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Congenital Hip Disorders in Children
Congenital hip disorders refer to a range of conditions affecting the hip joint that are present at birth or develop in infancy. These disorders can impact mobility, joint function, and overall development if left untreated. Early detection and intervention are crucial in ensuring the best outcomes for children affected by these conditions.
The hip joint is a ball-and-socket joint, and when abnormalities occur, it can lead to instability, dislocation, or improper bone development. Common congenital hip disorders include Developmental Dysplasia of the Hip (DDH), congenital hip dislocation, and acetabular dysplasia.
Common Types of Congenital Hip Disorders
Developmental Dysplasia of the Hip (DDH)
DDH is a condition where the hip joint is improperly formed, leading to instability or dislocation. It can range from mild laxity to complete dislocation of the hip joint. If detected early, DDH can often be treated successfully with non-surgical methods.
Congenital Hip Dislocation
This condition occurs when the hip is dislocated at birth due to abnormal positioning in the womb or laxity in the ligaments. If left untreated, it can lead to limping, uneven leg length, and long-term joint issues.
Acetabular Dysplasia
Acetabular dysplasia is characterised by a shallow hip socket that does not adequately support the femoral head, leading to instability and an increased risk of early-onset arthritis.
Signs and Symptoms of Congenital Hip Disorders
- Uneven skin folds on the thighs
- Limited range of motion in the hip joint
- One leg appearing shorter than the other
- A noticeable limp or difficulty walking in older children
- Clicking or popping sounds in the hip
Signs & Symptoms of Arthritis
- Joint pain and tenderness
- Swelling and stiffness, especially in the morning
- Decreased range of motion
- Cracking or grinding sensations in the joint
- Warmth or redness in affected areas
Early screening, typically performed at birth and during infant check-ups, plays a key role in identifying hip disorders before they cause long-term complications.
Diagnosis of Congenital Hip Disorders
Diagnosis typically involves:
- Physical Examination – The doctor will assess hip stability using manoeuvres such as the Ortolani and Barlow tests.
- Ultrasound Imaging – Recommended for infants under six months to detect abnormalities in the hip joint.
- X-rays – Used for older infants and children to evaluate bone development and joint positioning.
Treatment Options for Congenital Hip Disorders
Non-Surgical Treatment
- Pavlik Harness – A soft brace that helps stabilise the hip joint and encourages proper development, typically used for babies under six months old.
- Abduction Bracing – For mild to moderate cases, a rigid brace can help guide the hip into the correct position.
Surgical Treatment
- Closed Reduction – A minimally invasive procedure where the hip is repositioned and secured in place using a cast.
- Open Reduction – For more severe cases, surgery is performed to correct the position of the hip and improve stability.
- Pelvic or Femoral Osteotomy – In cases of acetabular dysplasia or persistent instability, surgical reshaping of the hip joint may be necessary.
Why Choose Advanced Orthopaedics for Paediatric Hip Disorders?
Specialised Paediatric Orthopaedic Care
Led by Dr Sarbjit Singh, a Senior Consultant Orthopaedic Surgeon, our clinic provides dedicated paediatric orthopaedic care, focusing on early diagnosis and personalised treatment plans.
Comprehensive Diagnosis & Treatment
We offer thorough evaluations using the latest imaging technology, ensuring accurate diagnosis and effective treatment for congenital hip disorders.
Family-Centred Approach
Our team works closely with parents, providing guidance and support throughout the treatment journey to ensure the best outcomes for their child.
Take the Next Step
If your child has been diagnosed with a congenital hip disorder or you have concerns about their hip development, our team at Advanced Orthopaedics is here to help. Schedule a consultation today to discuss the best treatment options and ensure your child’s long-term joint health.
