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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

Sometimes known as congenital hip dislocation or hip dysplasia, development dysplasia of the hip (DDH) is where the ball and socket joint of the hips don't correctly form in young children or babies.

Our hip is where the top of the thigh bone joins our pelvis in cup and ball joint configuration. DDH is where the socket is too shallow for the ball to sit, resulting in a loose fit. In severe cases, the hip joint may dislocate.

1 or 2 in 1,000 babies born may have DDH that requires treatment, and it is more common in girls than boys.

More Information

Contact your GP as soon as you notice your child develops any of the following hip dysplasia symptoms:

  • One leg drags behind when they crawl
  • Restricted movement in one leg when changing their nappy
  • Uneven skin folds in the buttocks or thighs
  • One leg appears longer
  • Developing an abnormal 'waddling' walk, a limp or walking on toes

A newborn physical examination will be carried out within 72 hours of giving birth that will include a check of your baby's hips. Between six and eight weeks another hip examination is typically conducted. These checks involve the gentle manipulation of your baby's hip joint.

Within a few weeks of birth, an ultrasound scan if: -

  • A family history of childhood hip problems
  • The baby was born in the breech position
  • You have had twins or a multiple births
  • The baby was born prematurely
  • The hip feels unstable

Sometimes a baby's hip stabilises on its own before the scan is due.

The exact cause is unknown but related to baby's development.

Pavlik harness
A fabric splint that secures baby's hips in a stable position and allows normal development.

If the Pavlik harness does not work or baby is diagnosed after six months with DDH, a surgical technique is known as reduction may be used. The procedure involves placing the ball of the femur back into the hip socket.

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