Congenital hip dislocation (developmental dysplasia of the hip) is a condition in which the hip joint does not fully develop or becomes dislocated in the period before or after birth. Because it can affect the normal development of the joint, it is important that it is detected early.
Causes and Risk Factors
Although there is no single cause, some factors may play a role in the emergence of the condition:
- Similar conditions in the family (genetic predisposition)
- Hormonal changes during pregnancy
- The baby's position in the womb and lack of space
- Early (premature) birth and multiple pregnancies
- Being the first-born baby and breech presentation
Signs and Assessment
The following findings may require a physician's assessment:
- Limited hip movement or asymmetry in the legs
- One leg appearing shorter than the other
- Differences in skin folds or the leg turning outward
Diagnosis begins with the physical examination performed by the physician. Hip ultrasound in babies and, where necessary, radiological imaging methods in older children may be used for assessment.
Approach and Orthotic Applications
The method to be followed is determined by the physician according to the findings, age and condition of the joint. In the early period, devices such as a hip abduction orthosis, which helps keep the hip in an appropriate position, may be preferred. Such orthotic applications are carried out only in line with the specialist physician's prescription and medical report and are monitored with regular check-ups; these devices are prepared within the scope of prosthetic and orthotic applications for children. In cases detected late or at an advanced stage, the physician may consider different approaches.
Early detection and appropriate follow-up are valuable for supporting the development of the joint. Early assessment is also important in conditions affecting the foot and lower limb, such as congenital clubfoot (PEV).
This content is for informational purposes; for diagnosis and treatment, you should consult your physician.
