{"id":291,"date":"2019-08-02T22:35:52","date_gmt":"2019-08-02T20:35:52","guid":{"rendered":"https:\/\/radler-ortho.com\/?page_id=291"},"modified":"2020-06-05T15:59:23","modified_gmt":"2020-06-05T13:59:23","slug":"huefterkrankungen","status":"publish","type":"page","link":"https:\/\/radler-ortho.com\/en\/kinder\/huefterkrankungen\/","title":{"rendered":"Hip"},"content":{"rendered":"\n

Hip Dysplasia and Hip Dislocation<\/strong><\/h2>\n\n\n\n

Developmental\ndysplasia of the hip is characterized by insufficient development of the hip\nsocket, resulting in insufficient coverage of the ball of the hip. This results\nin instability or dislocation of the hip. <\/p>\n\n\n\n

Hip dysplasia is detected\nwith ultrasonography, which is performed during the first 2 weeks after birth\nand at 6 to 8 weeks after birth. Almost all cases can be treated with a harness\nthat needs to be used day and night until ultrasound confirms sufficient\ncorrection. <\/p>\n\n\n\n

Some cases of hip\ndislocation require casting to center the hip within the socket before harness\ntreatment is begun. If the hip cannot be reduced but remains dislocated, open\nsurgical reduction is necessary. <\/p>\n\n\n\n

Residual dysplasia,\nwith the hip within the socket but with insufficient coverage and instability,\ncan result from insufficient correction with the harness or from mild dysplasia\nmissed during the initial ultrasonographic examinations. Residual dysplasia can\nlead to arthritis and pain in adulthood. If diagnosed early, it can be\nsuccessfully treated by performing pelvic redirecting osteotomy (improving the\ncoverage of the hip through surgical correction of the position of the hip\nsocket).<\/p>\n\n\n\n

Please note that I am not performing hip screening ultrasonography for newborns in my office. If hip dislocation has been diagnosed, I can perform treatment and surgical correction. <\/p>\n\n\n\n

\"Baby<\/figure><\/div>\n\n\n\n

Transient Synovitis of the Hip <\/strong><\/h2>\n\n\n\n

Transient synovitis of\nthe hip is an inflammation in the hip joint that causes pain. It mostly affects\nchildren between the ages of 4 and 11 years and often occurs after viral\nrespiratory infection. Children complain about pain in the hip that might\nradiate to the knee and lower limb. <\/p>\n\n\n\n

Most cases resolve\nwell with rest and anti-inflammatory medication. However, it is important to\nrule out other causes, especially septic arthritis of the hip caused by\nbacteria. Septic arthritis is rare but requires specific diagnosis and urgent treatment.\n<\/p>\n\n\n\n

Slipped Capital Femoral Epiphysis (SCFE) <\/strong><\/h2>\n\n\n\n

SCFE affects the hip\nat the growth plate. The epiphysis (top part of the hip ball) slips at the\ngrowth plate from the upper part of the remainder of the femur (thigh bone).\nThe growth plate is soft and is therefore a weak spot until it closes at the\nend of growth. SCFE can occur with trauma, sports, or obesity.<\/p>\n\n\n\n

SCFE can happen\nacutely with trauma, characterized by instant pain and limping. However, SCFE\ncan also occur slowly with a small amount of pain that can radiate and is often\ndescribed as knee pain. As a result, diagnosis can be delayed or missed. <\/p>\n\n\n\n

The most common type\nis called acute on chronic<\/em>. This type\nis characterized by mild pain over a prolonged period (the growth plate gets\nwider and unstable) and then a sudden increase of pain and limping (the actual\nslip).<\/p>\n\n\n\n

After the diagnosis is\nconfirmed, surgery is necessary to stabilize the slipped epiphysis and to\nprevent further slipping and deformity. This is usually done by pinning the hip\nacross the physis (growth plate). In severe cases, the hip needs to be taken\nout of the socket to put the epiphysis back in place before stabilization. <\/p>\n\n\n\n

Perthes Disease (Legg-Calve-Perthes Disease)<\/strong><\/h2>\n\n\n\n

Perthes disease is\nusually seen in children who are 4 to 9 years old. The blood supply to the hip\nball is temporarily interrupted, which leads to avascular necrosis (death of\ntissue) of the hip. The children complain of pain, and the range of motion of\nthe hip becomes limited. The true reasons for and the mechanisms of Perthes\ndisease are not clear. <\/p>\n\n\n\n

The disorder has\ntypical stages during which the hip partially collapses to restore afterward.\nHowever, the hip might end up being deformed and the relation of the hip ball to\nthe hip socket might be different. This can lead to early hip pain and\narthritis. Generally, the prognosis is better for younger children.<\/p>\n\n\n\n

Early diagnosis and\ntreatment are important. During the early stage, infusion with special\nmedication that increases blood flow is possible. Reducing the mechanical\nstress and loading of the hip is the cornerstone of further treatment. Although\nnormal activity can be continued, impact sports, running, and jumping are\ndiscouraged. Physical therapy to preserve or restore range of motion is\nrecommended. For some children, surgery to increase and improve the coverage\n(containment) of the hip can improve the outcome. <\/p>\n","protected":false},"excerpt":{"rendered":"

Hip Dysplasia and Hip Dislocation Developmental dysplasia of the hip is characterized by insufficient development of the hip socket, resulting in insufficient coverage of the ball of the hip. This results in instability or dislocation of the hip. Hip dysplasia is detected with ultrasonography, which is performed during the first 2 weeks after birth and … Continue reading Hip<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":19,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["de","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/291"}],"collection":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/comments?post=291"}],"version-history":[{"count":20,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/291\/revisions"}],"predecessor-version":[{"id":1190,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/291\/revisions\/1190"}],"up":[{"embeddable":true,"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/pages\/19"}],"wp:attachment":[{"href":"https:\/\/radler-ortho.com\/en\/wp-json\/wp\/v2\/media?parent=291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}