If hip dislocation is detected early, it is treated with bandages and plaster. It is possible to treat it in the late period, but it requires surgical treatment.
Hip dislocation problem is encountered in many babies today. Experts emphasize that dislocation can be treated very easily with early diagnosis, so early diagnosis is of great importance.
What is hip dislocation?
The incompatibility of the femur and pelvis during the development of the joint area causes the hip joint to not fully form. it causes. This causes hip dislocation. Congenital hip dislocation (DCH); We can also call it developmental hip deficiency, developmental hip dislocation or congenital hip dislocation. Disruption in the development of the socket in the pelvis (acetabulum) and the resulting inability of the head of the leg femur (femur) to maintain its normal position within this socket and being outside the socket is considered as hip dislocation.
Congenital hip dislocation is common in children and occurs early. If not understood and treated, it can cause permanent disabilities.
How many groups are hip dislocations examined in?
It is possible to examine hip dislocations in two categories. One of these is teratological hip dislocation and occurs while in the womb. The other is a typical hip dislocation. Typical hip dislocation also occurs during or immediately after birth. Typical dislocations are divided into three separate groups.
- Dislocated hip:It means that the hip can be passively dislocated.
- Semi-dislocated hip: strong>This condition is when the head of the femur has shifted upwards and outwards within the joint, but has not come out completely.
- Dislocated hip:The situation in which the head of the femur is outside the socket is called dislocated hip.
6 BABY DISEASES THAT CAN BE TREATED
The incidence of hip dislocation…
According to the information published by the World Health Organization, every year Hip dislocation occurs in two out of a thousand children born. If hip dislocation has occurred in your family before, the likelihood of this occurring in your child increases. Apart from this, cesarean birth, loose ligaments, high birth weight, the baby's position in the womb (breech presentation). Factors such as being the first child are factors that increase the incidence of hip dislocation. Bilateral dislocation occurs in 40 percent of babies. Additionally, hip dislocation is more common in girls than in boys.
What are the symptoms of hip dislocation?
There may be no symptoms of hip dislocation, especially in newborn babies and young children whose degree of dislocation is not severe, until they walk. In such cases, the dislocation can be noticed during normal examinations by pediatricians. If there is a difference in the length of your baby's legs, a deformity in the feet, a difference between the right and left legs in the hip and upper fold areas of the leg, or if one of the legs has less mobility and flexibility than the other, you can consult a doctor.
Do not delay treatment in case of hip dislocation!
The first step of the treatment is taken by prohibiting the practice of swaddling. As a result of the diagnosis made in the first 6 months, a method called Pavlik bandage, which allows your baby to separate his knees and pull him towards his stomach, or a Frejka pillow is applied. These bandages do not disturb your baby. After the age of 6 months, the hip may be placed under general anesthesia and a plaster cast may be applied, and for those older than 18 months, bone surgeries may be required. As the dislocation becomes more severe with age, the size of the operations also increases. Although successful surgeries can be performed, albeit rarely, up to the age of 6, unfortunately, surgical procedures on children older than 10 do not usually yield positive results. In such cases, only hip joint freezing or functionally advantageous hip replacement surgery can be performed at older ages. Be sure to have your baby examined by specialist doctors, keeping in mind that treatment will become more difficult as the diagnosis time is delayed. Hip dislocation can be prevented.
According to statistics, hip dislocation, seen in one in every 800 newborn babies, is the most common congenital musculoskeletal disorder. Treatment of the disease in the early stages is provided with simple-to-use orthopedic products. Orthopedic examination should not be neglected for diagnosis. It is important to underline that surgical interventions and a difficult treatment process are required in cases that are detected late.
It is quite common in our country. The most common congenital hip dislocation is actually just a musculoskeletal problem if diagnosed early. It is also quite easy to treat. Unless there is a situation that attracts the attention of the parents, diagnosis may be delayed until the child starts walking.
Only 10 minutes
Although the exact cause is not known, genetic, hormonal, mechanical and environmental factors contribute to congenital hip dislocation. plays a role. We especially recommend those who have a family history of hip dislocation to share this with their doctor. Because it may not be obvious that a dislocation has occurred until the baby reaches walking age. It is possible to diagnose the condition with an orthopedic examination that takes only 10 minutes. If the doctor deems it necessary, ultrasound and x-rays may be requested for babies older than 4 months. Congenital hip dislocation is more common in girls than boys. Although the dislocation usually occurs on one side, it can affect both hips. If your baby's legs are different in length, you can take them for a check-up if they have not been examined before.
Early treatment for hip dislocation
As with many diseases, early diagnosis of hip dislocation is of great importance. Especially the treatments applied as a result of the diagnoses made within the first 6 months are successful. The absence of any external symptoms such as pain makes diagnosis difficult. The initial diagnosis is determined by an examination by a competent pediatrician, and the definitive diagnosis is made by ultrasound examinations between the child's 0-6 months or 6-18 months. It is diagnosed with x-rays in months.
In 95 percent of the cases, early diagnosis can be made and full treatment can be provided with very simple methods. Orthopedic devices are used at this stage. If treatment is started early, a period of 5-6 months is sufficient to normalize the hip. If the diagnosis is made after starting to walk, much more difficult and complex methods such as plaster cast and surgical intervention are used. At this stage, your child is kept immobile in a cast for 3-4 months, and if this does not yield results, surgical interventions are started. Pay attention to early diagnosis to prevent this difficult process and permanent injuries.
Do not do these if you have a hip dislocation!
Swaddling: Unfortunately, in some regions of our country, babies are still swaddled. It is widely practiced. Thousands every year It is said that the swaddle plays a negative role in the emergence of hip problems in the child.
Wrong diapering:The factors that negatively affect hip development are the diaper being narrow and small and being tied at the groin level. Ready-made diapers are definitely healthier and better to use than any other diapers.
Faulty clothes:It is very wrong to dress babies in tight and small clothes, sometimes for economic reasons and sometimes because of wrong habits. . Clothes worn during infancy are effective in hip problems.
Incorrect grip: Especially during breastfeeding, babies' legs are held together. It is a wrong way of holding and negatively affects hip development.
Wrong carrying: Babies are held and carried by hugging them, especially in the first months. This creates a swaddle effect. It is not suitable for hip development.
Pushing the baby down early, using a walker: It is also wrong to push the baby down early or put him in a walker before completing the natural development process. If there is a problem in the hips, it may cause it to increase.
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