About congenital hip dislocation

Some of the babies may have problems that cause dislocation of the hip joint. In other words, the upper end of the femur can protrude from the capsule of the hip joint. If your baby has such a problem, early detection and treatment is extremely important.

Congenital hip dislocation occurs in one of 800 newborn babies. Although the exact cause is not known, genetic, hormonal, mechanical and environmental factors are thought to play a role. There is bilateral dislocation in 40 percent of babies. It is six times more common in girls than boys.

Swaddling, holding the baby by the feet and rocking the baby upside down can lead to hip dislocation in babies with a tendency. Therefore, it is absolutely necessary to avoid such traditional practices.

Who Are the Risky Babies for Congenital Hip Dislocation?

1) Those who have hip dislocation in their family or close relatives. This should be reported to the doctor.

2) Babies born with breech presentation or babies who remain in the mother’s womb with their head up until the end of pregnancy.

3) Those who have a congenital curvature of the neck to one side, “Torticollis”.

4) Those who have congenital orthopedic deformities in their feet.

How Is Congenital Hip Dislocation Detected?

It may not always be possible to see a problem in the hip as soon as you look. For this reason, your doctor will also examine your baby’s hips each time during the control examinations.

While examining your baby’s hips, your doctor will detect looseness in the hip joint by gently pulling and pushing the thigh bones. In older babies, it checks whether the baby’s legs can be opened easily.

If your baby is a newborn and the problem is not very serious, a control examination will be done two weeks later. However, if the problem is more serious or if a problem is detected in the control examination, your doctor will direct you to an orthopedist.

Sometimes your baby’s hip can be visualized with an ultrasound. For babies older than four months, X-rays may be taken to view the hip joint.

How Is Congenital Hip Dislocation Treated?

Most hip problems can be treated with the “Pavlik Bandage”. This bandage separates your baby’s knees and pulls them towards their tummy. Your baby treated with this bandage will be checked by your doctor every week and it will be observed whether the thigh bone is placed in the hip joint, and if it is, this bandage will be used day and night for 2-3 months.

In one out of every twenty babies with hip dislocation, a bandage is not sufficient for treatment. In such a case, it may be necessary to apply a plaster cast to your baby and to suspend the legs. Sometimes surgery may be required to treat hip dislocation.

When Should You Seek a Doctorate?

If your baby is in the risk group for hip dislocation and ultrasonography control has not been performed.

If your baby’s legs are not equal in length.

If you notice limping in your toddler, you should contact your doctor.

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