Hip dislocation, risk factors and treatment.

The congenital mismatch between the bones that make up the hip joint is called developmental “hip dysplasia”. Developmental dysplasia of the hip includes all problems, from a simple mismatch between bones to the most advanced stage of hip dislocation.

This condition, which was defined as congenital hip dislocation in the previous years, was named “developmental hip dysplasia” (DDH), which is a broader definition, as a result of the researches carried out in the 80s, it was determined that not only hip dislocation was seen in children, but also problems arising from the incompatibility of the hip joint in most of them.

Risk factors

There are some risk factors in the development of developmental dysplasia of the hip. Conditions such as the baby’s misdelivery (breech presentation), multiple pregnancies, problems with insufficient or excess amniotic fluid, first birth, and the position of the child in the mother’s womb increase the risk during normal delivery. On the other hand, girls are also prone to developmental hip dysplasia because their ligaments are more flexible.

In addition to the risks associated with birth, there are also some misapplications made after birth. One of these is swaddling the baby with traditional methods. Studies have shown that swaddling significantly increases developmental hip dysplasia. In traditional swaddling, the baby’s legs are wrapped straight together without allowing it to move. However, it is necessary to release the legs in order to ensure the natural development of the hip. Today, there are also methods of carrying and wrapping the baby, which is not like traditional swaddling, which only wraps the body and leaves the legs free. These differ from traditional swaddling in that it frees the legs.

Diagnostic Stage

When the baby is born, the hip is also examined in the first examination performed by the pediatricians. In the meantime, if dislocation is noticed, it is immediately treated. In addition, the difference in height between the legs, the presence of asymmetry in the skin folds of the baby’s thighs should raise the suspicion of hip dislocation.

Apart from this, hip ultrasound, which is recommended to be done between 4-6 weeks after birth, is extremely important in terms of detecting a possible problem. Children who cannot undergo ultrasound during these weeks, if they are older than 6 months, are scanned with x-rays instead of ultrasound. It should not be forgotten that the earlier the problem in the hip is diagnosed, the easier the treatment will be.

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