"We found that the best chance for avoiding early arthritis of the hip as a young adult occurs when you screen all babies with a physical clinical exam and utilize ultrasound for those who have risk factors," said Dr. Mahan. Those risk factors include a family history of hip dysplasia, an infant delivered breech at birth, or positive physical exam.
Hip dysplasia can be difficult to detect, because it is a pain-free condition until adolescence or young adulthood when a patient can experience abnormal wear of the hip joint or hip arthritis.
If the condition is caught early, the most common treatment option for infants is a harness -- consisting of a soft brace, straps and Velcro --that helps to hold the legs in an optimal position for hip development. If the condition is not identified until a child is older, a cast or surgery may be required to reposition the hip in the socket.
"We are trying to catch the cases that do not get better on their own," explains Dr. Mahan. "The younger the child, the easier the condition is to treat. And, with early treatment, it is more likely that long-term complications may be avoided."
In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants in excess of $10,000 from the National Institutes of Health (#K24 AR02123 and #P60 AR47782), the Orthopaedic Research and Education Foundation, and Siemens Health Care. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center
|SOURCE American Academy of Orthopaedic Surgeons|
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