Congenital hip dislocation

Congenital dislocation of the hip joint is a complex defect. It occurs in most cases in girls and as a rule, affects one hip. A decade ago it was believed that this defect is the result of trauma or inflammation. But now this theory is refuted. Scientists have conducted research and found that the cause of congenital dislocation is dysplasia - a deviation from the normal process of development of the hip joint. It is worth noting that the beginning of this process is laid in the period of intrauterine development. Such a defect leads to the displacement of the femoral head, the slowing of ossification, and the underdevelopment of the pelvic bones.

Symptomatic

An indication of a congenital dislocation of the hip in children is a symptom of slipping. Otherwise, this symptom is also called a symptom of instability or a click. If the expert has identified this symptom, then he needs to put the baby on his back and bend his legs in the joints of the pelvis and knees. In this case, the thumb of both hands is placed on the inner surface of the thigh, and the remaining fingers are placed on the outer surface of the thigh. The symptom of slippage can manifest itself in different ways: sometimes the head moves into the cavity, and sometimes its dislocation. If the child is healthy, i.e. He does not have a dislocation, then there should be no click. However, it should be noted that a healthy child may have a slight crunch in the knee joints, which suggests that the growth rate of ligaments and bones do not match. This discrepancy in growth is not a cause for concern.

In case the child has a click symptom, the doctor feels the slipping of the femoral head, which is precisely why this is the result of a click. Such a click is normal for the newborn baby and if the child develops normally, the click should disappear after 7-10 days.

Restriction of movement in the dilution of the hips

If the child has a dislocation of the hip, this will show up in the first year of life. To identify a child put on the table on the back and bend the legs in the joints of the pelvis and knees. Further, a specialist without pressure spreads his legs apart. If there are no abnormalities, then the child's legs in the first months of life in the hip joint can be diluted to an angle of 80-90 degrees. However, it is worth bearing in mind that this symptom can manifest not only with congenital dislocation, but also in other diseases, and sometimes even in a healthy child. It all depends on the tone of the muscles.

Asymmetry of the gluteus folds of

To identify this symptom, the baby must be placed on the abdomen. The specialist pays attention to the level of folds on the buttocks. If the folds are on the same level and the depth is the same, then everything is in order and there are no deviations. However, again, this symptom does not always indicate a hip dislocation, because this symptom is manifested in other diseases. Another difficulty in the mobility of the child: to persuade the child to lie absolutely absolutely to compare the folds, is very difficult.

Shortening of the foot

This symptom in healthy newborn infants is very rare, it appears with the dislocation of the hip. At the same time, it is impossible to detect this feature using a centimeter tape. To determine the symptom, it is necessary to bend the legs in the joints of the pelvis and knees and if the knee joints are located at different levels, then the defect exists.

External leg curvature

If the baby has this symptom, then it is very easy to identify it: the foot stop will be slightly turned outward. The foot is turned out exactly on that leg, on which there is a dislocation. This symptom is most pronounced at the time when the baby is sleeping. However, the curvature of the foot can also cause external clubfoot.

Treatment of

Treatment of a dislocation can be conservative or surgical. If the defect is detected in time, then there is enough conservative treatment, which consists in the selection of an individual tire. The tire is needed to hold the foot in the flexion position in the joints of the pelvis and knees. It is this provision that provides the necessary formation and development.

If a dislocation is found late, then surgery is necessary. Therefore, it is necessary to visit a specialist on a regular basis to avoid surgical intervention.