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Hip dislocation in infants is often not detected early, because when sick, the child does not feel pain, does not cry. However, if left untreated, congenital hip dislocation can have serious consequences.1. What is a congenital hip dislocation?
When the femoral head of one or both sides of the hip is displaced from the normal position of the hip while the baby is still in the womb, it is called a congenital hip dislocation.The incidence of this malformation is 1/800 - 1,000 births, occurring more often in females than in males. If detected early, treatment will be much simpler.
2. Causes of congenital hip dislocation in children
There are many causes of congenital hip dislocation in children such as:Mother's infection or exposure to toxic substances during pregnancy: This is considered the main cause of bone and joint defects in the fetus. including congenital hip dislocation. Besides, the mother's exposure to harmful chemicals during pregnancy such as nicotine, western medicine, dental fillings, chemicals in cosmetics, toxic plastic... also leads to inhibition of bone and joint development. and bone atrophy in the fetus. Inheritance from the mother: Up to 20% of cases of hip dislocation are inherited from parents. Therefore, if a parent has this disease, it is inevitable that the cause of the child will also follow. Chromosomal mutations: The child's body has other abnormalities related to the lower extremities at birth such as loose hip joints in newborns, clubfoot, spade... or stiffness in the joints in the body. is the cause affecting walking easily causes hip dislocation.
Có tới 20% các ca bị dị tật trật khớp háng xuất phát từ yếu tố di truyền của bố mẹ
3. Manifestations of congenital hip dislocation
There are 8 signs parents need to pay attention to to detect the disease of their baby right after birth:The difference in the length of the two legs (the dislocated leg is shorter than the other leg) – However, it will be difficult to detect when the hip dislocation is both. both sides; The creases of the buttocks and thighs on the dislocated leg are less frequent and higher than on the healthy side. The foot falls out when the child is lying down with the legs extended. Knee flexion position, the dislocated knee joint is lower. Limit flexion and flexion of the dislocated hip. Leaping gait if bilateral hip dislocation. Barlow's test: This test is applied to children under 6 months of age, when flexing and closing the hip, the femoral head slides out of the joint, creating a "click" sound. Ortolani's test: This test is also done for infants under 6 months of age, but is the opposite of the Barlow test when the hip flexion and extension of the femoral head slips out of the socket, creating a "click" sound. >>See more: Ultrasound diagnosis of congenital hip dislocation - Article by Master, Doctor Lam Thi Kim Chi - Radiologist - Imaging Department - Vinmec Danang International Hospital
4. Is congenital hip dislocation dangerous?
Trật khớp háng gây đau đớn cho trẻ, nhất là trong các hoạt động tác liên quan đến phần khớp
Hip dislocation causes pain to the child, especially in activities related to the joint, it causes the child to become pain, inflammation, compression of nerves and surrounding muscles. When dislocating one or both sides of the hip, depending on the degree, the child's gait will be completely deformed. In the long run, the gait is seriously deformed. Depending on the degree of hip dislocation can affect the hip joint, when the hip is dislocated, the spine must become the pillar to support the body with much heavier pressure. This can lead to a crooked, misaligned, and deformed spine. For girls, hip dislocation will cause pelvic deformity, affecting future fertility problems. Children become slow to affect daily activities. As a key area of Vinmec Medical system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of leading pediatricians: including leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All are well-trained, professional, with a mind - range, understanding young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.
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