Hip Diplaysia Support Group #3
Finding out your baby may have Hip Dysplasia can be a stressful time for parents. The thought of putting your baby in a harness can be very upsetting. Please share your experiences past or present and help support others going through this tough time.
Developmental Hip Dysplasia affects approximately 1 in 600 girls and 1 in 3000 boys in Australia. It is a condition where the hip joint is dislocated or prone to dislocation, due to either the socket being too shallow or the ligaments being too slack allowing the ball of the joint to fall out of place. The left hip is 3 times more likely to be affected than the right, and bilateral hip dysplasia is not uncommon. There are a number of known causes of hip dysplasia including family history (1/3 of cases have a family history), congenital disorders (eg spina bifida or cerebral palsy), breech delivery or a multiple birth.
Signs that a baby may have Hip Dysplasia can be reduced joint mobility, a low clunking sound when the leg is rotated or an unusually large perineum. If only one hip is affected, some other signs can be that the skin creases of the buttocks don’t match or one knee may look higher than the other. Sometimes diagnosis doesn’t come until later (about 2 or 3 years old), and this is indicated by an unusual waddling gait, a limp, uneven hips or walking on tiptoes.
Approximately 95% of babies born with hip dysplasia can be successfully treated. Treatment for a newborn involves a Pavlik harness which holds the joint in place while the baby's skeleton grows and matures. Subsequent x-rays will track the hip joint's progress. The Pavlik harness is effective in over 85 per cent of cases. Most babies will require the harness for between six and 12 weeks and do not appear to be distressed by its use. Babies diagnosed over 6 months old may require a general anaesthetic to manipulate the hip back into position, and an operation may be required.
Most babies with successfully treated hip dysplasia have no further hip problems later in life, although they may be susceptible to arthritis.
Sourced from The Victorian Government Better Health Channel Website
Hello friends of bubs with DDH
Hi everyone,
Have been reading your messages over the past week and wanted to come on line and share my experience with DDH. My daughter Summer was diagnosed just prior to 6 months dispite an ultrasound at 7 weeks confirming no hip issues. Due to someone's incompetence she now has to endure 3 months in the spica and 3-6 months in the DB brace.
Its 4 weeks tomorrow since the op and we are both doing great (most of the time). After the initial shock, many tears and fears of being able to cope, extreme anger at the missed diagnosis and worries of how to care for Summer, I can honestly say that we are getting on with life as much as possible as a normal 6 1/2 month old child and mum.
At first when we saw the specialist, I honestly could not get my head around the problem and couldn't stop thinking about all the things that were going to change. How would I b/feed her? Comfort her? Know if she got a skin irritation? She loves kicking her legs and having a bath. All the normal, everyday things which had become our routine and her joys were being taken away from her because of someones incompetence.
Once we got through the surgery and a week or so into it - I finally realised that this was not a disability nor a long-term issue (hopefully). We found an OK feeding position, I comfort her in a new way, her sponge baths make her feel refreshed and even though she still tries to roll over in the spica, she really is the happiest little girl. I also found a way to keep her as clean as possible and have only had 2 little leaks in the whole 4 weeks. (The one thing I was worried the most about).
In 2 weeks we go back to Westmead for the cast to be changed. Unfortunatley Summer goes under again and that will be quite distressing. I know though that the last 6 weeks will go quickly and before long she'll be able to kick her legs in the water for the hr a day she can have the brace off.
A nice quote from a friend keeps be going at times - the joy of family life far outways the pain but without the pain there is no measure of the joy. Summer and I share very special moments each day and that's when I realise how lucky I am to have her and that down the track this will all be sorted and she will develop normally.
Thanks for setting this up Shannon cause I think there is a real need for a support group when DDH is so common. Makes me want to get on the bandwagon and make sure no other mums have to endure what we have when these things aren't picked up early enough (will certainly be doing something).
I'm keen to find out more about a few things:
- how much movement in the brace (tummy and thigh straps not the bar)
- does anyone know much about how quickly bubs pick up with their physical development after they come out of the brace ie. legs come back in, rolling, crawling etc. I know this will vary from bub to bub.
A special good luck to Rochelle for tomorrow. All will be fine and stay strong as you have a little girl that needs you. Just give yourself a chance to get into a routine, see how it affects taylor and try to get on with life as normal as possible. I know this is harder when your bub is older but she needs to still be treated as normal as possible. Hope that doesn't sound harsh.
Hope to talk more with you all over the coming days.
