"Dysplasia" understand violation in development of a coxofemoral joint as the diagnosis. The easiest degree is physiological immaturity of a joint. Remaining unnoticed, it can lead to an ossification delay at which articulate the hryashchik does not find quality of a stone in time.
Causes of a dysplasia
The exact causes of this disease are not established. Statistics shows that the illness meets at girls more often. Kids in whose families there are elder brothers or sisters with a dysplasia get into risk group; children born in pelvic presentation; with big body weight; with deformation of feet.
A considerable role is played by swaddling of the child, lack of that. Also practice of free swaddling considerably reduces the probability of developing of a dysplasia. Point out the researches conducted in Japan this dependence. Cancellation of strict swaddling in 1975 allowed to reduce incidence by 10 times.
Clinical manifestations
External manifestation of a dysplasia is expressed in asymmetry of skin folds, a symptom of "sliding", shortening of a hip and restriction of assignment of a hip. In the course of survey estimate a condition of buttock, inguinal, popliteal folds. The coxofemoral dysplasia does them asymmetric, differing on depth and a form. Such symptom well is detected in kids 3 months are more senior. However It should be noted that in the presence of a bilateral dysplasia of a fold can be identical. Shortening of a hip is defined when laying the child on a back with the bent coxofemoral and knee joints. The arrangement of one knee joint is lower than another is a reason for concern. Also ultrasonography is in addition used x-ray.
Treatment of a dysplasia
The most popular and effective principles of treatment: - deduction of the legs bent in knees in the provision of cultivation; - the maximum physical activity in this situation. Special orthopedic devices help to hold legs of the baby in such situation: Freyk's pillow, Pavlik's stirrups, Becker's "panties". It is possible to achieve good results only at constant stay of the child in specifics, especially in an initiation of treatment. On the first months of life for the purpose of cultivation of legs use soft laying and a method of broad swaddling. Irrespective of a dysplasia stage, appoint massage and remedial gymnastics (if the fixer allows). Quite often add physiotherapeutic procedures to an arsenal of methods (an electrophoresis with calcium ions, paraffinotherapy). Early treatment is absolutely successful in 95% of cases. Late approach to a solution or its full ignoring leads to the fact that the kid has a lameness sooner or later.