Hip dislocation occurring during/around delivery is called Developmental Dysplasia of the Hip (DDH) - previously known as Congenital Dislocation of the Hip (CDH).
Here is a full summary based on authoritative orthopaedic and embryology textbooks:
Hip Dislocation During Delivery
The condition is called Developmental Dysplasia of the Hip (DDH) - the modern, preferred term that replaced the older term "Congenital Dislocation of the Hip (CDH)".
What is DDH?
DDH describes a spectrum of hip abnormalities including:
- Subluxation (partial dislocation of the femoral head from the acetabulum)
- Complete dislocation of the femoral head from the true acetabulum
- Acetabular dysplasia (underdevelopment of the socket)
In a newborn with DDH, the femoral head can often be dislocated and reduced into and out of the true acetabulum. In older children, the femoral head may remain permanently dislocated with secondary changes in both femoral head and acetabulum.
(Campbell's Operative Orthopaedics 15th Ed 2026)
Why "Developmental" and not "Congenital"?
The term was changed because dislocation almost always occurs after birth, not in utero - hence "developmental" rather than strictly "congenital." The joint capsule is very relaxed at birth, with underdevelopment of the acetabulum and femoral head, creating conditions for dislocation to occur.
(The Developing Human - Clinically Oriented Embryology)
Key Risk Factors (delivery-related)
| Risk Factor | Detail |
|---|
| Breech delivery | Most important delivery risk factor; incidence of DDH significantly increased |
| Female sex | 5x more common in girls than boys |
| Female + breech | DDH in 2.8% of such births |
| Firstborn child | Higher risk than subsequent siblings |
| Family history | Raises likelihood to ~10% |
Breech presentation is especially relevant - the abnormal posture during terminal months of pregnancy may cause abnormal development of the acetabulum and femoral head.
Incidence
- Approximately 1 in 1000 live births (physical exam)
- Up to 25 per 1000 by ultrasound screening
Quick Note on Terminology
- DDH = current standard term (used since ~1990s)
- CDH (Congenital Dislocation of Hip) = older term, still used informally and in exam questions
- Obstetric hip dislocation = a traumatic dislocation caused by forceps or breech delivery maneuvers (rare, distinct from DDH)
So if an exam question asks "hip dislocation during delivery," the expected answer is DDH (Developmental Dysplasia of the Hip), formerly called CDH (Congenital Dislocation of the Hip).