Developmental dysplasia of the hipDDevelopmental dysplasia of the hipDevelopmental dysplasia of the hipEnglishOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)HipSkeletal systemConditions and diseasesCaregivers Adult (19+)NA2010-03-05T05:00:00ZSheila Jacobson, MBBCh, FRCPC6.0000000000000070.0000000000000648.000000000000Health (A-Z) - ConditionsHealth A-Z<p>An overview of the signs, symptoms, causes and treatment of developmental dysplasia of the hip.</p><h2>What is developmental dysplasia of the hip (DDH)? </h2> <p>Developmental dysplasia of the hip (DDH) is a condition in which the hip joint is abnormal. Some babies are born with the condition. The head of the thigh bone (femur) does not fit properly into the joint. It can lead to limping and pain. In more severe cases, this condition can be disabling. </p> <p>This condition affects about one in 1,000 babies. A slight instability of the hip can be seen in as many as one in three newborns. Girls are more likely to develop dysplasia of the hip. The condition can run in families.</p><h2>Key points</h2><ul><li>Developmental dysplasia of the hip (DDH) means that the head of the thigh bone is not properly inserted into the hip joint.</li><li>Babies who are breech or have a family history of DDH are more likely to have this condition.</li><li>Signs include a baby's inability to move the thigh outward at the hip and, later on, difficulty walking and pain.</li><li>The Pavlik harness orthosis is used to correct DDH.</li> <li>About one in 20 babies with DDH may need surgery to correct the condition.</li></ul><h2>Signs and symptoms of DDH</h2> <p>A baby with DDH may not show signs of the condition. The signs may be very subtle. They may vary depending on the age of the child. Some of the signs your doctor will look for include the following:</p> <ul> <li>an audible "clunk" during the opening and closing of the hips</li> <li>inability to move the thigh outward at the hip</li> <li>one leg shorter than the other</li> <li>unevenness in the fat folds of the thigh around the groin or buttocks</li> <li>limping or walking on the toes of one foot in older children</li> <li>a spine curve in older children</li> </ul><h2>Causes of developmental dysplasia of the hip</h2> <p>Doctors do not know exactly what causes DDH. Some risk factors can increase your child's chances of being born with DDH. These risk factors include:</p> <ul> <li>family history of DDH</li> <li><a href="/article?contentid=412&language=English">breech position</a> when the baby was born</li> <li>a decrease of amniotic fluid in the womb</li> <li>problems with the muscular or skeletal system </li> </ul><h2>How a doctor can help your child</h2> <p>The family doctor will do a physical examination. If they think your child has DDH, they may refer your child to an orthopaedic surgeon. An ultrasound or X-ray will usually be done. </p><h2>Treatment</h2> <p>Treatment depends on your child's age and how severe the DDH is. Mild cases correct without any treatment after a few weeks. More serious cases will need treatment.</p> <h3>Harness</h3> <p>If a diagnosis is made early enough, the doctor may order your child to wear a device called the <a href="/Article?contentid=971&language=English">Pavlik harness orthosis</a>. This is a set of soft straps that keep your child in a "frog-like" position. It allows the hip joint to develop normally. Your orthopaedic surgeon will tell you how long your baby should wear the orthosis. </p> <p>About one in 20 babies with DDH need more than the Pavlik harness to correct the condition.</p> <h3>Surgery</h3> <p>Older children may need one of two treatments.</p> <p>Closed reduction is usually performed on children younger than 18 months. This treatment manually puts the bone back into the hip socket while the child is under <a href="/article?contentid=1261&language=English">anaesthesia</a>. </p> <p>Open reduction is usually done with children 18 months or older. During this surgery, muscles and tissues around the hip are loosened while the hip is realigned and the thigh bone is placed back into the socket. The muscles and tissues are tightened once the hip is realigned. </p><h2>Complications</h2> <p>If DDH is not treated early, the hip joint does not form properly. This will result in difficulty moving the hips normally. This may become obvious when the child starts to walk. It may cause pain as they grow older.</p><h2>When to seek medical assistance</h2> <p>If you suspect your child's hips are not developing properly, see a doctor as soon as possible.</p>
