DEVELOPMENTAL DYSPLASIA OF THE HIP

Developmental dysplasia of the hip, or DDH, is a condition in the baby’s hip joint formation. At times, the condition develops before the child is born. However, there are also instances in which the condition develops after the child is born and as the child grows. 

This condition might impact one or both hips. Nevertheless, most newborns who received treatment for developmental dysplasia of the hip grow to be active and healthy children with no hip issues.

SYMPTOMS

Because developmental dysplasia of the hip does not produce discomfort in infants, it might be challenging to detect. Nevertheless, symptoms for this condition may include:

  • The legs of the baby are not similar in terms of length.
  • The skin folds beneath the butt or on the thighs are not aligned with the rest of the body.
  • The baby’s hips pop or click, which may be felt or heard.
  • One leg or hip does not move as the other does.
  • The child limps when he first begins to walk.

DIAGNOSIS

Most developmental dysplasia of the hip cases are discovered during your child’s wellness checkups. A doctor will order testing if a newborn shows symptoms of DDH or is at a greater risk for it.

For developmental dysplasia of the hip, your doctor will use two tests to check this condition:

X-ray. It is most effective in babies over the age of 4–6 months when their bones have developed enough to be seen on an X-ray at that age.

Ultrasound. This imaging test is highly suitable for infants under six months. This is because an x-ray may not be an effective way to detect their dysplasia since their bones are still soft cartilages.

TREATMENT

Developmental dysplasia of the hip treatment focuses on reducing pain and preventing the hip joint from further damage. The therapy will be tailored to the patient’s specific needs by the doctor.

Treatment options for DDH include the following:

  • Brace. Doctors will use a harness or brace on newborns under six months old to keep the joint in place as the baby develops.
  • Physical Therapy. Exercises may assist in strengthening and increasing flexibility.
  • Surgery. Arthroscopy, periacetabular osteotomy, and total hip replacement are the most common surgeries.

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