Developmental Dysplasia of Hip
Developmental Dysplasia of Hip (DDH) or Congenital Hip Dislocation (CDH)
Hip joint is a ball & socket type joint. Sometimes the hip joints of an infant do not develop properly during early stages of foetal development. It results in to the unstable hip since birth. A careful examination can detect it early and can be treated early with good results. If left untreated can results in serious joint problem with gait abnormality.
Many theories have been given for possible cause of this problem like intrauterine position of baby, less amount of amniotic fluid in the mother’s womb.Risk factors like first baby, female child, breech position of baby, family history of same disorder should be watch carefully.
One can easily find abnormal creases around hip, limb length discrepancy, abnormal posture of limb and abnormal mobility of lower limb.
Normally, an orthopaedic surgeon diagnoses congenital hip dislocation by examining the child’s hips and legs carefully. Barlow and Ortolani test are to be performed to diagnose the status of hip. These tests are screening test.
Treatment is depending on age and status of hip. If child is younger than six months then closed reduction and pavlik harness is helpful or closed reduction and spica cast can be given for few weeks.