خلل التنسج النمائي للوركخخلل التنسج النمائي للوركDevelopmental dysplasia of the hip (DDH)ArabicOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)HipSkeletal systemConditions and diseasesCaregivers Adult (19+)NA2010-03-05T05:00:00ZNA6.0000000000000070.0000000000000648.000000000000Flat ContentHealth A-Z
髋关节发育不良髋关节发育不良Developmental dysplasia of the hip (DDH)ChineseSimplifiedNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2010-03-05T05:00:00Z70.00000000000006.00000000000000648.000000000000Flat ContentHealth A-Z<p>髋关节发育不良 (DDH) 是髋关节出现异常的一种病症。有些婴儿出生时就患有这种病症。<br></p><h2>什么是髋关节发育不良 (DDH)?</h2><p>髋关节发育不良 (DDH) 是髋关节出现异常的一种病症。有些婴儿出生时就患有这种病症。大腿骨顶部没有与关节正常结合。这可能导致跛行和疼痛,更严重的情况下甚至可能致残。<br></p><h2>要点</h2><ul><li>髋关节发育不良意味着大腿骨顶部没有与髋关节正常结合 </li><li>臀位出生或者有家族病史的婴儿更有可能患上髋关节发育不良 </li><li>病症体征包括孩子不能在髋部向外移动大腿,之后出现行走困难并感到疼痛 </li><li>Pavlik 挽具矫形器用来校正髋关节发育不良 (DDH) </li><li>大约二十分子一的髋关节发育不良 (DDH) 患儿需要外科手术来治疗病症<br></li></ul>
髖關節發育不良髖關節發育不良Developmental Dysplasia of the Hip (DDH)ChineseTraditionalNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2010-03-05T05:00:00Z70.00000000000006.00000000000000648.000000000000Flat ContentHealth A-Z簡要概述了髖關節發育不良疾病的迹象、症狀、病因和治療。
Displasia congénita de la caderaDDisplasia congénita de la caderaDevelopmental Dysplasia of the Hip (DDH)SpanishNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2010-03-05T05:00:00Z70.00000000000006.00000000000000648.000000000000Flat ContentHealth A-Z<p>La displasia del desarrollo de la cadera (DCC) es una afección en la articulación de la cadera. Lea información sobre la DCC, su causa y el arnés de Pavlik.</p>
இடுப்பின் இயல்பு பிறழ்ந்த வளர்ச்சிஇடுப்பின் இயல்பு பிறழ்ந்த வளர்ச்சிDevelopmental Dysplasia of the Hip (DDH)TamilNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2010-03-05T05:00:00Z70.00000000000006.00000000000000648.000000000000Flat ContentHealth A-Z<p>ஒரு பிள்ளையின் இடுப்பின் இந்த அசாதாரண நிலைக்கான அடையாளங்கள், அறிகுறிகள், காரணங்கள், மற்றும் சிகிச்சை பற்றி இலகுவாக விளங்கிக் கொள்வதற்கான ஒரு கண்ணோட்டம்.</p>
کولھے کی یڈی کا غیر فطری ابھارککولھے کی یڈی کا غیر فطری ابھارDevelopmental Dysplasia of the Hip (DDH)UrduNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2010-03-05T05:00:00Z70.00000000000006.00000000000000648.000000000000Flat ContentHealth A-Z
Dysplasie développementale de la hancheDDysplasie développementale de la hancheDevelopmental dysplasia of the hipFrenchOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)HipSkeletal systemConditions and diseasesCaregivers Adult (19+)NA2010-03-05T05:00:00ZSheila Jacobson, MBBCh, FRCPC6.0000000000000070.0000000000000648.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Aperçu facile à comprendre des signes, des symptômes, des causes et du traitement de cette condition anormale de la hanche d’un enfant.</p><h2>Qu’est-ce que la dysplasie développementale de la hanche (DDH)? </h2> <p>La dysplasie développementale de la hanche (DDH) consiste en une articulation de la hanche anormale. Certains bébés naissent avec cette maladie génétique. La tête de l’os de la cuisse (fémur) ne s’emboîte pas parfaitement dans l’articulation. Il peut en résulter une claudication (boitement) et de la douleur. Dans les cas les plus graves, cette maladie génétique peut être invalidante. </p> <p>Cette maladie affecte environ un bébé sur 1 000. On peut observer une légère instabilité de la hanche chez un nouveau-né sur trois. Les filles ont davantage de risques que les garçons de développer une dysplasie de la hanche. Ce trouble peut être d’origine génétique.</p><h2>À retenir</h2> <ul> <li>La DDH sest le fait que la tête de l’os de la cuisse est mal insérée dans l’articulation de la hanche.</li> <li>Les bébés qui se présentent par le siège ou qui ont des antécédents familiaux de DDH ont des risques accrus de présenter ce trouble.</li> <li>Les signes comprennent l’incapacité du bébé de bouger la cuisse vers l'extérieur au niveau de la hanche et, plus tard, de la difficulté à marcher et de la douleur.