Dyplasia of the hip joints in children. Treatment with massage, gymnastics, physiotherapy, tire, aspirations, wide swaddling

Dyplasia of the hip joints is a violation of the musculoskeletal function that occurs as a result of underdevelopment of the hip joints, requiring immediate medical correction.

Content

“Dyplasia” - a diagnosis that is quite often, like a thunder among a clear sky, is distributed in an orthopedic office at the first examination of babies. The parents of the child usually do not even know about the existence of this disease and its possible consequences.

IMPORTANT: Dyplasia of the hip joints - inferiority, a lag in the development of the joint, capable of led to subluxation and dislocation of the thigh with improper or insufficient treatment. Depending on severity, 3 degrees of dysplasia are distinguished: 1 - pretending, 2 - subluxation, 3 - dislocation.

Parents can detect the development of dysplasia in a newborn baby, even before visiting a traumatologist. Anxious symptoms are:

visual shortening of one leg
asymmetry or unequal number of folds on legs or under the buttocks
the sound of a click in the thigh or knee
incomplete thigh lead

A children's orthopedic person should confirm or refute the suspicions of the parents, having familiarized himself with the results of an ultrasound or x -ray.

If the doctor prescribes treatment, it must be carried out urgingly, observing all the recommendations.

How to treat hip dysplasia in infants and older children?

Treatment of dysplasia in infants is simple and does not cause discomfort to the child. Depending on the degree of dysplasia, which is determined by the results of ultrasound or x -ray, the doctor may prescribe to the child:

medical physical education
massage
compresses with a warm paraffin to the hip joints
wide swaddling, using larger diapers
medicinal electrophoresis with calcium
wearing a special orthopedic device (stirrups of Pavlik, a pillow of Freik, Beker's pants, Enokovsky apparatus)

These measures are aimed at long -term retention of the baby’s legs in a bent position or their movement at a certain angle and can be prescribed both in the complex and separately.

Important: if you identify dysplasia in time and carry out the necessary treatment, the disease will retreat forever and will never make itself felt. In cases where parents do not make any efforts to eliminate dysplasia in a child, the pathology progresses and acquires complicated forms. As a result, the child may noticeably limp when walking, or he will not be able to walk at all.

The treatment of dysplasia in older children is long, complex and is associated with a number of inconvenience. It is very difficult to limit the adult child for a long time, which is necessary to fix the joint in the correct position. Often, such children can only help with surgery.

Gymnastics for hip dysplasia in children. Exercise therapy for hip joint dysplasia, video

Therapeutic exercises (exercise therapy) for the treatment of dysplasia in children can be performed by parents. Despite the fact that all the movements of the exercises are very simple, with regular repetition they quickly give a good result:

Legage of the legs. The child lies on his back, on a hard surface. Mom carefully bent the baby's legs at the knees and lifts in the hip joints. From this position, the legs are smoothly spread to the sides, trying to touch the bent knees to the surface. Repeat 5 - 6 times
Bending straight legs. The initial position of the child is the same. Mom, holding even legs by the heels, lifts them as high as possible, trying to reach the head, 5 - 7 times
Head. The straight legs of the child are removed as much as possible, as close as possible close to the head, 5 - 7 times
District of straight legs. The child is still on the back. Mom aligns lowered legs and breeds them to the sides, 7 - 8 times
"Frog". The child is on the tummy. Mom bends the legs in his knees and hip joints so that the knees touch the surface. The baby's pose resembles a frog pose, hold for about 10 seconds, repeat 5-7 times
Touches with heels. The initial pose of the child is a “frog”. Mom connects the heels together and carefully pulls them to the buttocks. Repeat 5 - 7 times
Standing on the foot. The child is on the stomach. Mom pulls on the level of the pelvis in turn each leg bent at the knee, and puts it on the foot. Repeat 5 times for each leg

Video: gymnastics for hip dysplasia in children

Important: you can conduct classes with a child at any time of the day, the main thing is that he is in a good mood, did not want to sleep or eat. The complex can be repeated 2-4 times a day. All movements should be very neat, smooth. It is unacceptable for the child to feel discomfort or pain.

