Congenital dislocation of the hip: symptoms, causes, treatment
For many years obstetricians have charged that congenital hip dislocation in children is a consequence of their poor work. It is possible that in one situation out of thousands this pathology of the skeleton and was received by the child in the first hours of his life. However, in all other cases of such deformity is a congenital defect. Such changes in the body are formed the child in the moment when he is in the womb. Hip the baby begins to be formed incorrectly. It interferes with the normal development of the femur, and it can’t take its place.
To detect the infant congenital dislocation of the hip impossible. The ultrasound machine does not show the formation of joints and cartilage in the fetus and, consequently, to identify progressive defect is impossible. Therefore, when the birth of a baby be sure to carefully inspect for any visible defects in the femur. If one leg of the child longer than the other, or the baby throws them asymmetrically, this can be a cause for concern.
Symptoms of hip dislocation
A similar disease is a type of hip dysplasia. This means that at one time in the processes of formation of the joint has failed. Connecting the femur in this case is wrong. Femur in a child with this disease is in its place and is located outside of the acetabulum. As a result of the patient is formed dislocation. Such a disease can be not only innate, but acquired. Or the birth may be a predisposition to this disease.
Congenital hip dislocation occurs quite often. Among children great disposition to illness in girls than in boys. Joint damage can be both bilateral and unilateral. In the latter case most often damaged left joint. To determine if the child has a congenital hip dislocation is possible only after a few days after birth. The symptoms are different.
First and foremost, the kid can’t take a hip to the side or does it not completely. In order to verify this symptom, you need to put your baby on your back and Flex his legs at the knees. They should form an angle of 90 degrees to the table. Now gently push him on the legs, spreading them apart. In the normal development of the joints of the legs divorce until it stops. If the angle is less than 160 degrees, then it is an alarming signal.
If you are performing these exercises you hear a click, then the baby is likely to really have problems with hip joints. Symptoms of dislocation include asymmetry of the legs of the newborn. Bend your baby’s legs and press them to the stomach. If a joint is injured, the damaged leg you bring will not. Folds of skin on the feet may not be identical, but should be symmetrical. To verify the symptom, put the baby on his stomach and pull him legs.
If these symptoms you find in your child, immediately consult a specialist for diagnosis.
Anatomy of a disease
Congenital hip dislocation is formed in the womb at the time when begins the formation of the hip joint. After birth this area of the body is still undergoing changes for the past two years. Later, in the hip there are changes throughout a person’s life, but they do not have such a crucial character. It is in the womb, undergoing the most important processes in the formation of joints, cartilage and bones. If the joint that connects the thigh, formed incorrectly, then perhaps the development of dislocation. This disease is called dysplasia.
That joint was formed correctly and without defects, development of the acetabulum and the proximal femur plays a huge role. The cartilage in a child’s body to replace the bone in time. A major role in the appearance of congenital dislocation of the hip plays the muscle tone around the affected joint.
Even a healthy hip in a young child is yet immature structure. If you compare the structure of the hip kid and adult, the children are articular ligaments are too soft, they can be prone to defects. The child flattened the joint space, its direction is not like a Mature person. The stability of the joint depends on the position in which dwells the joint box. In the presence of congenital hip dislocation in a child is more sloping glenoid cavity. This suggests that the joint box is too soft and the ligaments are unable to fix the femoral head. This provokes her slipping out of the joint space. The result is a deformation.
If hip dislocation is severe, then it means that the femoral head is entirely outside the gap. In the end, to the depth of the joint gets limbus and the joint space becomes filled with fat and connective matter. Such things can complicate reduction of the dislocation. In the presence of unrepaired dislocation starts foot deformities. Femur adapts to his new position, and the deformation affects the bones of the pelvis.
The reason for congenital hip dislocation may also be a change in the geometry of the joint. In this case, slows down the formation of bones and change their shape.