</li> <li>On utilise le harnais de Pavlik pour corriger la DDH.</li> <li>Environ un bébé sur 20 qui présente une DDH a besoin d’une chirurgie pour corriger la malformation.</li> </ul><h2>Signes et symptômes de la DDH</h2> <p>Un bébé atteint d’une DDH pourrait ne montrer aucun signe du trouble. Les signes sont parfois très subtils. Ils peuvent varier selon l’âge de l'enfant. Les signes que votre médecin vérifiera comprennent, sans toutefois s’y limiter, les suivants :</p> <ul> <li>léger bruit audible en ouvrant et en refermant les jambes;</li> <li>incapacité de bouger la cuisse vers l’extérieur au niveau de la hanche;</li> <li>jambes de longueurs différentes;</li> <li>inégalité des replis de gras de la cuisse autour de l’aine ou des fesses;</li> <li>claudication ou marche sur les orteils d’un pied chez les enfants plus âgés;</li> <li>courbure de la colonne vertébrale chez les enfants plus âgés.</li> </ul><h2>Causes de la dysplasie développementale de la hanche</h2> <p>Les médecins ne savent pas exactement ce qui cause la DDH. Certains facteurs de risque peuvent faire augmenter les risques que votre enfant naisse avec une DDH. Ces facteurs comprennent :</p> <ul> <li>des antécédents familiaux de DDH;</li> <li>le fait que le bébé se présente par le <a href="/article?contentid=412&language=French">siège</a> à la naissance;</li> <li>une baisse du liquide amniotique dans l’utérus;</li> <li>des problèmes de la musculature ou du squelette.</li> </ul><h2>Comment le médecin peut aider votre enfant</h2> <p>Le médecin de famille procédera à un examen physique. S’il pense que votre enfant a une DDH, il pourrait l’adresser à un chirurgien orthopédique. On effectuera habituellement une échographie et une radiographie.</p><h2>Traitement</h2><p>Le traitement dépend de l’âge de votre enfant et de la sévérité de la DDH. Les cas légers se corrigent sans traitement après quelques semaines. Les cas graves nécessitent un traitement.</p><h3>Harnais</h3><p>Si le diagnostic est assez précoce, le médecin pourrait demander que votre enfant porte une orthèse que l’on appelle un <a href="/Article?contentid=971&language=French">harnais (ou attelle) de Pavlik</a>. Il s’agit d’un ensemble de courroies qui maintiennent votre enfant dans une position semblable à celle d’une grenouille. Le harnais permet à l’articulation de la hanche de se développer normalement. Votre chirurgien orthopédique vous dira pendant combien de temps votre bébé devra porter l’orthèse. </p><p>Environ un bébé sur 20 qui a une DDH a besoin d’autre chose que le harnais de Pavlik pour corriger la malformation.</p><h3>Chirurgie</h3><p>Les enfants plus âgés pourraient avoir besoin d’un des deux traitements qui suivent.</p><p>On pratique habituellement la réduction orthopédique sur les enfants âgés de 18 mois et moins. Pendant ce traitement, on replace manuellement l’os dans la cavité de la hanche pendant que l’enfant est sous <a href="/article?contentid=1261&language=French">anesthésie</a>.</p><p>On pratique habituellement la réduction pare chirurgie (réduction sanglante) sur les enfants âgés de 18 mois et plus. Pendant cette chirurgie, les muscles et les tissus qui entourent la hanche sont relâchés pendant que l’on réaligne la hanche et que l’os de la cuisse est replacé dans la cavité. Les muscles et les tissus sont resserrés une fois la hanche réalignée.</p><h2>Complications</h2> <p>If DDH is not treated early, the hip joint does not form properly. This will result in difficulty moving the hips normally. This may become obvious when the child starts to walk. It may cause pain as they grow older.</p><h2>When to seek medical assistance</h2> <p>If you suspect your child's hips are not developing properly, see a doctor as soon as possible.</p>

 

 

