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Congenital Hip Dysphasia - A case study
This condition found in newborns involves either a malformed acetabulum (hip socket), a dislocation of the femur from the hip socket (frank dislocation) or a combination of both. In newborns, serious complications can occur if this condition is not diagnosed early. According to the Easter Seal guide to children's orthopedics, malformation of the acetabulum is found in 1:80 children whereas frank dislocation is found in 1:800.
The orthopedic test of choice to detect this condition is usually the "Ortolani" test. This test is performed by laying the baby on its back. Then bring the legs to the chest and then turn each leg out separately. A positive test is said to be found if a click or "clunk" is heard in the hip. Although unreliable, if one suspects congenital hip dysphasia, an x-ray can be ordered to confirm the diagnosis.
The medical treatment for this condition between 0-8 months of age is a Pavlik Harness that is applied for at least 6 weeks. The harness binds the hips and legs in a "racing jockey" position. At the age of 8-18 months, open reduction, traction or surgery are other alternatives to treat this condition.
A Case study
A mother brought her two-month-old baby into the clinic after she consulted with her pediatrician who diagnosed the baby with Mild Congenital Hip Dysphasia. Recommendations by the pediatrician included a harness, then surgery. The mother choose to seek chiropractic care first trying to avoid the surgery. Upon examining the baby, a positive Ortolani test was found. The baby also showed signs of tight adductor muscles. Treatment consisted of chiropractic care using the activator methods chiropractic technique for one month. Upon returning for a medical check up, the pediatrician was surprised to find that the dislocated hip had reduced and the click was no longer present. No bracing with the harness or surgery was deemed necessary at this time by the pediatrician. Needless to say, the parents were happy that the baby did not need surgery. Chiropractic care may be an alternative form of care to conventional medical care in certain cases of congenital hip dysphasia. Even if your pediatrician does not refer you to a chiropractor, it would be wise to seek a second opinion from a chiropractor. The parents of this child choose to seek a safe and non-invasive form of treatment before opting for surgery. If you have or know of other children who have congenital hip dysphasia, you should also seek a chiropractic opinion. You may save the child needless and costly surgery.
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