Developmental Dysplasia of the Hip
Developmental dysplasia in the hip is the anatomical abnormalities of the hip joints in which the head of the femoral bone shows an abnormal relationship with the acetabulum. It includes several risk factors like first born status, female sex, positive family history breech presentation and oligohydraminos.
Clinical presentations of the developmental dysplasia of hip depend on the age of the child. Generally it has been found that children born with hip disability, hip instability infants having limited to hip abduction on examination and older children with limping, joint pain and even sometimes osteoarthritis.
Repeated careful testing of the children after the birth till their growing process should be continued. It can also include the provocative testing. Other similar symptoms that are visible in normal eye includes shorting in length of the femur with hips and knees flexed, asymmetry of the gluteal or thigh bones and discrepancy of leg lengths in potential clues.
Treatment are mainly dependent on age presentations and outcomes are much better when the child is treated early particularly during the six months of age.
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