Orthopedal can also recommend other exercises.

Children's massage with hip dysplasia, video

Massage occupies an important place in a complex of procedures aimed at combating the dial -up joints of hip joints in children. Massage should be carried out by a professional masseur, but if desired, parents can adopt the basic movements from a specialist and perform massage on their own.

Massage movements are divided into preparatory and local. Preparatory movements - stroking, sliding over the entire surface of the body, are necessary for a smooth transition to more intense actions.

After slight warming up, smooth soft movements change to rubbing that can affect the muscles. Rubbing begins on top and gradually pass into the gluteal region, where intense massage of the affected joint is performed.

Important: the duration of one massage session should not exceed 25 minutes, of which the first 5 minutes is assigned to warming up and a general effect. If a child behaves uneasily during the massage, cries or breaks out, you need to stop all the actions and consult a orthopedist. Perhaps, during massage movements, errors were made.

Both for performing gymnastic exercises, and for performing massage for a child, there are a number of contraindications:

heart disease
hernia
increased body temperature
SARS

Important: in order to achieve the effect and consolidate the achieved result, it is necessary to carry out 2 to 3 courses of massage consisting of 12 - 15 sessions, with a period of 1 month.

Video: Children's massage with hip dysplasia

Hip dysplasia, physiotherapy

Effective in the treatment of dysplasia in children drug electrophoresis. Typically, an orthopedist prescribes 7 - 10 sessions of electrophoresis with calcium. During this procedure, the drug is transferred to the hip joints using electric current through metal plates.

Important: sessions of electrophoresis do not cause pain or discomfort to the child. The baby feels only a slight tingling in the field of exposure.

The duration of one electrophoresis session does not exceed 15 minutes. During this time, liquid calcium is supplied to the affected joint, which affects it exclusively and does not affect other organs and systems of the child's body.

Important: contraindications for the procedures of electrophoresis are poor blood coagulation in a child, as well as the presence of tumor diseases, bronchial asthma, infectious disease and wounds in the places of application of plates.

Wide swaddling with hip dysplasia video

Wide swaddling is used both for the treatment of mild degree of dysplasia and to prevent its development in infants. This method is used for children from birth to six months. Its action consists in establishing the correct ratio of the thigh head to the acetabulum and long -term fixation of this position. It gives good results if the treatment has begun in treatment.

Important: wide swaddling, unlike special orthopedic devices, does not limit the baby in movements. In addition, this method of swaddling has a calming effect on the child.

Wide swaddling is as follows:

Spread a thin light diaper on a changing table
A thick bike diaper, folded with a triangle, spread on top of the thin
Roll another dense large diaper so that it forms a square of 20 × 20cm, and put aside aside
Put the child in the diaper on these diapers
Take the baby bent at the knees by 90 ° C
With the ends of the triangle diapers, wrap the baby’s hips, and direct the lower corner up to the navel
A pattern prepared earlier, lay between the legs of the child
Fix the dense diapers well by wrapping the child’s torso with the lowest diaper
Free ends of light diapers, turn up under the upper edges

The pose in which the child finds it, thus, is most favorable for the proper development of the hip joints.

Video: how to swaddling to avoid dysplasia

Tire for hip dysplasia in children

Orthopedic tires for the treatment of hip dysplasia in children are devices that can fix and hold the legs in a certain position for a long time. They are somewhat different in design. This or that type of tires prescribes an orthopedist, depending on the severity of the disease and age of the child.

Shine (pillow) Freik Assign to children 1 - 9 months. The wearing time and the size of the Freik pillow determines the orthopedist. Outwardly, it resembles a hard roller with soft edges, which is located between the legs of the child and is fixed using ties and Velcro on the baby's chest.

Video: how to choose and use a pillow of a fryer correctly

Vilensky tire It is a metal strut with leather cuffs. The size of the tire is regulated using a special screw. The legs are surfaced in 3 standard sizes of Vilnius tires:

small (breeding 16 - 23 cm)

average (21 - 33 cm)

large (33 - 50 cm)

It is possible individual manufacture of tires in accordance with accurate measurements of the child.

