Key Practice Recommendations

1. In evaluating newborns with suspected developmental dysplasia of the hip, gently perform the Ortolani and Barlow maneuvers. If the Barlow maneuver is performed, no posterior-directed force should be applied.
Evidence rating: SORT B
Source: American Academy of Pediatrics (AAP), reference 47
Website: https://publications.aap.org/pediatrics/article/138/6/e20163107/52541/

2. Do not perform routine radiologic evaluation of the cervical spine for atlantoaxial instability (AAI) in children ages 1 to 5 years with Down syndrome without symptoms of AAI.
Evidence rating: SORT B
Source: AAP, reference 92
Website: https://publications.aap.org/pediatrics/article/149/5/e2022057010/186778/

3. Educate caregivers of infants with achondroplasia with information and training on proper positioning and handling to avoid incidental positional car seat–related deaths.
Evidence rating: SORT C
Source: Nat Rev Endocrinol, reference 95
Website: https://www.nature.com/articles/s41574-021-00595-x

4. In patients with adolescent idiopathic scoliosis, assess skeletal maturity with Risser grade of the iliac apophysis.
Evidence rating: SORT C
Source: Aust J Gen Pract, reference 108
Website: https://www1.racgp.org.au/ajgp/2020/december/paediatric-scoliosis/

5. In children and adolescents, manage uncomplicated ankle sprains, avulsion fractures, and isolated, nondisplaced fibular Salter-Harris type I and II fractures with relative rest and supportive measures, such as a removable ankle brace.
Evidence rating: SORT B
Source: Pediatr Emerg Care, reference 67
Website: https://journals.lww.com/pec-online/abstract/2010/02000/common_pediatric_fractures_treated_with_minimal.19.aspx

6. In children and adolescents, manage isolated, distal radius- or ulna-only torus fractures with a removable wrist splint for 3 to 4 weeks.
Evidence rating: SORT A
Source: Aust J Gen Pract, reference 137
Website: https://www1.racgp.org.au/ajgp/2020/november/guide-to-paediatric-forearm-fractures/