How to treat hip dysplasia in children?

About what is hip dysplasia in children, I learned many years ago. Rather, I saw what she’s being treated in complex cases. This want to tell the readers of women’s website “ToKnow365.top“.



In the summer of 2000 I had an 8-hour trip to another city. I remember how the bus skidded a little girl of two, whose legs were plastered and divorced at an angle of 90 degrees. All the way the baby was lying with extended legs on improvised fixture from the decomposition of the seats, was a little fussy, asked to drink. The girl patiently courted grandma.

Talking, I found out that the baby has hip dysplasia.

Inexperienced young parents are not immediately drew attention to the fact that the girl has something wrong with legs. Lived in the village, to doctors for routine exams didn’t go. The girl no one really examined.

That child is sick, found out later: she began to walk and noticed a duck gait. At first it seemed even funny, waiting to grow, but eventually realized that something was wrong with the legs!

Went to the regional doctors. Diagnosis: the child has bilateral hip dysplasia severe. The girl was fully plastered, all the time beside her is grandma: carries on the checkups and pray that everything worked out without surgery. Parents now earn money for the treatment.

The grandmother said that there is little chance to recover without surgery and they are holding on to him, referring to the best doctors in the city, surveying the girl in the best centers hundreds of miles away from home.

But if I had not waited to grow, and began to treat to a year, one would have to forget about this diagnosis. After all, the sooner to see hip dysplasia in the child and begin to heal, the more favorable the prognosis.

What is hip dysplasia in children?

Frightening name “hip dysplasia” I hear many parents of babies under one year, getting to appointments to a podiatrist. From the Greek “dysplasia” is translated as “impaired development”, “education deviation from the norm”.

That is the diagnosis “dysplasia” was easier to call the deviation, pathology, underdevelopment of the hip joint, which in the future bear the entire burden when walking.

Let us metaphorically imagine the hip joint.

It consists of the femur, the end of which resembles a ball. This “ball” you need to get into the house acetabulum semicircular in shape — and stay there muscles and joints. It is the hip joint. Depending on whether the head is located in the basin: how deep, what angle, how it turns, how it’s held in the joint depends on the degree of development of hip dysplasia in children.

Redviva

If the head is correctly located in the cavity, dysplasia is not observed.

If you notice the immaturity of depression – it is small, but the head (the ball) hit the house at the correct angle, I suspect the first degree of dysplasia – previva. Presumptive diagnosis often put a newborn.

The fact that at birth the depression is still underdeveloped — it’s not deep. Parents, whose children have put 1 degree of dysplasia – previva, should especially pay attention to the prevention of dysplasia: wide swaddling, special exercises, massages. In this case, better to be safe, if your baby is predisposed to dysplasia.

Pavlik’s Stirrups

Subluxation

In case of partial defeat of the femoral head is diagnosed subluxation of second degree of hip dysplasia in children. It is a serious diagnosis that requires special treatment, often using devices that help to lock the head in the cavity – bus Velinski, struts, plaster bandage, but most of all – Pavlik’s stirrups.

Even in the 20th century the Czech podiatrist Pavlik has developed a method of treatment of dysplasia. Special stirrups fixed the femoral head to the desired angle in the cavity. Fixed head not out of depression, is in the correct position.

Remove the stirrups not! It is important to observe this condition, as untreated, dysplasia leads to a more severe form – the dislocation and re-require longer treatment.

Some of my friends, my daughter who is appointed to wear the stirrups Pavlik didn’t take them 3 months. Then parents felt sorry for the girl, and the next 3 months are “released” for some time, little girl. To the great joy of his parents, the girl began to walk for almost a year. And not just to walk, and walk steadily and run. But on a routine inspection a year the girl was diagnosed with dysplasia.

Parents didn’t believe, spoke to several orthopedists. The diagnosis of each was confirmed many times the child has hip dysplasia. NOT RECOVERED.

The girl again put on the stirrups. And as my mother says now when she tried to walk and run, both psychologically and physically tolerated much harder.