Video: how to choose and use the Vilnius tire correctly

Stirrups in hip dysplasia in children

Pavlik’s stamp, as well as previous orthopedic devices, are named after their creator. For the treatment of dysplasia in children, they have been successfully used since 1944. A distinctive feature of stirrups is the ability to move the legs, but they are all strictly limited by the so -called “safe” zone. At the same time, there is no rigid fixation. Pavlik’s stirrups are convenient to use. Parents can easily replace the child with a diaper without removing them.

Usually, to achieve positive results in treatment, doctors recommend a round -the -clock wearing of Pavlik stirrups for 5 to 15 weeks. At the same time, the monitoring of the health status of the child is necessarily carried out by an orthopedist every week. As the child grows, the doctor regulates the tension of the belts.

Important: improper exploitation of stirrups can lead to complications and even greater deformation of the thigh. Complications are also possible in the form of damage to the shoulder plexus and paralysis of the femoral nerve.

Video: how to choose and use Pavlik's stirrups correctly

Operation for hip dysplasia

When dysplasia is diagnosed in an older child and traditional methods will no longer help or the treatment prescribed by the doctor does not bring the desired effect, surgery is performed.

There are several types of operations to eliminate hip dysplasia:

closed reduction - the operating doctor with the help of certain manipulations returns the femoral head to the acetabulum
open reduction - the surgeon moves the femoral head to a certain position and at the same time shares and lengthens the tendons
the femoral (rotational) osteotomy is a two -stage operation that ensures the stable position of the femur. At the first stage, the upper thigh is destroyed, at the second - the femoral turn is performed to ensure its proper position relative to the acetabulum. The new position is fixed with metal plates
pelvic osteotomy - a deepening of the acetabulum with bolts and transplants
tenotomy - lengthening the tendon surgically

After conducting surgical intervention, the child is hospitalized for several days. The result of a successful operation to eliminate hip dysplasia is the rapid return of the child to normal life without limiting his movements.

How to treat hip dysplasia in children: tips and reviews

Olga about Freik's pillow: “In my twin daughters, dysplasia was diagnosed in the first month of life. The orthopedist prescribed Freik's pillows. The most interesting thing is that in the process of treatment, the daughters were absolutely not capricious and even calmly slept in their Shinks at night. I taught them to pillows gradually. On the first day, they wore them for an hour, in the second - for three hours. On the third day, I left my daughters in Freik pillows for 12 hours. If the children experienced discomfort, I made them a relaxing massage. Thanks to this wonderful adaptation, both of my daughters are absolutely healthy today "

Elena: “In our experience, I can say: the sooner dysplasia of the joints is revealed, the easier and faster its treatment will pass. When his son was 2.5 months, on the basis of the results of the ultrasound, the orthopedist diagnosed him: dysplasia 1-2 degrees. At the consultation of an orthopedist, we found ourselves because the baby had asymmetric folds on his legs. Our main treatment was massage and gymnastics. In addition, we went through a course of electrophoresis procedures (12 sessions). After 2 months from the start of treatment, an ultrasound was repeated. His results were very pleased with me. My child is absolutely healthy! This is how we managed to quickly defeat dysplasia without the use of tires, struts and other devices. "

Oksana: “My son was discovered at only 10 months of dysplasia, although before that we passed examinations of 1, 3 and 7 months. The son already walked well when he was hypnowned. The child had hysteria and shock. Yes, and I have my husband too. After 3 months, the gypsum was removed. Instead, his son was put on stirrups for 6 months. Then there was a massage and a course of electrophoresis with calcium. Now, finally, all our torment is over. The child is healthy and this is the most important thing "

Parents who treat children with hip dysplasia are very important to accurately follow all the instructions of the orthopedic doctor, because this disease cannot pass by itself. The consequences of the lack of treatment can be lameness, curvature of the spine, osteochondrosis, coksartrosis. Often, a children's dysplasia, a disability in adulthood in adulthood.