Developmental Hip Dysplasia - Dislocation Of The Hip In Babies

06/10/2015 09:35

One of the first unknown young parents is a problem changing table. The mass of different information received from several quarters, Ultrasound hips in babies is often difficult to establish criteria on which to select relevant, adequate counseling, and the right way to separate them from the flat-rate speculation, modern trends and archaic customs.

Here are some scientifically based attitudes that can help:

In our environment, the decades of systematic ultrasound examinations for early detection of developmental dysplasia of the hip (DDH).

It is the insidious disease of unknown cause, but it is known that the appearance of influencing a combination of factors: genetic predisposition, unfavorable positions of the fetus during pregnancy, decreased amount of amniotic fluid, hypermobility of the hip joint, and the way changing table.

In RCC present dysplasia acetabular (hip socket joint) - phenomena that he was insufficient depth, too steep or inappropriate orientation). The speed of development and the intensity of the disorder vary greatly, resulting in different clinical picture in different age. What is the speed of development of the disorder is less, to the clinical symptoms milder and later formed, and the need for ultrasound (later radiographic) diagnosis is higher. For this reason the work periodic control ultrasound examinations.

• If a disruption occurs early and progresses rapidly, manifested dislocation (dislocation) of the hip joint present at birth (and in addition to the mandatory clinical examination as early as possible in order for the first ultrasound of the hips, to neoperativnolečenje which previously applied).

• Milder expressed disorder on the first or control with an overview see a subluxation of the joint.

• More lenient expressed form of dysplasia is diagnosed much later in adulthood.

Weight disease is in inverse proportion to the incidence of: sprains are less frequent and usually mild dysplasia.

Controls pediatrician:

• The procedure Ortolani: baby lying on his back, thighs are pushed down.

• The procedure Barlow: baby lying on his back, thighs are pushed up, sideways and down.