Hip dysplasia: how to act parents of infants

Hip dysplasia: how to act parents of infants

 

Many young mothers have heard of such a disease as dysplasia of the hip joints, but they know exactly what it is only those who themselves are faced with the need to treat this ailment.

In itself, the concept of dysplasia is a violation of the formation of an organ or tissue.Hip dysplasiamost common in newborns. itcongenital diseasewhich is manifested by the underdevelopment of the hip joint and its elements: the acetabulum, the head of the femur, muscles, ligaments, capsules. With dysplasiashape changes significantly,relationship and size of structureship joint.

The causes of dysplasiaThere may be factors such as:

  • embryonic malformations;
  • hormonal disorders in a pregnant woman;
  • avitaminosis due to malnutrition;
  • strong toxicosis, preeclampsia;
  • infectious diseases suffered during pregnancy;
  • genetic predisposition;
  • drug correction of pregnancy;
  • smoking, alcohol and drug use;
  • having a baby with pelvic presentation;
  • large or, on the contrary, premature fetus;
  • hereditary factors.

Experts have not yet found a logical explanation for these factors, but hip dysplasia occurs more often in girls than in boys - 80% of cases detected. Also, the firstborn is usually affected by this disease, and the left hip joint is affected three times more often than the right one.

Dysplasia of the hip joints: how to act to parents of infants - image number 1

There arethe three main forms of dysplasia:

  • acetabular dysplasia - acetabular dysplasia;
  • dysplasia of the proximal femur, which consists in changing the angle between the acetabulum and the head of the femur;
  • rotational dysplasia - changing the position of the femoral head in relation to the acetabulum due to the violation of geometry in the horizontal plane (the child’s foot is turned inward while walking, the baby has a kosolapit).

Acetabular dysplasia is subdividedon:

  • anticipation- condition of the joint, in which the acetabular cover is oblique, and the proximal part of the femur is slightly off the recess. Such a violation of the development of the joint without displacement of the hip is well defined clinically and radiographically and is most often observed in newborns;
  • subluxation- The femur lagging behind the depression is stronger than with pre-emergence;
  • dislocation- condition of the joint when the femur extends beyond the acetabulum.

Most orthopedists for hip dysplasia mean it.congenital inferiority, which is due to underdevelopment and can lead to subluxation or dislocation of the femoral head. In addition to directly dysplasia (disorders of the development of the hip joint) in children can be diagnosedslower development of the joint, himimmaturity. Slowing the development of the joint is a borderline state, such children are also at risk of developing dislocation.

Athip dislocationthe head completely loses contact with the acetabulum, withsubluxation- only partially, butanticipationcharacterized by a violation of the development of the hip joint without displacement of its articulating elements.

Dysplasia in newborns can beone-sidedordouble sidedand its classification should be based on clinical and radiological indicators.

Hip dysplasia: how to act to parents of infants - image №2

Read also: Hip dysplasia

How to notice a problem

Hip dysplasia- a disease whose treatment does not tolerate delay, so the initial examination of the baby for this pathology is carried out for the first time back in the maternity hospital, 1-2 days after birth.

In the presence ofthe slightest suspicionthe child immediately after discharge from the maternity hospital goes to the orthopedist. Next, the child will have regular examinations at the district children's orthopedist:

  • in 1 month
  • at 3 months,
  • at 6 months
  • in 1 year.

It's not always worth hoping for the medicalsome signs of hip dysplasia can be noticed by attentive mother.

That the child needs help will be reportedsuch symptoms:

  • limited mobility of the thigh;
  • outer turn of the foot;
  • a symptom of slipping (clicking);
  • asymmetry of gluteal folds and buttocks;
  • additional fold on the thigh;
  • one leg of the child is shorter than the other;
  • asymmetry during leg abduction.

The listed symptomsnot always pronounced, they can also appear together and separately.

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If the dysplasia of the hip joints does not pay attention in time, and the child begins to walk, he may have signs such as:

  • "Duck" gait;
  • pronounced lumbar lordosis (curvature of the spine in the lumbar spine);
  • the habit of walking on the fingers;
  • turned inside or out fingers of one of the legs;
  • slight limping;
  • soreness of the hip and knee joints;
  • moderate muscle atrophy of the lower extremities.

How to make a diagnosis

In order to identify early signs of hip dysplasia in a child, you need a good orthopedic specialist with experience in working with children.

Also, to diagnose the disease and confirm the diagnosis, doctors use such additional research methods as ultrasound and x-ray of the joints.

Ultrasound of the joints, although a harmless method of examination, but, unfortunately, with its help it is not always possible to get a complete picture of the relative position of the elements of the joint.

The method of ultrasound is most often used up to 3 months of age of the child, while the cartilage tissue of the femoral head is notradiopaque and the state of the thigh in the picture is almost not visible. In the future, a more objective assessment of the condition of the joint can be done using X-ray.

Hip dysplasia: how to act to parents of infants - image №4

Our mother forum BTN tells: “I went to the orthopedist today, as I noticed the asymmetry of the inguinal folds of my daughter. He sent for x-rays, and there is dysplasia! The diagnosis of hip joints dysplasia and congenital subluxation of the right thigh returned to the orthopedist. I'm just in shock! And at 4 months he was at the orthopedist (he seemed to me not very good) and he wrote “healthy.” And now 5.5 months and such a result! Carry Gnivkovsky apparatus, electrophoresis and massage. "

How is hip dysplasia treated

If the orthopedist confirms the diagnosis of "dysplasia", then as soon as possible the child is prescribed a comprehensive treatment.

Depending on the severity of the case as a therapymay apply:

  • drug treatment;
  • wide swaddling;
  • removable and fixed exhaust tires;
  • stirrups;
  • plaster cast;
  • Frejka pillow;
  • massage, physiotherapy, physiotherapy.

The duration of wearing a tire is determined by the doctor individually for each small patient and can last from 2-3 months to a year.When using tires and bandages, the child cannot walk at the time of treatment, such orthopedic devices keep the child's legs in a diluted state.

It is important that the diagnosis, which is made to the child, and all appointments,where possible, have been confirmed by several experts.  

Our mother forumwoman Alpina_k writes: “I think that of course you need to listen to the doctor, but you need to filter (very, very). If you doubt the competence of the doctor, consult with another specialist (and if necessary, not with one). You understand, medicine is not mathematics, that is, science is not exact. And do not shed tears, even if there is dysplasia, tears do not help here. We need clear actions by parents, who consist in finding a specialist, for making an accurate diagnosis and prescribing adequate treatment. ”

Of course, every parent wants to see his baby healthy and happy, but the decision about when it is time to remove all the devices that impede the baby's mobility should be made by the orthopedic doctor.

If conservative treatment does not produce results, the operation may be prescribed to the small patient. The purpose of the operation is to set the femoral head and restore the anatomical conformity of the elements of the hip joint.

Hip dysplasia: how to act to parents of infants - image №5

Dysplasia prevention

Orthopedic doctor Rogovoy Alexander Efimovich tells: “If your baby is okay or hip joint dysplasia was suspected but not confirmed, wide swaddling is shown to prevent hip dislocation (a folded diaper or small pad is placed between the baby’s legs, which ensures dilution of the legs in the hip joints and correct head position hips in the acetabulum) or the absence of swaddling in general. For proper development of the joints, an adequate amount of movement in them is necessary, and at rest - the so-called physiological (or natural, stipulated by nature) their position. ”

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  • Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants

    Hip dysplasia: how to act parents of infants