DiagnosisDuring well-baby visits, doctors typically check for hip dysplasia by moving an infant's legs into a variety of positions that help indicate whether the hip joint fits together well. Show
Mild cases of hip dysplasia can be difficult to diagnose and might not start causing problems until you're a young adult. If your doctor suspects hip dysplasia, he or she might suggest imaging tests, such as X-rays or magnetic resonance imaging (MRI). TreatmentHip dysplasia treatment depends on the age of the affected person and the extent of the hip damage. Infants are usually treated with a soft brace, such as a Pavlik harness, that holds the ball portion of the joint firmly in its socket for several months. This helps the socket mold to the shape of the ball. The brace doesn't work as well for babies older than 6 months. Instead, the doctor may move the bones into the proper position and then hold them there for several months with a full-body cast. Sometimes surgery is needed to fit the joint together properly. If the dysplasia is more severe, the position of the hip socket can also be corrected. In a periacetabular (per-e-as-uh-TAB-yoo-lur) osteotomy, the socket is cut free from the pelvis and then repositioned so that it matches up better with the ball. Hip replacement surgery might be an option for older people whose dysplasia has severely damaged their hips over time, resulting in debilitating arthritis. Clinical trialsExplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Preparing for your appointmentYou'll probably first bring your concerns to your family doctor. He or she might refer you to an orthopedic surgeon. What you can doBefore your appointment, you might want to:
Your time with the doctor is limited, so preparing a list of questions can help you make the most of your time together. Some basic questions to ask your doctor include:
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time if you don't understand something. What to expect from your doctorYour doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
The process of setting the ball back into the socket after the arthrogram is known as a closed reduction. Once the hip is set in place, technicians will put your child in a spica cast. This cast extends from slightly below the armpits to the legs and holds the hip in place. Different casts cover differing amounts of the child’s legs, based on the condition of their hips. Children typically wear a spica cast for three to six months. The cast will be changed from time to time as your baby grows. Open reductionIf a closed reduction does not work, your child’s doctor may recommend open-reduction surgery. For this, the surgeon makes an incision and repositions the hip so it can grow and function normally. The specifics of the procedure depend on your child’s condition but it may include reshaping the hip socket, redirecting the femoral head, or repairing a dislocation. After the surgery, your child will need to wear a spica cast while they heal. Follow-up careAny infant treated surgically for hip dysplasia must be followed periodically by an orthopedist until they have reached physical maturity. At regular visits, their orthopedic doctor will monitor their hip to ensure it develops normally as they grow. Diagnosing and treating any new abnormality early will increase the chance your child will grow up to be active free from hip pain throughout their childhood, the teen years, and adulthood. Will treatment affect my child’s ability to walk?Depending on their age during treatment, your child may start walking later than other kids. However, after successful treatment, children typically start walking as well as other kids. By contrast, children with untreated hip dysplasia often start walking later, and many walk with a limp. Which treatment would the nurse expect for a newborn with developmental dysplasia of the hip?If hip dysplasia is picked up at birth, your baby could wear a soft brace (a Pavlik harness) or a plaster cast for up to several months. This helps the hip develop normally. Babies with braces usually have regular ultrasounds to check their progress.
What is the goal of therapeutic intervention associated with developmental dysplasia of the hip?The goal of treatment in DDH is to achieve and maintain reduction of the femoral head in the true acetabulum by closed or open means.
What is the treatment of congenital hip dysplasia?Treatment may include a brace, a plaster cast called a hip spica, movement of the hip into position under anaesthetic, or surgery to the ligaments around the joint. Children will often need to wear a brace or cast for several months. If DDH is not treated, your child may develop a painless limp.
What is included in the nursing management for a client undergoing a hip replacement?It should include a structured approach to routine patient assessment, testing, medications, pain management, wound care, nutrition, activity progress, psychosocial issues, and discharge planning. It can be used as a bedside tool to guide and manage patient progress during their postoperative course.
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Discuss other nursing interventions important in caring for a child with congenital hip dysplasia?
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