In Germany, the nationwide introduction of ultrasound hip screening in the 1990´s (Mitteilungen (1995) Einführung eines sonographischen Screening der Säuglingshüfte. Dtsch Arztebl 92:3641) has unjustly led to neglect of the clinical examination of the infant hip, as it still represents an essential diagnostic pillar in the detection of congenital hip luxation and hip joint instability.