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Pediatric Orthopedics - Hip dysplasia

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Hip dysplasia (also called hip dislocation) happens when the femoral head (the rounded top of the leg bone) slips partly or completely out of the hip socket. 

The hip socket may be too small or too shallow. This condition is present at birth and is more common in female children, in firstborn children and in children born into families with a history of this condition. 

It is also more common in babies that are in breech position (feet first) in the uterus.

Treatments

Hip laxity and clicks may be found in newborns and an ultrasound may be recommended. An Orthopedist will suggest the best treatment for a child depending on the child's age.

Pavlik Harness

In infants, a Pavlik harness is used for 2-3 months. This harness holds the hip joint in place so the tissues around the joint can tighten and hold the joint in normal position. Once the harness is removed, the child should grow and develop normally.

Closed Reduction or Surgery:

In children 6 months and older, a procedure called a closed reduction may be done. A closed reduction involves moving the hip joint into position without incisions. 

In some cases, surgery may be needed to move the hip joint into place. After either closed reduction or surgery, a cast is put on the leg and hip to hold the joint in place. 

​​The cast stays on for 2-4 months. Once the cast is removed, the child should grow and develop normally.

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