So it is very important if your child is assigned to wear a Pavlik’s stirrups or other similar structure, follow the schedule recommended by the doctor. Loading the joint with a walk before getting the head in place, it is impossible. If you feel sorry for a child or you doubt the correctness of the diagnosis, consult several specialists. Fortunately, nowadays it is possible.

Think about what you help your child, not torture him.

Dislocation

With full offset (not hit or loss) of the femoral head from the depression develops third degree of hip dysplasia in children – dislocation. This is the most severe form of this disease.

To put the head back into place, often prescribe treatment position – legs gipsoteca are either fixed by using plastic devices. In the worst case, surgery will be scheduled.

As I understand now, my little fellow traveler was just a severe form of dysplasia.

Reasons

Today, there are clear statistics that indicate that in countries where children are not swaddled, problems with hip joints less than where the legs are children straight.

Take, for example, Japan – the country in which dysplasia of the joints has long been in first place for the percentage of incidence. In 1971, was developed the state program where all parents have been taught that tight swaddle a baby is impossible. Only this step has improved the statistics several times children with hip dysplasia a year later was much smaller.

Causes of hip dysplasia in children is not fully understood.

  • Significantly, only know that the dysplasia is more common in girls. It is because during pregnancy the woman begins to produce a hormone whose main task is to make the joints and muscles soft, supple, a woman would give birth. This hormone not only affects joints and muscle tissue of the expectant mother but also the baby, especially on the joints of a female child.
  • The second factor that predisposes to the development of hip dysplasia in children — first birth. It is proved that in the first pregnancy this hormone produces more than on each subsequent.
  • More at risk children with breech presentation. It is noticed that more often dysplasia of the left. This occurs because the physiological characteristics of the location of the child in the womb. Left leg bent more.
  • The more fruit, the higher the risk that there will be dysplasia of the child after birth.
  • Genetic predisposition, parental age and other factors also play a role in the development of dysplasia.

What you need to pay attention to?

The diagnosis of “hip dysplasia in children” should put the doctor, the task of the parents — in time to address him, noticing some signs.

  • Look at the gluteal folds. If they are not symmetrical – it’s not dysplasia, is a reason to tell the doctor. Only he can clarify the diagnosis.
  • Try to bend the legs, spreading to the sides of the hips and knees. In newborns, the angle of divorce is 80 – 90 degrees. If one leg above, the other below – is also a reason to seek medical attention.
  • Try to breed the legs out to the sides. If one leg is good and the other worse (sympaty.net reminds us that often the left), also consult a specialist.
  • Keep in mind that these symptoms are uninformative. When bilateral hip dysplasia in children they are generally unreliable: folds symmetrical, and the legs are getting a divorce in the same way. To put the final diagnosis required examination of an experienced physician, x-ray (more reliably) or ultrasound of the hip joint.

    Wide swaddling (right and left)

    What can parents do?

    The main help of parents lies in timely treatment to the specialists, who will examine the child. Noticed that the timing of treatment are largely dependent on the timing of diagnosis.

    If the diagnosis is set to 3 months, the treatment of hip dysplasia in children takes up to 4 months if dysplasia is detected in 6 months – the treatment lasts 6 to 8 months if dysplasia is seen after a year, fix it with conservative methods is very difficult. Most likely, assigned to surgical treatment.

    Good prevention of hip dysplasia in children – a wide fold.

    In recent years there have been great assistants who not only care about the fact that the child was a “warm and fuzzy”, but are considered good prevention of dysplasia – diapers. If the child is diagnosed with “dysplasia”, the doctors recommend buying the larger size diapers, or arranged between legs of folded blanket or a special pillow. Prevention aims to not to allow the baby to bring feet to make sure the head fell into a depression occupied the right place and takes the desired position.

    To find the right treatment (conservative or surgical), to massage, to appoint paraffin baths and thisprocedure, to teach parents the exercises for hip dysplasia in children, to determine whether we need special fixtures, fixing the legs of divorce should only orthopedic surgeon after a full examination of the child.

    The task of parents – to adhere strictly to the recommendations to be patient and help your baby.


    The author – Julia Spiridonova, site ToKnow365.top

    How to treat hip dysplasia in children?





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