1.What is hip dislocation?
Hip dislocation, medically known as “congenital hip dislocation”, is the most common pediatric hip disorder, with the incidence of girls being 6-8 times higher than that of boys. Nowadays, the term “developmental hip dysplasia” is more commonly used. Because “developmental hip dysplasia” includes complete dislocation of the hip, subluxation and acetabular dysplasia, the so-called “developmental” means that the disease is not always congenital, but can also occur after birth.
2.What are the dangers of hip dislocation?
If the disease is not treated or improperly treated, it will cause lameness, hip pain and limited function.
3.What are the risk factors for hip dislocation?
Girls, first child, low amniotic fluid, breech delivery, having the same patient in the family, having other congenital malformations. Inappropriate swaddling methods, such as: tying the child’s lower limbs too tightly after birth can easily cause hip dysplasia, which can lead to hip dislocation in serious cases!
4, how to early detection of hip dysplasia?
(1) children who can not walk: baby lying down, spread her double hips towards the sides (knees at right angles, thighs perpendicular to the body). If the baby’s legs are stiff and cannot be spread; if the stripes of the baby’s two thighs are asymmetrical and the legs have length, it is also often a pediatric hip dislocation. The hip joint on the affected side has less movement and is restricted when moving. The pedaling force is weaker than that of the healthy side. It is often in the flexed position and cannot be straightened.
(2) Children who can walk: one side of the hip dislocation shows a limp, and the lower limbs are not equal in length; when walking bilaterally, the body sways back and forth, showing a “duck stance” gait.
5.How to diagnose hip dislocation?
(1) Physical examination by an experienced doctor.
(2) X-ray film: the diagnosis cannot be confirmed for small infants.
(3) MRI and ultrasound: the diagnosis can be confirmed for newborn children without radiation damage.
6.How to treat hip dislocation?
Basic principles of treatment.
(1) Within half a year: sling, brace.
(2) Half to 1.5 years old: brace, plaster.
(3) From 1.5 to 2 years old: conservative treatment or surgery.
(4) Above 2 years old: surgical treatment.
7, hip dislocation is not terrible, prevention and early and correct diagnosis and treatment is the key.
(1) Change the bad swaddling way! No leg strapping will not produce “rotundity”, while leg strapping may cause hip dislocation.
(2) Increase awareness of prevention for children with risk factors for hip dislocation! Early diagnosis and treatment can be achieved.
(3) The earlier the treatment, the lower the cost and the better the result! For example, children who are treated in the neonatal period can recover completely without sequelae. On the contrary, the later the child is found, the older the child is, the more difficult it is to treat, the more money it costs, and the greater the pain!