Hip dysplasia

We can successfully treat misalignment of the hip

Hip dysplasia is one of the most common misalignments in newborns. Up to four per cent of all babies in central Europe are born with this disorder. Adults can also suffer from hip dysplasia. Sitting or standing for long periods of time without pain is often impossible. You typically can’t cope with work or your daily routine without medication.

Thanks to ultrasounds and hip screening, we can generally identify hip dysplasia early. Our specialists at Schoen Clinic offer effective therapies to correctly treat you or your child.

Causes & symptoms

Hip dysplasia – what is it?

The hip joint is shaped like a ball joint. It consists of the hip socket and femoral head. In infants, the hip joint is composed of cartilage which is replaced by bone as the body develops.
When hip joint dysplasia occurs, the hip joint is underdeveloped and less bone forms in the core of the socket. This means that the femoral head can no longer stay in the centre securely enough, and can easily slip out of the hip socket.

Causes: How hip dysplasia occurs

Hip dysplasia can occur due to several reasons. The misalignment could be innate. But the cause could also be mechanical, such as narrowing in the womb, a lack of amniotic fluid or a breech birth. Multiple pregnancies can also increase the risk of misalignment. Deformities in the spine, legs and feet, as well as neurological or muscular disorders, may lead to hip joint dysplasia as well.

Symptoms used to identify hip dysplasia

Hip dysplasia itself does not cause any complaints. But if it isn’t identified and treated early, the hip may become dislocated. Your child will then no longer be able to splay out their leg side to side sufficiently. They will limp or waddle. Joint disorders may arise in the later stages. With arthritis, for example, the joint cartilage is worn down, which can cause a lot of pain. If your baby’s leg has a different length or cannot splay out the same distance, or if the buttocks are not aligned, these may be signs of hip dysplasia.

Diagnostics

These procedures help clarify

We can determine whether your child has hip dysplasia directly after birth through ultrasounds and physical examinations. Hip ultrasounds are thereby a key part of our screening examinations. The method we use is quick and free from pain and radiation, and can be carried out on all children. The cartilage structures and bony anchor points can generally be imaged well. We can also provide accurate information on the ossification of the hip joint and how the hip joint components are positioned in relation to one another.

An ultrasound examination (sonography) is effective when your child is six to eight months of age. After this point, X-ray examination can be beneficial.

X-ray examination for an accurate diagnosis

From eight months of age, X-ray examination is also suitable for making an accurate diagnosis of the ossification of the hip joint, as well as for checking progress. It also helps establish how the hip joint components are positioned in relation to one another. Before any surgical procedure, a pelvic overview image is created where the pelvis and hip joint are X-rayed from front to back.