Caution! Do not make these 7 mistakes
The congenital hip dislocation that is diagnosed in 1 out of 100 babies in our country occurs when the end of the femur bone is dislocated from its socket. If this condition is not treated early on it can cause permanent damage like one limb being shorter or limping. Also calcification can occur in the hip and waist. This condition occurs in females as much as 6 times more than males. Although the cause of hip dislocation in babies is not completely known it is thought to occur in connection with genetic, hormonal and environmental factors. Hip dislocation can take place in the mother’s womb and occur later on as a result of parents handling the situation wrong. Bahçelievler Aile Hospital Orthopedics and Traumatology Specialist Dr. Yakup Eroloğlu listed the 7 wrong habits that lead to hip dislocation in babies as follows.
|If the condition exists in the mother or father the risk is much higher for the baby!
Caution! These errors cause hip dislocation!
- Swaddling: Avoid swaddling your baby because babies need to remain in the position with their legs bent as they were inside the womb, for a while longer after they are born. Therefore if their hips and legs are straightened and swaddled against their crib frequently this could increase their risk of hip dislocation. Don’t forget, even 1-2 days of this application can cause hip dislocation.
- Tight clothing: Tight clothing like pants, pajamas, onesies and overalls as well as thin diapers that compress the hips and legs can cause hip dislocation. Always put comfortable clothing that is not constricting on your baby.
- Holding and lifting by their feet: It is harmful to hold a baby up by his feet like a fish. This movement pushes the legs together and the hip may become dislocated. Therefore do not lift the baby by the feet when changing their diaper. Instead open their legs and lift to change their diaper.
- Trying to keep the legs together: When your baby is sleeping he/she may open their legs to the sides. Do not try to pull them back together because when the legs are pushed together they may slide out of the hip socket because the socket in the hip joint is not yet completely developed.
- Putting diapers on wrong: Using a very thin diaper and a diaper that keeps the legs close together can cause hip dislocation. Therefore make sure to use diapers that allow the legs to be at 45 degree angles.
- Carrying your baby wrong: When you are carrying your baby in your lap do not try to keep their legs together. Use a specially made carrying tool that keeps they legs apart or place your baby on your hip with legs apart to carry them properly.
- Walkers: If babies are placed in a walker before their bones have developed properly their bones may become bent. Therefore a walker should not be used before 11 months.
Do not ignore the signs
It is difficult to identify hip dislocation before the baby can walk. Orthopedics and Traumatology specialist Dr. Yakup Eroğlu pointed out that you should take your baby to an orthopedic specialist as soon as possible if you notice any of the following indications of hip dislocation .
- A difference in the length of baby’s legs,
- Deformed feet,
- The curves in the legs being different,
- One of the legs being more active and flexible than the other,
- One or both sides of the hip not opening properly when changing the baby’s diaper,
- Pitching to one side when starting to walk,
- Learning to walk late compared to peers,
- Waking like a duck in double-sided hip dislocation.
When detected early surgery may not be necessary
Orthopedics and Traumatology specialist Dr. Yakup Eroğlu emphasized that it is critical for hip dislocation to be detected in the first 6 months. When detected in the first 3 months this condition can even be treated by using double diapers, a pavlik bandage or a frejka pillow. Dr. Yakup Eroğlu explained that when this condition is detected between 6-10 months it is necessary to treat is with a cast and added, “Under anesthesia the patient is fitted with a cast from the waist down to the end of the leg. The cast stays on for 1.5 months after which it is removed and replaced with a new one. The cast remains on the problematic leg for a total of 3 months, sometimes requiring it to be changed a third time.” When the condition is detected after the baby learns to walk it can require surgery. This is why Dr. Yakup Eroğlu emphasized that even if there is no noticeable problem all babies should have a hip USG (ultrasonograph) in the first 1-3 months after birth for early hip dislocation detection.