Classification of pathologies
Dislocation of the hip may be due to the inferiority of the joint. It can be deformed, improperly developed, shifted. In any case, its defects result in damage to the hip. Sometimes subluxation and complete dislocation of the femur. When subluxation of the head partially slides out of the depression, when dislocation — completely. When dysplasia is a disturbance of the development and functioning of the joint, but not the offset.
All elements of the joint in this case remain in their seats. However, many podiatrists are inclined to the opinion that the term «dysplasia» you can collect all the possible disorders and diseases associated with abnormalities of the femoral head. If you adhere to this opinion, the classification of diseases and define the exact diagnosis is possible only after x-rays.
Pathology can be divided into 3 groups:
Patients are divided into two groups. The first consists of those who have already been diagnosed with a dislocated hip, and the second — those who are at risk. The causes of the disease very different: heredity, difficult pregnancy, a disorder of the hip joint.
If a child under the age of three are the signs of the disease , the doctor may prescribe him an ultrasound. If the child is 3 months or more, then the diagnosis is made according to the results of x-ray diagnostics.
Treatment of congenital forms of the disease
Such disease requires timely and correct treatment. If not time to seek the help of a specialist, the results can be disastrous. If the treatment of the disease began in childhood, with age, the person may develop osteoarthritis. Congenital dislocation of the hip requires urgent medical intervention. The sooner it is started, the more benefit you will bring.
Most often patients are prescribed a treatment by standard methods. This medication, therapeutic exercises, proper swaddling of the child. One of the most effective treatments — fixing. In such case, the damaged leg is clamped so that the femoral head is artificially included clearly in the hole from which it is systematically slipping down. This situation of the bone will stimulate the body to develop special substances that will rebuild the missing cap to the glenoid cavity.
To properly fix the kid’s foot, one changing a little. Additionally, use special tires, seat and stirrups. Most often it is the latter option is used when eliminating the dislocation of the hip in children. The relevance of this technique is that the unique location of the tire allows to hold the bone in position, but the ability to move the feet is retained, however, within acceptable standards. This treatment does not stop until, until the formation of the cap depression on the joint.
Control is treatment with x-rays, which is done periodically. If the appointment is issued to a child over 1 year, most often for fixing is used lipoplasties traction. This procedure is also aimed at education covers the glenoid cavity.
When traditional treatment does not bring effective results or the diagnosis was not delivered in time, you can assign the operational methods of treatment. A dislocated at the moment, can be cured by using various surgical interventions. In most cases, doctors prescribe operations that do not affect the joint of the patient. In such cases the main task of the surgeon is to provide stable functioning of the joint.
If treatment is started in time, it will bring a satisfactory result without surgery.
What are the popular ways you can apply
Treatment with Shilajit is the most effective. In fact, this product is a storehouse of useful elements that are able to resist any disease. If the patient has a dislocation, the use of this medicine may help only in the case if you systematically apply it. For the preparation of medical compounds take 0.5 g of the mummy, 3 egg yolks and 50 g of the Crimean beans. Mix the ingredients and apply on the affected area of the body is 0.25 g daily.
Treatment of folk remedies involves the use of special wraps. To make one of them take leaves of lady’s mantle 100 g and pour ½ litre of hot boiled water. Allow to stand for 4 hours. After that, strain the infusion, soak them gauze and apply to the affected area.
Treatment of hot milk has a good effect on the body for sprains. Apply the poultice while it is still hot, and remove as soon as it cools down. There is one more option compress. Mix chopped onion and 1 tablespoon of sugar. Apply the poultice to the place of dislocation for 5 hours, then change the bandage.
Treatment of folk remedies is impossible without special infusions. To make one of them, take 4 teaspoon of flowers of cornflower. Flowers pour 1.2 l of boiling water and let the remedy to stand for 2 hours. After that, strain the infusion. Drink the decoction 3 times a day for 100 g
Traditional methods of treatment are not always completely relieve the patient of the hip dislocation, but they may prevent further development of osteoarthritis on the basis of a similar injury.