Hip Dysplasia

In  hip dysplasia, the acetabulum (hip socket) is shallow, meaning that the ball( femoral head) cannot firmly fit into the socket.  As a result of this structural abnormality, there is instability and increased stress on the edges of the joint, which can result in pain and early arthritis of the hip.  The labrum (hip sealing cartilage) takes forces that should normally be distributed evenly throughout the hip joint. Over time, the smooth articular cartilage becomes frayed and wears away and the labrum becomes torn or damaged causing pain and eventually arthritis.

Symptoms

Hip dysplasia, itself, is not a painful condition. However, pain results when the altered forces in the hip cause inflammation and degenerative changes. In most cases, pain is:

  • In the groin area
  • Occasional and mild initially, but may increase in frequency and intensity over time
  • Worse with activity 
  • Some patients also experience locking, catching, and giving way symptoms. 

Cause

DDH tends to run in families. It can be present in either hip and in any individual. It occurs more often in:

  • First-born children
  • Females
  • Babies born in the breech position
  • those with a family history

Treatment

Non-Surgical

  • Observation
  • Physiotherapy
  • Lifestyle Modfication
  • Medications

Surgical

  • Arthroscopy
  • Periacetabular osteotomy (PAO)
  • Hip replacement