If CDH is detected during infancy, treatment is usually simple and straightforward, resulting in total correction. The later it is diagnosed, with subsequent delay in the commencement of treatment, the more difficult it is to correct, and the more uncertain the final result.

All newborn babies suspected of having a dislocated hip are placed immediately in a special harness or splint, which holds the hip in the socket of the hip joint by keeping the thighs apart. This is worn for around 3 months and can be removed at bath time. Although it may look awkward, the splint causes the baby no discomfort.

If treatment is started after the child is 1 year old, then traction and often surgery are needed, followed by 6 to 9 months in a plaster cast (which is changed every few weeks to allow for growth).

If you notice any of the features described above, see the doctor. If there is any doubt, an X-ray or ultrasound can confirm the diagnosis. Referral to a paediatric orthopaedic surgeon for a specialist opinion may be advisable.

Prevention

Every baby should be examined fully straight after birth, and again at 6 weeks, including a check for CDH. If there is a family history of CDH or your baby was born by a breech birth, special care needs to be taken with t the examination. While CDH cannot be prevented, early detection and immediate institution of treatment are very important.

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