Understanding Developmental Hip Dysplasia

 

 

Dysplasia of the Hip (DDH) or "clicky hips"  is a relatively common condition affecting infants.  While DDH varies in severity, it is a treatable condition, and early intervention is crucial.

 

 

Diagnosis and Risk Factors

 

 

DDH occurs due to abnormal development of the hip joint, which consists of the femoral head and the acetabulum. This instability can manifest in different forms, including subluxation (partial displacement), dislocatable hips, and complete dislocation.

 

 

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The risk factors for DDH can be categorized into genetic and environmental influences.

Genetically, a family history of DDH increases the likelihood of occurrence, particularly in females, who are four times more likely to be affected. Environmentally, factors such as being a firstborn, breech presentation, or having a larger-than-average birth weight can contribute to the risk

 

 

Screening and Treatment

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Paediatricians typically screen for hip dysplasia before discharge from the hospital. If a newborn is identified as high-risk, further evaluations such as hip ultrasounds are conducted. Treatment options vary based on severity.

 

Mild cases may simply require monitoring, while more severe cases often necessitate the use of a brace such as a Pavlik Harness or Rhino Brace. In late or severe cases, surgical intervention with a hip plaster cast may be required.

 

 

 

 

 

 

 

 

 

 

 

 

 

Early detection and intervention are vital, as untreated DDH can lead to chronic pain and gait abnormalities later in life. Consequently, routine checks during well-baby visits are essential.

 

 

Safe Practices for Newborns

 

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As hip joints are pliable in the early months, safe swaddling and carrying techniques are crucial. When swaddling, ensure that the baby's hips and knees can move freely rather than being held straight. Similarly, when using baby carriers, the hips should be positioned naturally to avoid undue pressure on the joints.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In summary, while hip dysplasia is a common condition, awareness, early diagnosis, and proper treatment can lead to positive outcomes for affected infants. This highlights the importance of regular paediatric assessments and informed parenting practices.

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