RADIOGRAPHERS showed substantial variation and limited overall recognition of developmental dysplasia of the hip (DDH) in an exploratory image-review study, highlighting a need to evaluate targeted education and preliminary assessment pathways.

The findings concern recognition of possible abnormalities on paediatric pelvic radiographs, rather than formal diagnostic reporting, and should not be treated as a definitive measure of radiographer performance in routine practice.

Reviewing Paediatric Pelvic Images DDH encompasses abnormalities of hip development ranging from dysplasia and instability to subluxation or dislocation.

For the main binary analysis, any response identifying DDH in at least one hip counted as positive.

Consequently, identifying only one affected hip in a bilateral case still counted as recognition, because it could prompt further assessment.