Understanding Hip Dysplasia and Treatment

Pediatric hip dysplasia is a condition affecting the hip joint in children, and it is important for parents and caregivers to be aware of the signs and treatment options.

The hip joint functions like a ball-and-socket structure where the top of the thighbone fits snugly. Pediatric hip dysplasia can occur when the joint does not develop fully, resulting in a shallow socket. This can lead to the ball of the bone partially and completely slipping out of the joint, potentially causing hip dislocations.

While infants and young children may not experience pain, untreated hip dysplasia can lead to early-onset arthritis and disabilities later in life.

Certain factors can contribute to a diagnosis of hip dysplasia in children. They include mechanical, hormonal, genetic, and environmental elements. Girls are more likely to be diagnosed than boys are, and can be common in families with a history of hip disorders. Firstborn children and those delivered breech may also face an increased risk.

Diagnosing dislocated hips in pediatric patients can be challenging, as it is often painless and easily overlooked. Here are some signs to look for:

• Deep unequal creases: an asymmetry in the buttocks or thighs.
• Diaper change insight: One leg may appear weaker in its outward movement, or if both legs appear entangled.
• Crawling quirks: Notice if child drags one leg while crawling.
• Length disparity: One leg may be slightly shorter than the other.
• Gait anomalies: Child may limp when affected in one hip, or has an unusual walk.
• Genetic predisposition: Family history of hip dysplasia increases the likelihood in future generations.