Developmental Dysplasia of the Hip (DDH) in Children: Early Signs & Importance of Screening

 

What Is Developmental Dysplasia of the Hip (DDH)?

Developmental Dysplasia of the Hip (DDH) refers to a condition where a baby’s hip joint does not develop properly. In DDH, the ball (femoral head) and the socket (acetabulum) of the hip joint are misaligned or unstable. This can lead to partial or complete dislocation.



DDH is more common in infants and young children, and if left untreated, it can lead to long-term complications like walking difficulties, uneven leg lengths, or early arthritis. Early diagnosis and treatment are key to successful outcomes.


Why Early Detection of DDH Is Critical

The first few months of a child’s life are crucial for hip joint development. Identifying DDH early allows for non-surgical treatments, which are often effective if started within the first 6 months. Delayed diagnosis may require complex orthopedic surgeries later.

That’s why Dr. Venkatram Thyalapalli, one of the best pediatric orthopedic surgeons in Hyderabad, strongly advocates routine hip screening in newborns and infants, especially if risk factors are present.


Common Signs & Symptoms of DDH

Though DDH can sometimes be silent, parents and pediatricians should be alert for the following signs:

👶 In Infants:

  • Uneven skin folds on the thighs or buttocks

  • One leg appears shorter than the other

  • Difficulty in diapering or spreading the legs apart

  • Hip "click" or "pop" during movement

  • Delay in crawling or standing

🧒 In Older Babies or Toddlers:

  • Limping or waddling gait

  • Walking on toes on one side

  • Visible hip instability

  • Limited hip abduction (movement away from the body)

If you notice any of these signs, schedule a hip screening with a pediatric orthopedic specialist immediately.


What Causes DDH?

Several factors may increase the risk of DDH, including:

  • Family History: Genetics plays a strong role.

  • Breech Position at Birth: Babies born feet-first have a higher risk.

  • First-Born Girls: Female hormones in utero may loosen ligaments.

  • Oligohydramnios: Low amniotic fluid during pregnancy.

  • Swaddling Practices: Improper tight swaddling of the hips.


How Is DDH Diagnosed?

Early and accurate diagnosis is essential. Dr. Venkatram uses a combination of clinical and imaging tools to confirm DDH:

1. Clinical Examination:

Performed shortly after birth, includes:

  • Ortolani & Barlow maneuvers to check hip stability.

  • Observing hip movement and leg symmetry.

2. Ultrasound (up to 6 months):

Non-invasive and safe for babies, it shows the development of the hip joint.

3. X-ray (after 6 months):

Used when bones are more developed and visible.


DDH Treatment Options

The treatment plan depends on the child’s age and the severity of the condition. The earlier the treatment begins, the better the results.

🍼 For Newborns (0–6 months):

  • Pavlik Harness is used to keep the hips in the correct position while allowing movement.

  • Worn continuously for several weeks.

👶 For Infants (6 months–1 year):

  • Closed reduction (manipulating the hip without incision) under anesthesia, followed by a spica cast.

🧒 For Toddlers and Older Children:

  • Open surgical reduction may be necessary in more severe or late-diagnosed cases.

  • Followed by casting and physical therapy.


Why Choose Dr. Venkatram Thyalapalli for DDH Treatment?

Dr. Venkatram Thyalapalli is a trusted name in pediatric orthopedics in Hyderabad with specialized expertise in:

✅ Diagnosing and managing Developmental Dysplasia of the Hip (DDH)
 ✅ Ilizarov and advanced correction techniques
 ✅ Treating complex bone deformities in growing children
 ✅ Practicing at Rainbow Children’s Hospitals – Kukatpally & Banjara Hills

His child-friendly approach and precision in early diagnosis have helped hundreds of children lead normal, active lives.


Can DDH Be Prevented?

While some factors like genetics can’t be controlled, here are steps to reduce the risk of DDH:

👣 Avoid tight swaddling of the hips – keep legs free to move
 🩺 Get routine hip exams at birth and during follow-up pediatric visits
 👩‍⚕️ If there's a family history, consult a pediatric orthopedic for early screening


Don’t Ignore Early Hip Irregularities in Babies

Parents should never assume that limping, uneven legs, or hip clicking will go away on their own. With today’s advanced screening and treatment options, DDH can be corrected safely and effectively—especially if caught early.


🩺 Book a Consultation Today with Dr. Venkatram Thyalapalli

If you suspect any signs of DDH in your child or want to ensure a healthy hip development with proper screening, contact us today.

📞 Call – 91778 16855
 🌐 Visit – www.drvenkatramkidsortho.com
 🏥 Available at Rainbow Children’s Hospitals, Kukatpally & Banjara Hills, Hyderabad

Early detection today prevents complications tomorrow—give your child the best start with expert orthopedic care.

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