How to treat congenital hip dislocation, this will help

How to treat congenital hip dislocation, this will help

Many babies are born with certain diseases, which makes parents feel very worried and scared. The chance of hip dislocation is relatively high in newborn babies, and this disease may accompany them throughout their lives, so timely treatment is the key. So let me introduce to you how to treat congenital hip dislocation?

1. Genetic factors

It is an undeniable fact that this disease has a clear family history, especially in twin babies. The incidence rate in the family of patients with this disease can be as high as 20-30%, and it is more common among sisters. The same disease can present in sisters as three types: hip dislocation, subluxation and dysplasia. If detailed, early examinations and X-ray diagnoses are not carried out, except for the first type, the latter two types can often be missed, and the hip joints will be completely normal by the age of 7 or 8.

(II) Factors of ligament relaxation

In recent years, more and more reports have shown that joint ligament laxity is an important factor. In animal experiments, Smith removed the joint capsule and round ligament of puppies, and the percentage of hip dislocation was very high. Clinically, Andren pointed out that the separation of the pubic symphysis in X-rays in cases of hip dislocation was twice that of normal babies. He believed that this was because the mother needed a large amount of endocrine to relax the ligaments during the delivery process, and excessive endocrine changes were an important factor in causing hip dislocation. At the same time, Andren and Borglin found that the excretion of estrone (Estrone) and estradiol 17β (Estradil) in urine of newborns with hip dislocation within 3 days was different from that of normal infants. However, Thieme compared 16 sick infants with 19 normal infants and found no difference after statistical processing when measuring them month by month. Therefore, the theory that endocrine changes cause ligament relaxation is not valid.

3. Posture and mechanical factors

It has been reported that breech presentation accounts for as high as 16% to 30% of cases of hip dislocation, while breech presentation accounts for only 3% of normal births. Wikinson (1963) fixed the infant's hip joint in flexion and external rotation, and the knee joint in extension, and gave estrogen and progesterone. Hip dislocation may occur. Some people also believe that body position after birth is a factor causing this disease. The high incidence in populations such as Sweden and American Indians is due to the swaddling of infants.

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