Developmental hip dislocation (DDH) is a medical condition that occurs when the hip joint is unstable or dislocates easily in newborns. This disorder can affect the child's growth and movement if it is not diagnosed and treated in time. In this article, we will learn about the causes and symptoms of developmental dislocation of the hip joint and methods of treating it.
Causes of progressive dislocation of the hip joint The causes that may lead to progressive dislocation of the hip joint are varied, the most prominent of which are:
- Genetic factors : Having a family history of the condition can increase the likelihood of it occurring in children.
- Fetal position : The fetal position inside the uterus, such as the breech position, may increase the risk of dislocation.
- Hormones : Some of the hormones that the mother secretes during pregnancy can affect the flexibility of the fetus’s ligaments, making the joint more susceptible to dislocation.
Symptoms of developmental dislocation of the hip joint: The symptoms may not be obvious at first, but there are some signs that can be noticed:
- Leg length discrepancy : One leg may be shorter than the other.
- Cracking sound : A cracking sound can be heard when the baby's legs are moved.
- Restriction of hip movement : There may be difficulty moving the thighs normally.
- Difference in skin folds : There may be a difference in skin folds around the thigh area.
Diagnosis of progressive dislocation of the hip joint is usually made through clinical examination and the use of imaging techniques such as:
- Clinical examination : The doctor examines the movement and stability of the joint.
- X-rays and ultrasound : used to confirm the diagnosis and determine the extent of the dislocation.
Treatment of developmental dislocation of the hip joint Treatment depends on the child’s age and the degree of dislocation, and includes:
- The orthotic device (Pavlik harness) : is used for children under 6 months of age, and helps hold the joint in the correct position for its natural growth.
- Surgery : It may be necessary in severe cases or those that do not respond to conventional treatment, to reposition the joint correctly.
- Physical Therapy : After surgery or orthotics, physical therapy is necessary to promote healing and ensure normal joint movement.
Follow-up and aftercare Regular follow-up with a doctor is essential to ensure the success of treatment and prevent complications. Aftercare includes:
- Periodic examinations : to monitor the development and natural growth of the joint.
- Guidance for parents : on how to handle the orthotic device and care for the child.
Conclusion: Developmental dislocation of the hip joint in children requires early intervention to avoid complications that can affect the child's movement and growth. Through early diagnosis and appropriate treatment, positive results can be achieved and an active and healthy life for the child can be ensured. If you suspect a problem with your child's hip joint, we advise you to visit a specialist doctor to evaluate the condition and provide appropriate treatment
