About hip dysplasia

What is hip dysplasia? 

Hip dysplasia, or developmental dysplasia of the hip (DDH), is a common condition in children where the hip ball-and-socket joint does not develop normally.  

Key facts

  • hip dysplasia is the most common paediatric hip condition affecting one in every 100 babies, ranging from mild to severe
  • the condition is most common in babies, but it can also be diagnosed in young children and adults
  • more girls than boys are diagnosed with hip dysplasia
  • it typically affects only one hip, usually the left
  • it is not painful in babies, but if it is not treated early, it can lead to long-term disability, painful osteoarthritis or the need for hip replacement surgery
  • it can be identified at birth, but sometimes not for months or years later
  • doctors/midwives and maternal child health nurses do routine checks for hip dysplasia in babies, but signs and symptoms are not always obvious
  • hip dysplasia is the underlying cause in one out of every four hip replacements under the age of 50
  • the good news is that hip dysplasia can often be treated with a brace, plaster cast or surgery, if detected early!
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What are the potential signs and symptoms of hip dysplasia?

Babies:

  • legs are difficult to spread apart eg. when changing a nappy
  • one leg looks shorter than the other
  • popping or clicking that is heard or felt
  • uneven buttock or thigh creases.

Young children:

  • limps or waddles when they start walking
  • noticeable swayback

Adolescents:

  • pain in the hip or groin
  • unusual walking pattern.

 

What are the three main types of hip dysplasia?

  • The stable hip: fixed in place but with a poorly developed socket [mild]
  • The unstable hip: loose in the socket but likely to dislocate [moderate]
  • The dislocated hip [severe].

What is the current treatment for hip dysplasia?

Treatment for hip dysplasia varies between children and depends on age and severity. Your doctor or clinician will recommend the best treatment option for your child.

Most cases of hip dysplasia can be treated with a brace, plaster cast or surgery to correct the hip position. Almost all patients need regular follow-ups to monitor the condition. This usually involves an X-ray and some cases, a physical examination to ensure the child’s hips continue to develop normally.

 

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Proudly in partnership with

VicHip is funded by the Australian Government Department of Health and Aged Care under the Medical Research Future Fund grant 2015989.

Murdoch Children's Research Institute acknowledges the Traditional Custodians of lands on which we work and pay our respect to their Elders, past, present and emerging.