Developmental dysplasia of the hip, DDH

What is developmental dysplasia of the hip in children?
Developmental dysplasia of the hip (DDH) is a problem of the hip joint more common in girls than boys when the joint hasn’t formed normally, so it doesn’t work as it should.

What causes DDH in a child?
Due mother’s hormones during pregnancy , A tight uterus that makes it hard for the fetus to move around , when the baby is born bottom-first instead of headfirst

What are the symptoms of DDH in a child?
The leg may appear shorter on the side of the dislocated hip. The leg on the side of the dislocated hip may turn outward. The folds in the skin of the thigh or buttocks may appear uneven. The space between the legs may look wider than normal

How is DDH diagnosed in a child?
DDH is sometimes noted at birth. A healthcare provider screens newborn babies in the hospital for this hip problem before they go home. But DDH may not be discovered until later checkups.

Your baby may also need these tests: X-rays,Ultrasound (sonography).

How is DDH treated in a child?
1) A special brace or harness. The Pavlik harness is most often used. It is used on babies up to 6 months of age to hold the hip in place, while allowing the legs to move a little.
2) Casting. If your child still has DDH, a cast may help. This is called a spica cast.
3) Surgery. child may then have to wear a spica cast for up to 6 months after surgery.

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