Understanding Hip Dysplasia in Babies: What Parents Should Know
Developmental dysplasia of the hip (DDH) is a condition where a baby’s hip joint doesn’t form properly, making it loose or prone to dislocation. The earlier it’s diagnosed, the easier it is to treat—often without surgery.
As a parent, knowing the basics of this condition can help ensure your child’s hips develop normally and avoid complications later in life.
What Is Hip Dysplasia?
In a healthy hip joint, the rounded top of the thigh bone (femoral head) fits securely into a cup-shaped socket in the pelvis. In babies with hip dysplasia:
- The socket may be too shallow, causing instability.
- The thigh bone may be partially or completely dislocated.
- One or both hips can be affected.
This condition is usually present at birth or develops shortly after.
What Causes Hip Dysplasia?
Several factors can increase the risk of DDH:
- Family history of hip problems
- Breech birth position (feet first)
- Firstborn females are more commonly affected
- Swaddling practices that keep legs straight and tight
- Low amniotic fluid during pregnancy
It’s important to note that DDH is not painful in infancy, which is why regular checkups are so crucial.
Signs Parents Can Look For
Though often silent, some signs may include:
- One leg appearing shorter than the other
- Uneven skin folds on the thighs or buttocks
- Limited movement in one leg
- A “clicking” sound during diaper changes or leg movement
- Delay in crawling or walking
However, many cases are only detected through a pediatric hip exam or ultrasound.
Diagnosis of DDH
Doctors typically perform hip screening tests at birth and during follow-up visits. If DDH is suspected, further evaluation may include:
- Ultrasound (for babies under 6 months)
- X-rays (for older infants)
- Clinical exams to assess joint stability and motion
Treatment Options
The goal of treatment is to align the hip properly and allow it to grow normally. Options depend on the child’s age and severity:
0–6 Months:
- Pavlik harness is the most common treatment. It holds the hips in position while allowing movement and growth.
6–18 Months:
- Closed reduction may be needed under anesthesia, followed by a hip spica cast.
After 18 Months:
- Surgical correction may be required if the hip has not formed properly or earlier treatments were unsuccessful.
Long-Term Outlook
With early diagnosis and proper treatment, most children with DDH go on to lead completely normal, active lives. Left untreated, however, it can lead to chronic pain, joint problems, and early arthritis.
Early Hip Checks Build Strong Futures
If you suspect something unusual in your baby’s hip movement or development, consult Dr. Nargesh Agrawal at Child OrthoCare. Early detection of hip dysplasia makes all the difference in achieving long-term mobility and comfort.
Contact Information
Clinic Name: Child OrthoCare
Consulting Pediatric Orthopedic Surgeon: Dr. Nargesh Agrawal
Address: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009
Phone: +91 88517 77145
Website: www.childorthocare.online
