment?

1. Tight swaddling with straight legs
2. No treatment because it resolves on its own
3. A Pavlik harness keeping the hips flexed and abducted
4. Urgent same-day surgery

Answer: C) A Pavlik harness keeping the hips flexed and abducted. Developmental dysplasia of the hip in infants is usually treated with a Pavlik harness; tight swaddling with straight legs increases risk.