Conditions

Developmental dysplasia

Developmental Dysplasia

We think of hip problems as being associated with older people, but developmental dysplasia of the hip (often shortened to DDH) is a condition that baby’s are born with and it affects the hip joint itself. DDH is one of the conditions that doctors screen all newborn babies for, so in most cases it is spotted early. It’s found in one in a thousand newborn babies every year in the UK and, if treated, shouldn’t cause a problem in later life. If it is not treated however, it can lead to further problems later in life.

The condition itself means the main upper leg bone, called the femur, does not quite fit into the hip joint’s socket. DDH can be caused by a number of things, including a baby’s position in the womb, and it frequently runs in families. It won’t cause your baby any pain, and it can vary in degree according to how well – or poorly – the leg bone fits into the hip joint’s socket.

If your doctor spots DDH, he or she will arrange for an ultrasound scan or an X-ray to find out how severe the condition is. DDH needs to be treated as early as possible – while the bones and joints are still developing – and the commonest treatment takes the form of a harness, worn for at least six weeks, which keeps the hips and leg in position so they can grow together normally. If that doesn’t work, if the diagnosis comes later, or if the condition is particularly severe, doctors will recommend an operation.

For most kids who get treatment early on, DDH doesn’t go on to be a problem, and by wearing the harness the condition can be resolved before they reach 18 months. If it’s not, however, children can up end walking with a limp, and may be more likely to suffer from painful osteoarthritis – in which the bones rub together – later in life.

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I was born with 'clicky hips' and I had my legs spread apart and plastered for months. I'm now 30yrs old and get achy hips and severe knee pain. My knees grind, lock and sometimes swell. Is this all related. I don't see my family so don't know much about any of my babyhood days :) Thanks





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I had clicking hips when I was a baby and I've growed Up now and it hurt sometimes but not a lot and I was wondering if the clicking hips will past On to my baby





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My daughter was born with hip dysplasia, it was spotted hours after her birth so she was referred to the orthopaedic clinic at our local hospital. After an ultrasound it was determined both of her hips were dislocated and so needed to be fitted with a harness to keep her legs in position for about 3-4 months. After fort-nightly checks at this clinic over a period of 18months she was discharged from the clinic with the all clear. Now almost 4 years old she has recently been complaining of her hips and tummy hurting. Im just wondering if this was normal or if i need to take her to the GP to get it checked out?





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With her history I would get it checked out.

I was born with CDH in both hips, as a baby i had been in the harness had 4 operations been on traction for 6 months and was in plaster cast for 2 years. I was under a surgen until the age if 18. How ever when i had my first child at 22 i started getting pains again so went to my gp and was refered to the same surgen who operated on me as a child. He then refered me to some one else who refered me to some one else who is now looking to opearate. He has contacted a surgen from canada who is a top specialist to ask more advice. My right hip is past it and at 25 i can have a hip replacement but it is not recomended as i will need another one in about ten years. I also have artritus caused by my hip condition, and because of my spine not being straight due to my hips i also now have a bad back and have just been for a mri scan at the nuro department. I take a high number of pain killers and anti inflametries every day i have restricted movement in my hip joint and i struggle with day to day things :( luckly my partner and family n friends are a real help. Both of my daughters have also been born with this too my youngest is in the pavlic harness but thank god her hip joints are forming and my eldest daughters hips only needed double nappies :D!





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I was treated with a cast and diagnosed early, bult lately I've been getting slot of pain and clicking noises. I'm 24, does anyone have similar experiences?





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Heya I 22 and also have had it and was treateated as a baby but have for the past couple of years had increasingly stiff, painful, clicky hips. Have you been to see a doctor about it and if so what have they done for you?

Hi. Reading this page with interest. My son has been complaining of pains in his legs for a few months, which originally I put down to growing pains (he is now 4yrs), but started walking with quite a noticeable limp, so I took him to the gp who arranged an x-ray and I have been told that he has a slightly tilted pelvis and a deranged hip (gp's words). What does this mean? How will he need to be treated?





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My daughter has ddh on the left hip this was not picked up untill i took her to the doctors because she standing on one tip toe and the creases in her bum were different, my daughter is under the hospital becaus she was in neonatal when she was born and her hips were checked a couple of weeks before i took her to the doctors and they never picked up on this, she had closed reduction 4 weeks ago and put into a hip spica cast for 12 weeks she is due for a cast change at 6 weeks, i am very concerned because i have read alot about the hip coming back out of place while in the cast i just want this change to hury up so i no if it is workin, has anyone had the hip come back out if place while in a spica cast





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hi i have ddh of hip and now in my 40s am now waiting to have a hip and knee op anyone else my age with it





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Hiya, when I was 36 was diagnosed with congenital hip dysplasia/osteonecrosis, at 37 had decompression of femoral head which unfortunately didn't work resulting in THR at 38 :( although the sad face because of age that's all but the hip has been amazing, the pain was unbearable but unfortunately do have the same problem with other hip CHD and will also need doing eventually. All the best, your not the only one ;-)

My daughter had slight club foot wen born witch seemed to be sorted out after couple of months, but since she started walking at 14 months she walks funny and still very unsteady at first I fort was her being silly but now at 2 years old it's same nabe bit worse I cheak how she walks and her feet don't turn in, she walks on tip toes and slings her legs outwards with each step it dosent look serve but enough to make me worry I'm waiting for her to be examined at min but if any1 understands or thinks they no wat means please reply I'm worried sick thanks





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My daughter was also born with Talipes and she was also diagnosed with Hip dysphasia 6 weeks after birth. Go with your gut feel and get it checked out - better to ere on the side of caution and with hip dysphasia the older you are the harder it is to treat.

my son (age 2) has been diagnosed with bilateral tight tendo-achilles. Is there something you can do about it. He is currently walking on his toes and tired all the time after a short walk. He is currently having therapy to improve core stability. We are still waiting for him to be referred to a specialist and just wondering what kind of treatment there will be to get this rectified. We are worried as he will be attending reception/ pre-school soon and don't want him to miss out.





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