HIP DISLOCATION

Congenital dislocation of the hip is a,disorder once thought to occur about once in every\1000 births.

But awareness of the condition has led to earlier diagnosis that it is believed to be as common as 1 per cent, that is, 10 in every 1000.

While the cause is not known for certain, there are several predisposing factors.

It is more common in girls than boys, in those with a breech presentation rather than babies lying with the head down at birth and in those who have a family history of the disorder.

It is important to diagnose this condition in the first few days after birth. If this is done, putting the child in a special splint for about three months will result in cure. With early diagnosis and splinting, the hip develops normally.

When diagnosis is delayed, splinting may need to be prolonged and eventually an operation may be required.

Doctors who deliver babies are well aware of this condition and check the child at birth, when a few days old and again before discharge from hospital. Nurses in the hospital are also aware of the problem.

As a follow-up and to detect any babies who slip through this net, the Infant Welfare Sister will also check the baby for congenital dislocation of the hip, or CDH.

The very few, if any, who do miss out on diagnosis may not be detected until the child starts walking. Unfortunately, when this happens, treatment may be prolonged and more complicated.

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