HY USMLE Q #1144 – MSK/Anatomy

A 1-month-old male born at term is brought to the pediatrician for a follow-up examination. Ortolani and Barlow maneuvers of the left hip demonstrate a “clicking and clunking.” Which of the following is the next best step in diagnosis and the most likely explanation for these findings?

  Ultrasound; acute inflammation of synovial lining
  Ultrasound; avascular necrosis
  Ultrasound; poorly developed acetabulum
  Ultrasound; slippage of epiphyseal plate
  X-ray; acute inflammation of synovial lining
  X-ray; avascular necrosis
  X-ray; poorly developed acetabulum
  X-ray; slippage of epiphyseal plate

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