Congenital Hip Dysplasia: Symptoms and Treatment Options

Congenital hip dysplasia

Hello, I am 21 years old.
Recently, I experienced a "clicking" sound and discomfort in my hip joint while walking, so I went to the hospital for an examination.
The results indicated bilateral developmental dysplasia of the hip.
I also have an awkward walking posture and would like to know if you have any suggestions.

Miss He, 20~29 year old female. Ask Date: 2010/03/04

Dr. Shi Guozheng reply Orthopedics

If the coverage of the femoral head by the hip joint is minimal, it is advisable to consult an orthopedic surgeon to see if a reconstructive surgery can be performed to increase the coverage and prevent early onset of arthritis.
If the coverage is adequate, then there may not be significant concern.

Reply Date: 2010/03/04

More Info

Congenital hip dysplasia, also known as developmental dysplasia of the hip (DDH), is a condition where the hip joint does not properly form in infants and young children. It can lead to various symptoms and complications if not addressed appropriately. Given your situation, where you are experiencing a "clicking" sound and discomfort in your hips while walking, it is essential to understand the implications of this condition and the available treatment options.

Symptoms of Congenital Hip Dysplasia
Individuals with congenital hip dysplasia may experience a range of symptoms, including:
1. Clicking or Popping Sounds: As you mentioned, a "clicking" sound when moving the hip joint is common. This occurs due to the abnormal movement of the femoral head within the acetabulum (the hip socket).

2. Discomfort or Pain: While some individuals may not experience pain, others can have discomfort, especially during activities that involve hip movement, such as walking, running, or climbing stairs.

3. Limited Range of Motion: You may notice difficulty in moving your hip joint freely, which can affect your walking posture and overall mobility.

4. Uneven Leg Length: In some cases, one leg may appear shorter than the other, which can lead to an abnormal gait.

5. Postural Issues: As you noted, your walking posture may be affected, leading to a less stable or awkward gait.

Treatment Options
The treatment for congenital hip dysplasia varies depending on the severity of the condition and the age of the patient. Here are some common approaches:
1. Observation: In mild cases, especially in younger individuals, doctors may recommend monitoring the condition to see if it improves as the child grows.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the hip joint, improve flexibility, and enhance overall function. This may include specific exercises tailored to your needs.

3. Bracing: For younger patients, a brace may be used to hold the hip in the correct position, allowing for proper development of the joint.

4. Surgical Intervention: In cases where the dysplasia is more severe or does not improve with conservative measures, surgical options may be considered. These can include:
- Open Reduction: This procedure involves surgically repositioning the femoral head into the acetabulum.

- Pelvic Osteotomy: This surgery reshapes the pelvis to better accommodate the femoral head, improving joint stability.

5. Post-Surgical Rehabilitation: If surgery is performed, a rehabilitation program will be necessary to restore function and strength to the hip joint.

Considerations
- Age and Severity: The earlier the intervention, the better the outcomes tend to be. Since you are 21 years old, it is crucial to address the condition promptly to prevent further complications, such as early-onset osteoarthritis.

- Long-Term Outlook: With appropriate treatment, many individuals with congenital hip dysplasia can lead active, pain-free lives. However, untreated cases may lead to chronic pain and joint degeneration over time.

- Consultation with Specialists: It is advisable to consult with an orthopedic surgeon who specializes in hip disorders. They can provide a comprehensive evaluation and recommend the best course of action based on your specific situation.

In conclusion, congenital hip dysplasia can significantly impact your quality of life if left untreated. Given your symptoms and the findings from your recent examination, it is essential to explore treatment options with a qualified healthcare professional. Early intervention can lead to better outcomes and help you maintain an active lifestyle.

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