Tell about this disease and to answer the questions that are most often concerned about young parents, we asked for an orthopedic surgeon Valery Alpatov, the highest category doctor clinic "Mother and Child".
Question №1. Many mothers, to learn that in the first year of life the child must always be observed in orthopedic, wonder, why, if the crumbs as if everything is in order?
Diseases of the musculoskeletal system in childrenfirst months of life are many. The most common hip dysplasia, which will be discussed. There are several degrees of severity of this disease, which is the extreme of a dislocated hip. The danger of this condition is that it is hidden congenital disorders, i.e. timely recognize it can only be a specialist.
Therefore, there are cases when diagnosedtoo late and precious time that could be used for treatment, lost. Unfortunately, these situations always turn out for the child with serious consequences, primarily related to the gross violations of motor development and, of course, gait.
Question №2. What causes hip dysplasia?
Hip dysplasia occursdue to improper development of the constituent elements of the hip - bone and cartilage framework of the capsular ligament, or muscle replacement devices - in utero.
In girls, this pathology occurs in 4-7 times more often than boys. And 10 times more common congenital dislocation of the hip in children born in the breech position.
The cause of dysplasia is a developmental delay of the normal hip joint during fetal life, due to heredity, "elderly" age of parents, mother's infectious diseases during pregnancy, endocrine disorders, toxicity (especially the first half of pregnancy), breech presentation.
The development of dysplasia may also have an impactpoor environmental conditions, bad working conditions, unbalanced diet expectant mother, lack of vitamins and minerals that contribute to the proper formation of connective tissue and cartilage mineralization.
Question №3. When a child is checked by the presence of dysplasia symptoms and what are they?
To diagnose a newborn are doctors-neonatologists disease begins in the nursing home In addition, 1, 3, 6 months and 1 year baby should be examined by an orthopedist.
Suspected dislocation of the baby can be paying attention to the following symptoms:
- when trying to take hip baby starts to cry;
- a symptom of a “click” or slipping appears (when the legs are moved away in different directions, a dislocation is reversed, which is accompanied by a click felt by the hand)
- the asymmetry of the gluteal fold (on the side of the gluteal fold dysplasia, deeper and somewhat higher);
- shortening of the legs;
- often with dysplasia detected rotation outwards of the foot.
These symptoms may occur together orseparately. When identifying their doctor recommends ultrasound diagnostics. Also, for the diagnosis of dysplasia using X-rays, which can more accurately determine the extent of the disease.
Question №4. How to treat this pathology?
In less severe degree of treatment can be limited to a wide swaddled disease. In more severe cases, used tires, struts and other special attachments - up to gypsum.
Question №5. How can I protect a newborn baby from the development of dysplasia?
Orthopedist should regularly monitorphysical indicators of your child's development. Dates intended to visit the specialist, not accidentally identified: each of them is associated with certain milestones in the life of the baby.
With timely diagnosis and adequatetreatment up to 3 months of age joint function almost completely restored. Thus, it is necessary to stress once again that early diagnosis is crucial for successful treatment.