Hip Dislocation in Infants: Care and Treatment Tips

Pediatric hip dislocation

Hello, my child is currently 2.5 months old and has been diagnosed with hip dislocation.
We have just started using a harness for correction.
I have a few questions:
1.
Are there any specific recommendations for holding the baby while they are in the harness?
2.
While using the harness, the affected leg is less mobile.
Should I assist with exercises for that leg? If so, what kind of exercises would be appropriate?
3.
Would it be better to use a cast for correction instead?
Thank you for your answers.

Jessica 06/8/23

jessica, 30~39 year old female. Ask Date: 2006/08/24

Dr. Chen Houquan reply Orthopedics

Jessica first sends her greetings to you and your family.
I believe you are a great and admirable mother.
When children wear a harness, it is important to maintain the position after putting it on to ensure that the hip joints are in the correct alignment.
In fact, wearing a harness can be quite challenging for children, as the only areas they can move are probably below the knees.
A plaster cast correction is generally more effective, but it can also be more difficult to care for.
Each option has its own advantages and disadvantages.
The above suggestions are for your reference.
Hualien Hospital, Chen Hou-Chuan.

Reply Date: 2006/08/24

More Info

Understanding hip dislocation in infants, particularly developmental dysplasia of the hip (DDH), is crucial for effective care and treatment. When a child is diagnosed with hip dislocation, early intervention is key to ensuring proper hip development and function. Here are some important considerations and tips for caring for an infant with this condition.

1. Positioning While Using a Harness: When your child is in a harness, it is essential to maintain the correct positioning to ensure that the hip joint remains stable. The harness is designed to keep the hips in a flexed and abducted position, which is optimal for the hip joint to develop properly. When holding your child, support them gently, ensuring that their legs are not forced together. Instead, allow them to rest in the position that the harness promotes. This means keeping their knees apart and avoiding any twisting or pulling on the legs, which could displace the hip joint.

2. Movement and Exercise: While the affected leg may not move as freely due to the harness, it is still important to encourage gentle movement of the legs. Passive range-of-motion exercises can be beneficial. This involves gently moving the legs in a way that does not cause discomfort. For example, you can help your child move their legs in a bicycle motion while they are lying down. This can help maintain flexibility and circulation without putting undue stress on the hip joint. However, avoid any vigorous movements or exercises that could exacerbate the dislocation.

3. Use of Cast vs. Harness: The choice between using a harness and a cast often depends on the severity of the dislocation and the age of the child. A harness, such as the Pavlik harness, is typically used for infants under six months of age and is less invasive, allowing for some movement. It is generally preferred because it is easier to manage in terms of daily care and allows for some normal activity. A cast may be used in more severe cases or if the harness does not achieve the desired results. While a cast can provide more rigid support, it can also be more challenging to care for and may limit the child's mobility significantly.

In conclusion, caring for an infant with hip dislocation requires a careful approach to positioning, gentle movement, and understanding the treatment options available. Regular follow-ups with a pediatric orthopedic specialist are essential to monitor the progress and make necessary adjustments to the treatment plan. Early intervention and adherence to the prescribed treatment can lead to positive outcomes, allowing your child to develop normally and engage in physical activities as they grow. Always consult with your healthcare provider for personalized advice and guidance tailored to your child's specific needs.

Similar Q&A

Understanding Congenital Hip Dislocation: Treatment and Recovery Options

The baby girl was diagnosed with congenital hip dislocation at 3 days old. Can this condition heal, and could you provide information on the treatment for this condition?

Dr. Lin Junliang reply Orthopedics
Early congenital hip dislocation can be effectively treated with plaster cast immobilization. Generally, the results are quite good; however, the later the treatment is initiated, the poorer the outcomes may be, potentially requiring surgical intervention. If it is detected withi...

Understanding Symptoms and Diagnosis of Congenital Hip Dislocation in Infants

Hello, Director Li: I would like to ask about the symptoms that can help determine "congenital hip dislocation in children." Can X-rays or ultrasounds provide a 100% accurate diagnosis? My daughter is currently five months old, and when I support her under her armpits t...

Dr. Li Wenlin reply Orthopedics
Hello, in response to your question: 1. Developmental dysplasia of the hip (DDH) occurs in approximately 1 in every 1,000 newborns. Currently, public health measures in Taiwan are very effective; all newborns undergo routine screening before being discharged from the hospital. I...

Understanding Hip Dysplasia: Rehabilitation and Support Options for Your Child

Hello Dr. Lai, my daughter was diagnosed with developmental dysplasia of the hip and femoral dislocation at just over one year old. She underwent surgical reduction at the age of two, and since then, we have been consistently following up with the hospital for three years. The do...

Dr. Lai Yanting reply Rehabilitation
It is recommended to first discuss with the original surgeon. Generally, rehabilitation training for the hip muscles can be considered. Thank you for your question!

Understanding Infant Hip Dislocation: Is Surgery Always Necessary?

My daughter went to Cheng Kung University for an examination today and was found to have a dislocated pelvis in her right leg. The doctor recommended surgery. I would like to know if surgery is absolutely necessary.

Dr. Li Wenlin reply Orthopedics
Hello, Night Owl: Congenital hip dislocation in infants has different treatment options depending on the timing of diagnosis and the severity of the condition. Generally, the later the diagnosis, the higher the likelihood of requiring surgery. In Tainan, pediatric orthopedic spec...