Congenital dislocation of the hip: early detection of problems

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2018-03-19 07:05:07

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A Very long time in modern medicine prevailed an erroneous view that congenital dislocation of the hip due to a regrettable consequence of the negligent actions of obstetricians in the birth process. Of course, one should not exclude the negligence and inexperience of doctors, but such cases are rare, but in most clinical pictures of this anomaly is congenital in nature, that is formed when the fetus is in the womb under the influence of some pathological factors.

First we need to clarify that congenital hip dislocation is represented by one of the most severe pathologies in children in the field of orthopedics. A presumptive diagnosis is still in the hospital in the presence of characteristic symptoms, however, it is important to clarify that only a clinical examination can confirm or refute radically. Today to the fullest with timely recovery can be a long and hard treatment, which should begin from the first days of life. The patient is absolutely healthy, if on x-ray, there is complete recovery of function and structure of the hip joint.

If you judge the causes of this pathological process, it should be noted that there are several underlying factors that contribute to its aggravation. One of the pathogenic causes of defect is the so-called primary bookmarks, that is, abnormal development of the hip joint and its surrounding muscle, the other a delayed development of the fetus during intrauterine life, due to hormonal and vitamin metabolism. Also not ruled out a genetic factor, that is, there is an inherited predisposition to the disease.

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Congenital dislocation of the hip joint has its own characteristic symptoms, the manifestation of which should alarm the watchful parents who, in turn, should immediately seek the advice of a specialist.

1. Symptom palpable click.

2. Limited abduction of hips.

3. Asymmetry of the gluteal folds.

4. Shortening one of the limbs.

5. External rotation of the foot.

Anyway, this is just an alarming signal for parents, a final diagnosis can be made by a specialist based on the results of ultrasound (under 3 months) and x-ray (age 3 months), and it should be clarified that x-ray gives a more accurate picture of the current clinical picture.

Congenital dislocation of the hip in children, in whatever form it is manifested, requires immediate treatment. In modern orthopedics there are two solutions to this problem: surgical and conservative, but which one is preferable should be settled exclusively by a leading podiatrist, judging by the complexity and form of the disease, and based on the characteristics of a child.

If the disease is diagnosed in time, the conservative method is very productive. The little patient is prescribed a complex of massages, paraffin wraps, medical gymnastics, and it is individually selected orthopedic splint that helps maintain the baby's legs in position of bend in the knee and hip joints at an angle of ninety degrees (a right angle) and abduction in the hip joints, which contributes to the proper formation and development.

If to speak about an operable technique, it is appropriate only in the case when congenital dislocation of the hip a long time did not respond to treatment and is prevalent in the form of neglect. He also is appropriate when conservative treatment has been useless.

By far one thing is clear: congenital dislocation of the hip requires accurate diagnosis and effective treatment are able to completely recover once the diseased joint.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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