Developmental dysplasia of the hip944.000000000000Developmental dysplasia of the hipDevelopmental dysplasia of the hipDEnglishOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)HipSkeletal systemConditions and diseasesCaregivers Adult (19+)NA2010-03-05T05:00:00ZSheila Jacobson, MBBCh, FRCPC6.0000000000000070.0000000000000648.000000000000Health (A-Z) - ConditionsHealth A-Z<p>An overview of the signs, symptoms, causes and treatment of developmental dysplasia of the hip.</p><h2>What is developmental dysplasia of the hip (DDH)? </h2> <p>Developmental dysplasia of the hip (DDH) is a condition in which the hip joint is abnormal. Some babies are born with the condition. The head of the thigh bone (femur) does not fit properly into the joint. It can lead to limping and pain. In more severe cases, this condition can be disabling. </p> <p>This condition affects about one in 1,000 babies. A slight instability of the hip can be seen in as many as one in three newborns. Girls are more likely to develop dysplasia of the hip. The condition can run in families.</p><h2>Key points</h2><ul><li>Developmental dysplasia of the hip (DDH) means that the head of the thigh bone is not properly inserted into the hip joint.</li><li>Babies who are breech or have a family history of DDH are more likely to have this condition.</li><li>Signs include a baby's inability to move the thigh outward at the hip and, later on, difficulty walking and pain.</li><li>The Pavlik harness orthosis is used to correct DDH.</li> <li>About one in 20 babies with DDH may need surgery to correct the condition.</li></ul><h2>Signs and symptoms of DDH</h2> <p>A baby with DDH may not show signs of the condition. The signs may be very subtle. They may vary depending on the age of the child. Some of the signs your doctor will look for include the following:</p> <ul> <li>an audible "clunk" during the opening and closing of the hips</li> <li>inability to move the thigh outward at the hip</li> <li>one leg shorter than the other</li> <li>unevenness in the fat folds of the thigh around the groin or buttocks</li> <li>limping or walking on the toes of one foot in older children</li> <li>a spine curve in older children</li> </ul><h2>Causes of developmental dysplasia of the hip</h2> <p>Doctors do not know exactly what causes DDH. Some risk factors can increase your child's chances of being born with DDH. These risk factors include:</p> <ul> <li>family history of DDH</li> <li><a href="/article?contentid=412&language=English">breech position</a> when the baby was born</li> <li>a decrease of amniotic fluid in the womb</li> <li>problems with the muscular or skeletal system </li> </ul><h2>How a doctor can help your child</h2> <p>The family doctor will do a physical examination. If they think your child has DDH, they may refer your child to an orthopaedic surgeon. An ultrasound or X-ray will usually be done. </p><h2>Treatment</h2> <p>Treatment depends on your child's age and how severe the DDH is. Mild cases correct without any treatment after a few weeks. More serious cases will need treatment.</p> <h3>Harness</h3> <p>If a diagnosis is made early enough, the doctor may order your child to wear a device called the <a href="/Article?contentid=971&language=English">Pavlik harness orthosis</a>. This is a set of soft straps that keep your child in a "frog-like" position. It allows the hip joint to develop normally. Your orthopaedic surgeon will tell you how long your baby should wear the orthosis. </p> <p>About one in 20 babies with DDH need more than the Pavlik harness to correct the condition.</p> <h3>Surgery</h3> <p>Older children may need one of two treatments.</p> <p>Closed reduction is usually performed on children younger than 18 months. This treatment manually puts the bone back into the hip socket while the child is under <a href="/article?contentid=1261&language=English">anaesthesia</a>. </p> <p>Open reduction is usually done with children 18 months or older. During this surgery, muscles and tissues around the hip are loosened while the hip is realigned and the thigh bone is placed back into the socket. The muscles and tissues are tightened once the hip is realigned. </p><h2>Complications</h2> <p>If DDH is not treated early, the hip joint does not form properly. This will result in difficulty moving the hips normally. This may become obvious when the child starts to walk. It may cause pain as they grow older.</p><h2>When to seek medical assistance</h2> <p>If you suspect your child's hips are not developing properly, see a doctor as soon as possible.</p>Developmental dysplasia of the hip

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.