### What you need to know
A 14 month old boy has started to walk over the previous six weeks. His parents are concerned that he is in discomfort and thus tends to walk with a limp. He was born by spontaneous vertex delivery and routine clinical reviews by a midwife on day two of life and his general practitioner at six weeks were normal. He has no family history of developmental dysplasia of the hip (DDH). Observation of his gait shows a left sided limp with apparent shortening of the left leg. An urgent x ray shows a left sided DDH. He is referred to orthopaedics urgently and placed in a hip spica. His parents are perplexed about the late diagnosis and ask about his prognosis.
DDH is a spectrum of conditions, ranging from a shallow acetabulum (acetabular dysplasia) with or without instability to a completely dysplastic, unstable, or dislocated hip. In most high income countries, DDH is diagnosed by physical examination, supplemented using static or dynamic ultrasound assessment, wh
The judges of this year’s spectacular Drogheda St Patrick’s Day Parade certainly had their work cut out them for them choosing winners of the awards for best entries, but all agreed in the end on the ultimate winner; the Droichead Arts Centre who won Best Overall Float 2023 with their amazing Salmon of Knowledge inspired float and production.