Causes and consequences of hip dysplasia in children
Nowadays with so many diseases faced kids under one year of age. For example, the diagnosis and consequences of hip dysplasia in children occurs more and more often. Exact reason how and why did this disease, no one knows. There are only indirect assumptions: an unsuitable environment, heredity, wrong diet of the expectant mother, which had gone wrong formation and development of the fetus. The list of reasons can be very large, so no one is immune from this diagnosis and it is best to be prepared for it.
Causes and symptoms
According to statistics, in Russia about 7 every newborn has congenital orthopedic pathology or dislocation of the hip. Dysplasia of the hip joints (TBS) is a defect of the musculoskeletal system that is characterized by hypoplasia or asymmetry of TBS. In girls it occurs much more often than boys. Dysplasia leads to impaired function of the hip, and in the absence of proper treatment, it evolves into its chronic dislocation. The consequences can be terrible:
- damage to the lower limbs and the violation of their functions;
- constant pain in region of TBS;
- very high risk of disability.
To avoid this will allow a timely detection of disease and effective measures for recovery. To detect this problem in infants one of the following:
- different length feet;
- the lack of symmetry of the gluteal folds;
- the presence of additional skin folds on the thigh;
- the characteristic sound (click) when moving;
- a limited or excessive breeding hips.
Such changes can be detected "by eye", which in any case does not confirm the presence of dysplasia. This is only possible symptoms which occur in a healthy person. To reliably diagnose the disease by using ultrasound or x-ray studies.
Children who started to walk after a year, you will notice a "duck walk" or the habit of walking on egg shells.
All children from the moment of their birth to check the doctors. Often examination by a podiatrist reveals dysplasia. After the implementation of the recommendations of a physician already for 1.5 years almost 90% of kids get rid of the defects of the hip joints.
But there are other cases when the problem is detected later, for example, after six months. The recovery procedure can take years (even more than 5 years). If the child has learned to walk, then the consequences absolutely unpredictable. You may need operationalintervention. A full recovery is unlikely.
Here are some reasons which may affect the abnormal development of the musculoskeletal system:
- Heredity. If this problem is already someone from the family has faced, it is necessary to apply methods of early diagnosis.
- Increased tone of the uterus during pregnancy, oligohydramnios. Also affects the size of the fetus. Too large fruit is limited in freedom of movement that is the cause of abnormal development.
- Preterm or low birthweight babies often dislocation of the hip (less than 2500 g).
- Damage to the nervous system of the baby after birth (hypertonicity).
- Hormonal disorders, which accompanied the mother throughout pregnancy.
- Problems on the part of gynecology. For example, uterine fibroids, or similar complications prevent fetal movements of the child.
- Incorrect positioning of the fetus or prolonged labor.
- Improper feeding and swaddling too tight.
- In the early stages of pregnancy may reveal a defect of formation of the joint tissues. The reason for this may be a bad environment, and infection and the effects of toxic substances.
Treatment and prevention
Note that the consequences of neglect of health can be terrible. If the disease is not disposed of at an early age, then the adult it will bring many problems.
For example, coxarthrosis TBS. This pathology, in which there is destruction of the hip joints (in some cases only one). Strong persistent pain, impaired gait and limited movement causes an adult to disability.
Upon discovering the irregularities, immediately contact a doctor, as in this case, the account goes on weeks and days. The first diagnosis should be performed in the hospital, but if this is not done, the parents can ask yourself about the procedure. It is absolutely safely and accurately determine the problem.
Received 1 positive feedback, do not forget about the re-examination for a long time. The most difficult case is when the subluxation TBS absolutely not noticeable. Do x-rays.
Such a diagnosis in order to avoid the consequences is very important. After all, if you prevent the development of dysplasia in the age of 3 months, this intensive treatment will bring back the kid's body back to normal after 3-5 months.
In somecases, it can even recover on its own, if the baby's legs will always be in the correct position, but not worth much to hope for that. Additional measures in any case would be superfluous. Normal formation of the largest joint in the body contributes the following recommendations:
- Put the baby on the legs only with the permission of the doctor.
- To take all preventive and curative measures. For example, special exercises and gymnastics.
- To ensure fixation of the hip bones, you need to ensure that the baby's legs were always apart.
As a good prevention serves a wide swaddling, which should be held from the first day.
And don't use the changing Mat with straight legs. It is directly connected with the development of dysplasia.
Wide swaddling the risk of developmental hip dislocation will decrease significantly. For him, use a thick cloth. The end result is very similar to the shape of the diaper, but a more stable shape. To avoid progression to more serious disorders will help of a special device - bus. They help to capture the motion and flexion of children's feet at an angle of 90°. The course of treatment lasts 3 months, after which only a doctor can determine whether it went good.
Moreover, efficient and massage. A normal, healthy child needs a massage about 1 time in 3 months. The child with the pathology he needs especially. The specialist not only the procedure but also explain how to do massage at home.
But if you are not able to detect the defect, you should know that because of the peculiarities of a young body and increased flexibility of the bones, the child may experience different deformations.
Continuous growth and skeleton formation often leads to the appearance of defects of its development.
There are situations when all kinds of treatment does not give results after a month. Then doctors suggest the use of more rigid fixation with constant traction. This method is popular in dealing with severe forms or late diagnosis.
How to avoid error in the treatment
A huge mistake parents make is ignoring the doctors ' prescriptions. For many, it becomes boring, heavy, inefficient and too long. The search for alternatives recovery has negative consequences. So some parents are willing to turn to complex for the child's body procedures, for example, closed reduction of the dislocation with the use of anesthesia. This method is very dangerous, and not all children will be able to adapt after the procedure.
Surgeryvalid only when the doctor confirms the diagnosis of "irreducible" dislocation. He is at the time the child is 1 year and only by a specialised podiatrist. Then the kid has to have surgery for an open reduction of the joint.
The effects of hip dysplasia in children is a very detrimental can affect the future development of the child. The presence of deviations will be noticeable both visually and in the structure of the musculoskeletal system. Timely response to the signs of the disease will save you from long and complicated treatment.