Hip dysplasia occurs when the two bones that come
together in the hip joint — the pelvis and femur bones — are out of alignment.
The condition can cause misalignment, movement, and flexibility issues for
children and adults.
According to the International Hip Dysplasia Institute
(IHDI), healthcare professionals refer to hip dysplasia in infants and children
as developmental dysplasia of the hip (DDH). If they diagnose hip dysplasia in
adults, they refer to it as acetabular dysplasia.
In people with the condition, their hip joint tends to
wear out faster, which can lead to additional complications as time goes on.
Whats is it?
Hip dysplasia is a condition where the bones of the hip
do not align properly.
The hip is a large ball-and-socket joint where the
thighbone, or femur, fits snuggly into the socket, or acetabulum, of the pelvis
in most people. In hip dysplasia, the socket is too shallow or small to fit the
thighbone securely.
The severity of hip instability or looseness varies from
person to person. According to the American Academy of Orthopaedic Surgeons
(AAOS), there are three degrees of hip dysplasia:
-
Subluxatable: This is the mildest form. The thighbone
fits in the socket and can move around, but the joint will not dislocate.
-
Dislocatable: The femur is inside the socket, but
during a physical examination, a doctor can easily dislocate the joint.
-
Dislocated: This is the most severe case, where the
femur is outside the socket.
Doctors may refer to hip
dysplasia using different terms, such as:
-
neonatal hip instability
-
DDH
-
acetabular dysplasia
Symptoms
Symptoms of hip dysplasia will depend on a person’s age.
Below, we discuss signs and symptoms to watch for in infants, children,
teenagers, and adults.
Infants and children
Some infants who are born with DDH do not present with
any symptoms.
A person should contact a healthcare professional if they
notice in a baby any of the following:
-
The
skin folds are uneven on the thigh.
-
The
length of the legs is different.
-
The
baby is less flexible or mobile on one side of the body.
Children living with hip dysplasia may show similar signs
and symptoms, such as:
-
uneven
leg length
-
unusual
gait that can include toe walking, limping, or a waddling gait
-
limited
flexibility or mobility in one of the hips
Teenagers and young adults
According to the AAOS, hip dysplasia in adults typically
stems from the development of DDH. Although healthcare professionals routinely
screen for the condition, some cases are mild enough that they are left
untreated or remain undetected.
In these cases, symptoms may not appear until a person
has reached adolescence.
As a child grows, hip dysplasia is more likely to cause pain.
The pain often results from a breakdown in the cartilage and other structures
in the hip due to irregular wear and tear.
A person may also find that they limp when they walk.
Pain and limping are two most common signs of hip
dysplasia in teenagers and young adults.
When pain occurs, it may:
-
start
as mild and infrequent and change in intensity and frequency over time
-
be
worse at the end of the day
-
be in
the groin but may also appear in the outer hip
A person may also experience a popping or crackling
feeling in the hip.
Adults
Adults experience symptoms that resemble those in
teenagers and young adults.
Some common symptoms include:
-
pain
in the groin
-
increased
pain while standing, walking, or moving
-
popping
or catching sensation in the hip during movement
-
pain
on the side of the hip
-
pain
during sleep time
-
walking
with a limp, which may be painful
When to contact a doctor
When an infant has a high risk of developing DDH, doctors
will likely take more steps to rule out its presence. Caregivers should take
the baby to regular wellness visits, where a doctor will check for hip
dysplasia.
Older children and adults should let a doctor know if
they experience symptoms such as pain in the hips, difficulty walking, or
limited mobility.
The doctor can check for the presence of hip dysplasia
and recommend treatment as needed.
With successful treatment, a person should be able to
maintain their mobility and lifestyle.
When surgery is necessary, most people can delay the need
for a joint replacement and reduce the pain from the condition.
Summary
Hip dysplasia occurs when the thighbone does not fit
properly in the hip socket. The condition can cause a disrupted gait, pain, and
other symptoms.
Treatment can involve both surgical and nonsurgical
options to help alleviate pain and help a person improve mobility and
flexibility.
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