Developmental hip dysplasia

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Hi I would like to know if there are any other treatment options available for developmental dysplasia of the hip. The child was born in a frank breech position affecting the right hip more than the left.
The child has an alpha angle of 56 degrees on the right that has not changed in 2 subsequent ultrasounds. Her left is 57 degrees. I know she doesn't qualify for a Pavlik splint as yet but I am sure there is another type of splint that can be used or physiotherapy? The orthopaedic surgeon is happy to continue to wait a bit longer. I hope it doesn't create more problems down the track.




Ultrasound
Ultrasound is the test of choice in the infant ( < 6 months) as the proximal femoral epiphysis has not yet significantly ossified. Additionally it has the advantage of being a real time dynamic examination allowing the stability of the hip to be assessed with stress views.

A number of values are used to 'objectively' asses morphology.

Alpha angle
Angle formed by the acetabular roof to the vertical cortex of the ilium. This is a similar measurement as that of the acetabular angle (see below). The normal value is greater than or equal to 60 degrees.

 

Old fashioned double nappy - might need to be supermarket own brand to get ones that are thick enough!

 

Thanks...much appreciated.

 

This might be a better option - see the over nappy/diaper wrap to provide a small amount of force to abduct and flex http://www.sunshinepando.com/services1/pediatric.htm