Monday, August 3, 2009

What to do before and after knowing your child has a hip dysplasia?

For every 1000 children born, 1 child will have a hip dysplasia. Since it is common to 1st born girls, in our case, (our 1st born was a boy) measures should be considered in dealing with hip dysplasia.
1. Upon birth, aside from the standard newborn screening, an ultrasound should be
administered on a child's hips to check if there's a dysplasia, it's called a hip
joint exam screening
.
2. Parents should request the doctor or nurses to check "manually" by rotating the
legs or bending them and even leveling the feet if they are of the same length.
Often times it can be detected by a "click" or more precisely a "clunk" in the
hip.
3. Should the child have a dysplasia of the hip, a cast is required to help the
femural head (the ball portion at the end of the leg)be put back in the
acetabulum
(the socket on the hip). Children who are found to have dysplasia in less than 3-6
months are made to wear a Pavlik Harness, or sometimes a spica cast, particularly
following surgical closed reduction.
4. Children more than 6 months often needs to be treated surgically. If not treated,
as early as 7 years old, they will have early arthritis and scoliosis.

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