“Swaddle the baby can cause hip dislocation”

Orthopedics and Traumatology Specialist Assoc. Dr. Okan Özkunt, “Swaddle the baby can cause hip dislocation,” he said.

Medicana Bahçelievler Hospital Orthopedics and Traumatology Specialist Assoc. Dr. Okan Özkunt explained that swaddling babies, wearing tight clothes and using products such as mother’s lap can cause hip dislocation. Assoc. Dr. Özkunt made explanations about how hip dislocation in children is understood, in whom it is common and its treatment.

Congenital hip dislocation

Providing information about what hip dislocation is, Assoc. Dr. Özkunt said, “Congenital hip dislocation is the general name of a spectrum that can be congenital as well as develop in infancy or childhood and includes anatomical disorders of the hip. In this respect, developmental dysplasia of the hip has become increasingly common and since it expresses this complex problem more clearly and accurately than the term congenital hip dislocation. “It has replaced congenital hip dislocation. This condition can develop prenatally, at birth, or in the postnatal period.”

In whom is congenital hip dislocation more common?

Touching on the issue of who is more likely to have congenital hip dislocation, Assoc. Dr. Özkunt said, “The incidence of congenital hip dislocation can be observed at different rates even between genders, age groups, races and different geographical regions of the same country. Congenital hip dislocation resulting in complete dislocation is seen at a rate of 1-2 per 1000 live births. It is more common in those with a history of hip dislocation, twins, breech births, lack of fluid in the womb (oligohydramnios), and infants with accompanying foot and other bone deformities (deformities).

“Hip dislocation is not a condition that the family can understand by seeing from the outside in small babies”

Explaining how hip dislocation in babies can be understood, Assoc. Dr. Özkunt continued his words as follows:
“Obviously, in small babies, this is not a situation that the family can understand from the outside. Therefore, it is recommended that an orthopedic specialist examination and hip ultrasound be performed routinely, preferably when the baby is 1-4 months old. In babies older than 6 months, you may need an X-ray instead of ultrasound, since the head of the hip bone is now ossified. Your doctor. It will give you the most accurate information as a result of hip examination and ultrasound. In small babies, if the hip is dislocated during the examination, it can be replaced or removed. The difference between the folds of the baby’s leg, called pili asymmetry, may be a warning sign, but it never means that there is a definite hip dislocation. In babies older than 6 months; Symptoms such as limitation of movement in the hips, length difference in the legs, and limping in walking are in the foreground.

Treatment of hip dislocation

Assoc. Dr. Okan Özkunt continued his words on the treatment of hip dislocation: “If your baby’s hip is dislocated as a result of examination and ultrasound, a special bandage (Pavlik bandage) is used to replace the hip joint. After 3 weeks, your doctor will call you for a check-up and make sure your hip is in place with ultrasound again. If the hip is still not in the socket, it may be necessary to replace the hip with surgery, that is, openly, and follow up with a plaster cast for 3-6 months.In older children, the hip socket cannot develop sufficiently because the necessary contact cannot be achieved, that is, it may not be enough to replace the hip with surgery. Increasing the volume of the socket Bone surgeries (acetabulerosteotomies) will be required for your baby. If the hip is in place at the first examination but has a developmental delay, your doctor may ask you to use an apparatus (abduction orthoses) to keep your baby’s hips apart”.

“Don’t swaddle”

Noting that babies should not be swaddled, babies should not be dressed in tight clothes, and products such as mother’s arms should not be used, Assoc. Dr. Özkunt emphasized that doctor control is also of great importance in this regard.

Assoc. Dr. Özkunt concluded his words as follows: “Hip dislocation is a condition that develops later, not congenitally. As a parent, you can do something to prevent hip dislocation. Do not swaddle, do not wear tight clothes, sling, carrier or mother, which tightly wraps your baby’s hips and keeps the legs in a closed position all the time. Do not use things such as a lap. Do not miss the doctor’s control”.

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