Hip disorders in infancy and childhood often means that the hip joint is loose and prone to injury. When left untreated, the hip abnormalities may lead to other health issues. World-renowned surgeon David S. Feldman, MD, and his team at The Paley Orthopedic and Spine Institute in West Palm Beach, Florida, specialize in the management of complex orthopedic conditions that affect children and adults. In fact, patients travel from all over the world for his medical expertise. With hip disorders in infancy and childhood, Dr. Feldman takes an individualized approach to care aimed at correcting the underlying cause of the pain. For a consultation, call the office or click the booking button.
Hip disorders in infancy and childhood often results from a congenital condition. The two most common causes include:
Hip dysplasia (shallow hip) or subluxation (partial dislocation) may occur in up to 1 in 100 births. Hip dislocation, also referred to as developmental dysplasia of the hip (DDH) occurs in 1 in 1,000 births. If left untreated, these conditions may lead to pain, arthritis, a limp, and/or shortened lower extremity.
In Legg-Calve Perthes disease, there’s an interruption in the blood supply to the hip, which causes a weakening of the femoral head bone. Over time, the disease causes the femoral head to collapse, resulting in a flattened shape that may not fit or move correctly in the socket, resulting in pain, a decrease in range of motion, and possibly osteoarthritis.
Dr. Feldman takes an individualized approach to the diagnosis of hip disorders in infancy and childhood depending on age of onset and suspected cause of the pain.
For hip dysplasia/hip dislocation, Dr. Feldman conducts a physical exam and performs orthopedic tests, such as the Ortolani test (hip clunk) or Barlow test (dislocatable). Though rarely needed, he may suggest ultrasound testing or an X-ray to confirm a diagnosis.
Legg-Calve Perthes disease often presents during childhood, sometimes as early as age 4. To diagnose the condition, Dr. Feldman examines the abduction (movement away from the body) and adduction (movement toward the body) of the child’s hip, as well as internal rotation. He then performs X-rays to confirm a diagnosis and assess the stage of the disease.
Dr. Feldman specializes in complex pediatric orthopedic conditions and takes an integrative and holistic approach to care, ensuring all the child’s needs are met.
For hip dislocations, Dr. Feldman recommends bracing and/or casting. If these methods fail, surgery may be needed. For hip dysplasia, Dr. Feldman performs a surgical procedure to deepen the socket.
When diagnosed and treated early, children with Legg-Calve Perthes disease can expect a full recovery. For mild cases, Dr. Feldman suggests rest, limited activity, physical therapy, and anti-inflammatory medication.
For advanced cases, Dr. Feldman may recommend bracing or casting and physical therapy. However, in severe cases, surgery may be needed.
Treating hip disorders in infancy and childhood early may prevent further health problems. For expert care from an experienced orthopedic surgeon, contact Dr. Feldman’s office by phone or online today.