Hip dislocation in children, known today as Developmental Hip Dislocation, begins to occur when the baby is in the mother's womb. The earlier the symptoms of hip dislocation begin to occur in the baby in the womb, the more advanced the problem in the baby's hips after birth.
Hip dislocation, which is classified as complete, semi and mildly mobile, is a disease that should be treated as soon as possible. Avrasya Hospital Orthopedics and Traumatology Specialist Op. Dr. Özgür Ortak gives important information about hip dislocation.
What are the causes of hip dislocation?
- first child
- Girl child
- Baby turning upside down at birth
- Decreased amniotic fluid
- Family history of hip dislocation
- twins and triplets
- What are the symptoms and risks of hip dislocation?
- In the baby;
- Curvature in the neck
- Deformities in the feet
- Curvature of the spine
- cardiovascular disease
- If there are urinary tract and gastrointestinal diseases, the risk of hip dislocation is quite high.
In the newborn period, which covers the first 2 months, if a clicking sound is heard from the baby's hip after the movement and also if a looseness is felt in the hip, a doctor should be consulted. The most effective method for detecting hip dislocation in infants is to have hip ultrasonography performed in the newborn period. Ultrasound is done to the mother many times during pregnancy, but in these examinations, the dislocation of the baby's hip cannot be detected. Therefore, after the pregnancy process, when everything seems normal, the baby may have hip dislocation. You should definitely have your baby's hips examined with a hip ultrasonography, as 10% incorrect results can be obtained in manual examination in the newborn period. After 4 months, the accuracy of hip ultrasonography may decrease considerably, so your child should have a hip X-ray.
How do I detect if my child has a hip dislocation?
In babies older than 3 months, unequal leg lengths, restriction in hip flexion, uneven groin and leg lines indicate hip dislocation. When children start walking from 12 months onwards, especially if there is unilateral complete dislocation, then the disruption in the child can be clearly noticed. However, bilateral dislocations can only be detected by experienced people. Unilateral and bilateral dislocations do not delay the child's walking, on the contrary, your child walks before the age of 1.5 as normal. When the child with hip dislocation stands, the abdomen appears more protruding forward and the lumbar pit appears more hollow. Children with hip dislocations, including newborns, do not have unusual leg movements or crying in babies. Therefore, if your baby is restless while changing the diaper, it does not mean that he has hip dislocation. The most important period in the treatment of hip dislocation is the first 3 months of the newborn period, especially in this period, the treatment can sometimes be completed in 1 month.
Pavlik bandage use in hip dislocation
After diagnosis with ultrasound in the neonatal period, recovery can be seen in a short time with the help of Pavlik bandage. The Pavlik bandage is the most common form of physiological therapy that has been used for many years in the treatment of hip dislocation worldwide. Babies are healed by keeping the hips bent and open to the side. If the child is around 1 year old, it is simpler, but if the child is over 1.5 years old, more extensive surgeries should be performed to cut and straighten the hip socket and leg bone. In hip dislocations seen in children after the age of 7, surgery is not performed and the hips are left as they are. If pain begins between the ages of 35-40 in the future, then surgery can be performed. Therefore, you must have completed your child's hip dislocation treatment before reaching the age of 7.