Nowadays, a disease like hip dysplasia in newborns is not uncommon. Most often, this diagnosis is given to girls who are in the womb in the pelvic presentation. This disease indicates the incorrect location of the pelvic bone, its shift in the joint. With timely and competent treatment, the disease goes away without consequences.
Causes
It is very difficult to accurately determine the factors that provoke this ailment. However, it should be noted that a disease called hip dysplasia in newborns is most often observed in girls (80%). With pelvic presentation of the fetus before childbirth, the risk of this ailment increases several times. Of great importance is the hereditary factor. If the parents of the baby in childhood had this ailment, then the child will be significantly affected by this disease. In some cases, neonatal hip dysplasia may be due to maternal toxicosis during pregnancy. The elderly parents, infectious diseases, endocrinopathy, adverse environmental conditions, poor nutrition - all this to some extent can cause this ailment.
Signs of hip dysplasia
The very first symptom is a limitation of the hip abduction. Only an experienced orthopedist can accurately determine this feature. If the joints of the newborn are located correctly, the abduction will be complete (in a lying child - to the level of the horizontal surface on which it is located). The next thing to pay attention to is the asymmetry of the folds on the hips of the newborn. There are more folds on the physiologically incorrectly developed side, they are much deeper than on the healthy one. If the baby shows shortening of one leg, this also indicates dysplasia. On examination, a “click” symptom may occur when the head of the
hip freely pops out of the vesicle. Only an orthopedist can diagnose this disease. Hip dysplasia in newborns with timely treatment goes to 6-8 months. For a baby who has already begun to walk, but has not received the necessary help, this ailment can manifest itself as follows: the child is limping, swinging from side to side or moving on tiptoe, and his heels are awning.
If the disease is not treated, then in the future crumb lameness threatens.
The degree of hip dysplasia
The disease can be either one - or two-sided. Depending on the severity of the signs in medicine, several types of dysplasia are distinguished. Pre-dislocation - the hip joint shifts more than normal in the vesicle cavity due to loosely adjacent tissues. This is the first degree of the disease. Subluxation - characterized by the fact that the head of the femur protrudes somewhat from its cavity. This is the second degree. The most serious form of the disease is a dislocation, in which the joint is disrupted due to the fact that the head of the bone completely extends beyond the vesicle.