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Developmental Dysplasia of the Hip

Developmental Dysplasia of the Hip DDH is the problem with a baby’s hip joint form, a baby born with DDH have a shallow hip joint that can slip easily out of the place

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Developmental Dysplasia of the Hip DDH is the problem with a baby’s hip joint form, a baby born with hip dysplasia have a shallow hip joint that can slip easily out of the place. DDH is present by birth. In a normal hip joint, the head of the thighbone fits snugly into the hip pocket with DDH child as the hip pocket is shallow the head of the femur slips out, it may dislocate. The goal of Dysplasia treatment is to a ball of your baby's thighbone backbone into the cup-like a hip socket.

Over time the problem leads to pain, one leg is shorter than the other and might get arthritis. But when you find and get the treatment early many babies have hip joint and won't have any other problem. DDH may be partly genetic and tends to run in families.

The other environmental factors for Developmental Dysplasia of hip include:

  • The baby’s response to the mother’s hormones during pregnancy.
  • A tight uterus that makes it hard for the fetus to move around.
  • The baby is born bottom first instead of headfirst.

Development Dysplasia

The degrees of hip looseness vary among children with DDH

  • Dislocated - In the most severe cases the head of the femur is completely out of the socket.
  • Dislocatable - The head of the femur lies within the acetabulum, but it can be easily be pushed out of the socket during a physical examination.
  • Subluxatable - The head of the femur is simply loose in the socket, during the physical examination the bone can be moved back to the socket.

Cause of DDH

DDH tends to run in the families. it can be present in either in hip and in any indusial, the causes are:

  • It is more common in girls than boys.
  • It mostly appears in firstborn children.
  • Babies born in the breech position.
  • Family history of DDH.
  • Oligohydramnios.

1. Pavlik Harness

Pavlik Harness is a soft flexible harness aligned to baby’s hip; baby can move his hips little. A baby has to wear it for around 12 weeks, you may be able to remove it for diaper changes and baths. The doctor will examine it every week or two. an X-ray test will be taken to see whether the joins are getting better. If a Pavlik harness helps, there are good chance that your baby’s hip will stay healthy.

Development Dysplasia of hip

2. Fixed-Abduction Brace

Fixed-Abduction Brace keeps your baby's hips into a proper position so it develops correctly as it should have to. it is like Pavlik harness the only difference is this brace is very stiff and doesn't allow much movement. The doctor may choose this brace if Fixed Pavlik harness does help.

3. Von Rosen Splint

This splint keeps your baby's hips flexed to an angle of 90 degrees while its legs are turned out. The baby has to wear it for 6 to 12 weeks, even during the bath time as well. If the new-born wears it in its first week than the success rate of Von Rosen splint is 95%.

4. Traction

New-born hip dysplasia is sometimes treated with traction. Baby is lying on his back and a system his leg and pulleys keep his leg in the raised position.it stretches the ligaments and helps hip surgeries work better, but not all doctor are agreed with the traction.

5. Surgery

If the brace and splint don't work then your doctor may suggest surgery, but for surgery, babies should be 6-month-old to 2 years. The operation is called "closed reduction." After a closed reduction baby needs to wear a stiff body cast for three months to heal the joints. It is often fixed abduction brace. Both will give the support as he rebuilds, your child may need a special brace or physical therapy exercises to the strength and movement in his hips.

For some baby’s closed reduction does not work in such cases doctors will choose an "open reduction". This is more complicated surgery, during the operation through a small cut your doctor will reshape bone, adjust muscle and the doctor will also adjust baby’s hip joint so the top of the thighbone fit the way it should.

After the surgery in many children, a body cast or brace is required to keep the hip bone in the joint during healing. it may be required to keep for 2-3 months; the doctor will change the cast during this period.

HEALTH DISCLAIMER

Magnus Medi blogs are purely meant for information purpose. It contains only general information and discussions about health and its related subjects. It is not a medical advice and should not treat as such. The words and other content provided in this blog, and in any linked materials, are not intended and should not be construed as medical advice. The opinions and views expressed on this blog are referred by a healthcare site and from experienced medical practitioners.

If the reader or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay seeking it. Or you can contact us our executive will help you get the second opinion from renowned doctors.

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