Congenital hip dislocation: timely identification of the problem

A very long time in modern medicinethe erroneous opinion prevailed that the congenital dislocation of the hip is due to the sad consequence of the imprudent actions of midwives in the process of childbirth. Of course, one should not rule out negligence and inexperience of doctors, but such cases are single, but in most clinical pictures this anomaly is intrauterine, that is, it is formed in the fetus in the womb of the mother under the influence of a number of pathological factors.

To begin with, it is necessary to clarify that the innatedislocation of the femur is represented by one of the most severe pathologies in children in the field of orthopedics. The presumptive diagnosis is put still in the hospital with the presence of characteristic symptoms, but it is important to clarify that only a clinical study can confirm it or fundamentally disprove it. Today, to achieve complete recovery can be with timely long and persistent treatment, which is advisable to begin with the first days of life. The patient is considered absolutely healthy, if the complete restoration of the function and structure of the hip joint is observed on the x-ray.

If we judge the causes of this pathologicalprocess, it should be noted that several basic factors that contribute to its aggravation are singled out. One of the pathogenic causes is the so-called vice of the primary bookmark, that is, the abnormal development of the hip joint and the muscle mass surrounding it, the other is the retardation of fetal development during intrauterine life, as a result of hormone and vitamin exchange disorders. Also, the genetic factor is not excluded, that is, there is a hereditary predisposition to this disease.

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

1. Symptom of a perceptible click.

2. Limited hip withdrawal.

3. Asymmetry of the gluteal folds.

4. Shortening of one of the extremities.

5. External rotation of the foot.

Anyway, these are just alarming signalsfor the parents, the final diagnosis can be made by a specialist exclusively based on the results of ultrasound (at the age of up to 3 months) and x-rays (at the age of 3 months), and it should be clarified that the X-ray gives a more accurate picture of the prevailing clinical picture.

Congenital hip dislocation in children, in whatever formhe did not manifest, requires immediate treatment. In modern orthopedics, there are two ways to solve this problem: surgical and conservative, but which one should be preferred solely by the leading orthopedist, judging by the degree of complexity and form of the disease, and also based on the characteristics of the child's body.

If the disease is diagnosed on time, thenconservative method is very productive. A small patient is prescribed a complex of massage, paraffin, wraps, curative gymnastics, and also an orthopedic tire is individually selected for him to hold the legs of the baby in the folding position in the knee and hip joints at an angle of ninety degrees (at right angles) and the hip joint contributes to their proper formation and development.

If we talk about the operable method, then itis relevant only in the case when the congenital dislocation of the hip for a long time did not give in to treatment and predominates in neglected form. It is also relevant when conservative treatment has proved useless.

Unequivocally, one thing is clear: congenital dislocation of the hip requires accurate diagnosis and productive treatment, which can fully restore the work capacity of the once ill joint.