It is most frequently discovered during newborn examinations but can appear after this time, so hips should be checked regularly until the child is preschool age (assess at every well-baby check). Early diagnosis results in improved outcomes
Signs of hip dysplasia can include:
High dysplasia is more common in females, babies born weighing over 4kg, first born children, those with a family history of hip dysplasia and those born in the breech position. Incorrect swaddling techniques can contribute.
Early diagnosis results in more favourable outcomes. A child’s hips should be checked regularly from birth to 3.5 years, as DDH is not always present at birth. Your child’s Doctor will perform a physical examination. They may request an ultrasound or x-ray of the hip joint, and you may be referred to a specialist.
Treatment usually means a harness or splint. Sometimes reduction of the hip joint under general anaesthetic (closed reduction) or surgery (open reduction) can be needed, with application of a hip spica cast.
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