• 22 DEC 16
    • 0

    Hip Dislocation (Developmental Hip Diplegia)

    It must be kept in mind that hip development problems affect every 15 of 1000 births. The hip is usually dislocated while the child is in mother’s womb or the development of the hip is not enough. Developmental hip diplegia is a preventable and treatable disease.

    Babies who reach three times of their birth weight in one year have very high growing potential.

    Hip diplegia has various causes. It is more frequently seen in girls, first births, families with hip dislocation histories, relative marriages, and breech birth; also accompanied with misalignment in the neck, flatness in the head and misalignment in the feet.

    Waddling habit is an important factor in developmental hip diplegia: negative effects of waddling on hip problems are known for sure. An eye is not kept on the width of diapers (between the legs); the diaper being thin and small, and being tied around the groin affects the hip development badly. Especially while breastfeeding, the legs of the baby should not be kept close together. Just like waddling process, it affects hip development in a bad way.

    Babies should definitely not be waddled. Diapers should be wide and fit loosely and tied on top of the belly. Babies should be dressed loose and comfortably. While breastfeeding, the legs should be open and in a natural position, not tight. While carrying the baby, the carrier should hold between the legs with one arm; in older babies, the arm should be around the waist of the baby.

    The role of the orthopedist is big in diagnose and treatment of developmental hip diplegia. The ideal method in babies is medical exam and ultrasound between weeks of 3 and 6. Ultrasound is a safe and effective method in evaluating mostly cartilage hip joint and it should be preferred to roentgenogram in first 6 weeks.

    Early diagnosis is important because in the first 3 weeks, the percentage to obtain a normal hip is 95%. It is lesser in babies ages of 3-6 months, some babies older than 6 months may need casting or surgical treatment. These situations vary from hip to hip. In children older than 1 year old who need surgery, a pediatric orthopedic surgeon must perform the suitable treatment.

    Every child who has had treatment should be observed until maturity, and should have yearly medical exam.