Congenital dislocation of the hip
Childhood Diseases / / August 12, 2017
Congenital hip dislocation
For many years there was an unfair opinion that congenital dislocation of the hip - the result of careless actions obstetricians at child birth.Perhaps, in some very rare cases, dislocations occur in maternity wards, but congenital dislocation - a disease quite different and much more serious.This illness is formed in utero.Due to abnormal development of the fetus hip joint head is loose in the cavity intended for her.
Radiographs hryaschiki joints are not visible, so to detect congenital hip dislocation can only be born in the baby.Therefore, it is strongly recommended to mothers in the first days with the doctor very carefully examine the newborn.If a baby one leg at least a little shorter than the other, and the gluteal folds are asymmetrical, if he somehow is uneven and unequal assigns legs in hand, you have every reason for serious concern.
One of the first methods of prevention and treatment of congenital dislocation of the hip, the easiest and at the same time effective, is widely swaddling.Doctors insist that it is so swaddled babies in maternity hospitals - including those who have not revealed any defects.And just as my mother must swaddle children at home until the age of three.Doing this is not difficult.
If you use diapers, the diaper on top of or underneath it is necessary to lay pelenochku flannel, folded in four, and fix it simple diaper folded triangle.With this method, the baby is in the "frog" position, and femoral head takes its place in the cavity.Under no circumstances, and at the more dislocation of the hip, the baby should not be swaddled tightly.And do not believe anyone if they come to say that without the tight swaddling the baby's legs will be crooked - it's a prejudice have long refuted the practice.
What happens when treatment dysplasia do not start from the first days of life?Bone toddler system develops, the femoral head is gradually increased in size.At the same time, idle cavity is filled with connective tissue and becomes smaller, and right in her head increasing very soon may be extremely difficult.Develop very adverse secondary effects: the femoral head is displaced laterally or from above the basin."Hang out" with the head movements of the baby, like a skating rink on the pavement, rolled over the basin and knead it to such an extent that the site ceases to grow - in the future it will have to increase by surgery.
strongly recommended to parents as soon as possible after discharge from hospital show baby orthopedic surgeon.Much to the chagrin of some mom and dad bethink late and bring the kids, who are already beginning to walk, and it becomes obvious that they are very falls on one leg.
Congenital hip dislocation in infants is often associated with other serious diseases - hypertonic adductors.Hip is not given, not because his head is not in a depression, but because of the surge of natural muscle.To remove the spasm is held very long-term care, which, in addition to the orthopedist, neurologist and involved.Late initiation of treatment dysplasia occurs very difficult and requires a full understanding doctor and parents.It lasts for many months or even years, and the result depends on the professionalism of the one who treats the child, and the parents of the careful observance of all medical recommendations.
Even if it is possible to straighten the femoral head into the cavity, then at some point, develop residual subluxation, because it is due to the delay in the treatment of the baby is not formed right joint.The great trouble for the baby if mom and dad turn to chiropractors or any other "healers" promising to cure congenital hip dislocation in a single session.As a result, a one-time, a sharp reduction of dislocation occurs the same number of sudden circulatory problems and then developing serious complication - necrosis of the femoral head.
Therefore, parents should remember that cure the disease in a short time is impossible.At very early treatment with the help of soft gaskets can sometimes diverting straighten a dislocated in three or four months.In more complex cases for the treatment of used stirrups Pavlik and other special attachments.All remedies should be used only for its intended purpose orthopedist, not on the advice of friends, relatives, and friends.
If treatment begins in the age of three months, no tools no longer prescribe, and impose functional plaster cast.Reduction of dislocation under its influence occurs for one - six months.If unable to reposition dislocated by a plaster bandage move to the next stage of treatment - do it under general anesthesia and achieve good results.But unlike chiropractors doctors for a long time preparing the child for the procedure.
Absolutely, in severe cases, when all of these methods are not enough to resort to surgery.Sometimes dislocated hip is so rotated around its axis, which has to do detorsionnuyu osteotomy.This corrective surgery, and it does not need to be afraid.With an undeveloped roof cavity is plastic surgery, which is called - plastic roof.
Upon completion of the treatment appointed sparing regime, the observance of which depends entirely on the father and mother.First of all, it is in full exemption from school physical education lessons.Running, jumping, somersaults - all this for your kid.Under the ban are: sports, dynamic dancing, long trips with heavy lifting, and all that that creates an unnecessary burden on the hips.Also needed are therapeutic exercises to strengthen all muscle groups that surround the joints.That is, for large and medium gluteal muscles and the abdominal muscles, which are also involved in walking.Good to go swimming, bike riding, but not to fatigue.