Not all infants are born with normal development of the hip joints.Uncommon situation where the data in the structure of the joints there are defects.And, unfortunately, this defect is not always possible to determine immediately after the birth of the baby.
Sometimes the joints that appeared normal at birth, actually have abnormal development, and a defect is detected only after a sometimes quite a long time.Even experienced orthopedic specialists are not always able to correctly assess the state of hip newborn baby.
hip dysplasia: what is it?
weak ligaments of the hip joints can become a cause of instability hip structure.As a result, the femoral head in these children may move from its usual place.
Because of this, there are states of different complexity:
predvyvih - when the femoral head moves easily within the joint;
subluxation - when the femoral head may be subject to dislocation and subsequent reposition its original location in the joint, thus emitting a dull sound;
true dislocation - when the femoral head is located outside of the acetabulum.
cases predvyviha and subluxation observed in 1% of neonates, and the true dislocation occurs in one of 800-1000 births.
What children often are born with dysplasia?
Among children born are diagnosed with "hip dysplasia", 60% of the total number - is the firstborn.30-50% of these children were born with breech presentation, in which the true risk of dislocation of the hip joint is extremely high.
true dislocation risk is greatest in the case of pure breech presentation, in which the baby's legs are bent at the hip and knee joints in straightened and child located at the foot of his shoulders.
instability of the hip in ready to be born baby may develop due to maternal hormones, which are produced by the body approaching childbirth women in order to relax her pelvic muscles.Because of these newborn bundles of hormones become soft and pliable to stretch.This is especially seen in newborn girls (90%).Perhaps the weakness of the ligaments in girls and is also due to the influence of their own hormones.
How is the diagnosis of dysplasia?
Initial screening for the presence of defects in the structure of the hip joints of a newborn baby holds doctor, to which parents bring the baby to a regular inspection.This survey is a visual character.The doctor is testing to detect the slightest deviation or dislocation.
Before reaching the baby 4 months radiography does not provide reliable results, as the children in the cartilage of the femoral head has not yet reached the state of radiopaque.Therefore, X-ray hip baby has nothing different.
At a very early age the best method of diagnosis of dysplasia is considered hip ultrasound.However, not every clinic conducts the survey.
Visually, parents will be able to understand that their child has something wrong with her hips, when the baby will grow up to six months.At this age, it is already becoming visible difference in the mobility of the hip, leg length and symmetry breaking skin folds.If you notice these signs parents should immediately show the child to the doctor.
The most common symptoms of hip dysplasia
Asymmetric folds on the buttocks and groin children.You can put your baby on his stomach and compare how symmetrical folds on the buttocks and knees.
kid feels uncomfortable when diluted legs.If you try to separate the sides hip baby child is experiencing discomfort, it may indicate the presence of a child dysplasia.Sometimes healthy kid can resist when trying to separate him legs.You can then put the baby on his tummy and see how divorced legs in position like a frog.
We hear a clicking sound when turning the children's femur.However, this symptom occurs infrequently.
different length legs.This is particularly evident when the child has started to walk: he develops ugly "duck" gait.
How to treat dysplasia in newborns?
Progressive effect of this disease results in a variety of complications, which are very difficult to resolve: unequal length of limbs, limited mobility, ugly gait, bone deformation in the legs.
earlier diagnosing dysplasia and begin her treatment, the higher the chances of the child to go to the normal development and avoid ugly flaws that spoil him the rest of his life.
The ideal would be a situation where the congenital hip dislocation would still be recognized in the period when the baby in the hospital.Immediately after the discovery of such defect should begin to eliminate it.However, in the hospital doctor usually observes dysplasia, only when it is strongly expressed, while weak its manifestations it is found much later.
best age to start the treatment of dysplasia - it is 1-3 months.The goal of treatment is to achieve dysplasia correct position of the femoral bone in the joint and further ensuring its retention in that position.
Depending on the age of the child, there are different devices, and if they do not help - the surgical correction.In the course of the child's treatment of dysplasia main task of medical procedures is to ensure the child's hips diluted position.It is in this position right femur fits into the joint and not leave it more.
list the main methods of non-surgical treatment of dysplasia
wide swaddling - in such swaddling baby legs divorced in hand.To the so-diaper baby, the mother should be used 2 diapers.All children who are in some way at risk of hip dysplasia or already have it, we recommend a wide swaddling.This also applies to children born in the breech position, and having a family history of dysplasia, and all children with manifestations of instability of the hip joints;
allocating panties - recommended for children, which has limitations in breeding hips.Suffice 4-6 weeks wearing such pants, and, in most cases, the motion of the hip bounce back;
stirrups Pavlik - appointed with a strong dysplasia, and after a soft correction methods have not led to a positive result.Put such stirrups on both feet - and healthy and the sick.It is best to recover from a defect such stirrups children under six months.Period wearing stirrups 1.5-2 months.If the cases are not too heavy, your doctor may allow them to take a short time;
bus Vilna - appointed in cases of hip dislocation older children.
If your child was discovered congenital dislocation of the hip immediately after birth, and after a long time, for example, 2 years, in such cases, surgical correction is applied through the incision, and then prescribe the wearing of the tires.
Surgery for dysplasia is assigned only after we tried all kinds of medical treatment, and no positive results were achieved.The most common operation is applied to children, have reached 3 years of age , which anesthesia and recovery after the operation the child suffers no complications.
If you find that your baby has hip dysplasia, do not panic and remember that, in case of early treatment and strict adherence to the advice of the doctor, with the defect can be managed in such a way that your child will move and runand dance better than the rest of their peers.