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Is Your Child At Risk For Developmental Hip Dysplasia?
Early diagnosis of developmental hip dysplasia in newborns is crucial for effective treatment, Dr. Qureshi specializes in identifying and managing newborn developmental hip dysplasia to ensure your child’s healthy development. Schedule a consultation today to take the first step toward optimal care for your child’s orthopaedic health.
Developmental dysplasia of the hip, almost synonymous with congenital hip dysplasia and often simplified to hip dysplasia, is one of the most commonly treated leg conditions in Pediatric Orthopedics in Dubai. Hip dysplasia essentially means that the socket of the hip joint is shallow. It is a spectrum condition with complete hip dislocation at birth existing as the most severe manifestation. Early diagnosis is crucial to optimize outcomes. The earlier the diagnosis, the greater the chances of success with less invasive treatment methods and the better the outcome.
In newborns, clinical examination is not completely reliable in detecting hip dysplasia. It is often used as a basic screening tool but the gold standard investigation for diagnosing newborn hip dysplasia is ultrasound imaging.
Dr. Qureshi actively participates in a collaborative hip ultrasound clinic, employing a comprehensive model of care. The ultrasound is reviewed in real time to determine the need for further follow-up or treatment. Advocating for early intervention, Dr. Qureshi recommends bracing with a Pavlik harness in cases of significant dysplasia. Monitoring progress through structured follow-ups ensures the effectiveness of harness treatment, which may be required for several weeks until resolution. In rare instances where a dislocated hip does not respond to Pavlik harness treatment, discontinuation is advised to prevent potential hip damage.
Dislocated hips that do not improve with Pavlik harness treatment may still be correctable without open surgery. Often an examination under general anesthetic with dye injection into the joint can help determine if the hip can be safely relocated into a stable position. This is termed a “closed reduction” as the hip is being manipulated back into the joint without surgical opening. If the hip can be successfully relocated into the joint in a stable position, then a plaster cast (hip spica) can be applied to help stabilise the hip and avoid the need for open surgery. A CT is usually undertaken two days after the hip spica is applied to ensure that the hip has not slipped out again in the spica. If the hip is in an acceptable position, the spica is continued for a minimum of 6 weeks before re-evaluation with examination under anaesthetic and dye injection. If the hip remains unstable the spica cast may be reapplied for a further 6 weeks to encourage the hip to stabilize.
Request an Appointment to Consult with Dr. Assad Qureshi
Dr. Qureshi actively participates in a collaborative hip ultrasound clinic, employing a comprehensive model of care. The ultrasound is reviewed in real time to determine the need for further follow-up or treatment. Advocating for early intervention, Dr. Qureshi recommends bracing with a Pavlik harness in cases of significant dysplasia. Monitoring progress through structured follow-ups ensures the effectiveness of harness treatment, which may be required for several weeks until resolution. In rare instances where a dislocated hip does not respond to Pavlik harness treatment, discontinuation is advised to prevent potential hip damage.
Dislocated hips that do not improve with Pavlik harness treatment may still be correctable without open surgery. Often an examination under general anesthetic with dye injection into the joint can help determine if the hip can be safely relocated into a stable position. This is termed a “closed reduction” as the hip is being manipulated back into the joint without surgical opening. If the hip can be successfully relocated into the joint in a stable position, then a plaster cast (hip spica) can be applied to help stabilise the hip and avoid the need for open surgery. A CT is usually undertaken two days after the hip spica is applied to ensure that the hip has not slipped out again in the spica. If the hip is in an acceptable position, the spica is continued for a minimum of 6 weeks before re-evaluation with examination under anaesthetic and dye injection. If the hip remains unstable the spica cast may be reapplied for a further 6 weeks to encourage the hip to stabilize.
