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Developmental dysplasia of the hip

Dysplasia coxae congenita · Vývojová dysplazie kyčle

What it is

The hip socket is too shallow, so the ball slips; screened for in babies, it also causes hip pain and early arthritis in young adults.

Symptoms & signs

  • Clicking or unequal thigh creases in babies
  • a limp or waddle when walking starts
  • groin pain in young adults
  • early hip arthritis

🚩 Get help if…

  • call 112 / 911 now Baby with fever who cries when the leg is moved
  • see a doctor soon Uneven skin folds or one leg looking shorter
  • see a doctor soon Limp or waddle in a walking child
  • see a doctor soon Groin pain or clicking in a young adult

Where it strikes

Medical treatment

  • Newborn clinical and ultrasound screening
  • Pavlik harness for babies
  • closed or open reduction and a cast
  • periacetabular osteotomy in young adults
  • hip replacement for arthritis

Natural & lifestyle

  • Hip-healthy swaddling (legs free to bend)
  • carry babies with their legs apart
  • physiotherapy for hip strength

Emerging & experimental

  • 3D-planned osteotomies
  • arthroscopic labral repair

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Carrying with the legs apart (slings, carriers) — traditional in Africa and Asia, where dysplasia is rarer early / small studies
  • Wide nappies (triple nappies) — an old Czech practice; not shown to treat true dysplasia anecdotal / traditional

ICD codes