Karen and Summer Rose
Pavlik Harness-help with sleep issues
Hi everyone,
Hope you are all well. I wanted to post a question to see if I may get some advice. I have a 6 month old in a Pavlik Harness, she has been it the harness for 5 weeks now and was coping well considering her given situation. However 2 days ago her sleeping pattern changed. She went from sleeping from 6pm through to 6am in the morning to refusing to sleep at all. For example, she was up from 10pm through to 6am in the morning (on and off). When she fell asleep I would place her in her cot-however 5 min later she would wake and scream,not cry but continually scream like she was in pain. Being concerned for her I took DD to the doctor he couldnt find anything wrong with her. She gets so frustrated that she pulls the straps of her brace and hits her legs. This has only started as of 2 days ago, before she was not hassled by her brace. I am not sure if it is a 6 month thing or if it maybe her brace or wanting to move more and getting upset that she is unable to move. However during the day she will go to sleep in her cot, no worries at all. I am at a loss as to what to do as we have tried everything, in the end we take her into our bed and she falls asleep there. Did anyone else have this? Any advice would be great as we have had no sleep for 2 days. Kartier
Sleeping Problems-Clicky Hips
Hi,
Thanks for your support and help, it has helped us out in our current situation. DD had a few bad days where she just wouldnt sleep at all no matter what we did to help her it wasnt what she wanted or needed. Since then it has settled down and she has been checked out by her specialist and a new harness was fitted yesterday. Although her specialist seems to think it was not the harness but her development (ie teeth). DD has been a little better in sleeping at night but we are still having a few problems putting her to bed,we will keep at it.
BubbaGirl: Thanks for your help. We ended up seeing her doctor the next day and she was o.k. Her specialist thought that it may have been her brace and fitted her to a new one. Since then her sleeping has been o.k. It is strange as she will sleep during the day on time and for 2 hours a go,but when it comes to putting her to bed a night she gets so upset. We end up trying to settle her for an hour then we take her for a drive or a walk. It seems to have helped lately. I am sure it is just a phase DD is going through.
Rachelle: I took your advice and let her cry it out for a little while, but she went on and on for at least an hour. So we gave up and took her for a drive. I know that this will not last I will keep at it and will have some postive news soon
Thanks everyone
Kartier
Anger and Agression in 18 month old in Spica Cast
First off, Kartier, I am glad to hear that your DD is doing a little better. The cry is out method is definitely the hardest emotionally. I think my DD cried for 90 minutes the first night and then she still woke up several times and it took her 30minutes each time to go back to sleep. I gave up quite a few times. It really is so hard to hear your baby crying and not respond. Finally after four months of it with my DD, I just got to the point where I couldn't handle it anymore and literally went out to my living room and put in ear plugs that made her crying not so loud. If your DD is teething, benadryl rubbed on her gums works well. It acts as a topical anethestic. Anyway, I hope things get better.
To all the ladies: Last night was a really hard night for us. My DD is SOOOO angry and is acting out agressively. I got up at 4 AM to change her position and diaper and give her the medication. She was screaming and trying to pull her spica cast off and saying "STOP! STOP!". I finally broke down and lost it and started crying right along with her. :( I feel so helpless! She was so out of control that I had to give her the relaxer/anti-anxiety meds, which I've been trying to stay away from, but she may need a little a few times a day just to get her through these three months. I just can't imagine what must be going through her head, to be a happy 18 month old toddler one day and wake up completely immobilized from the chest down (except her feet). Her anger and frustration is totally warranted I just don't know how to handle it when she gets so physical with me and starts slapping me in the face. I've tried her normal routine of holding onto her hands and telling her "No" firmly. I've also tried telling her that I know she is mad but she can't hit. Hitting hurts. None of it seems to be working and I know she's doing it out of anger because she is "stuck", as she calls it, in her cast. Any advice would be appreciated! :wall:
Rachelle and Taylor
Kartier-Update on DD"clicky hips"
Hi,
Just wanted to give you all an update on DD progress. We all had a rough few weeks. We went to see her specialist a few weeks ago to see if DD could have her harness off all together only to be told that her hips had not healed as fast as what the specialist had wanted. We were shattered at the news. DD was placed in a Rhino cast/harness, which restricts her movement more than the Pavlik Harness. DD hardly slept or ate for the first 3 days after the Rhino cast was placed on her. We have been told that she will be in this cast for 6 more months. I think we both cried hearing that as we were hoping that she would be free from the cast/harness by her first Christmas. It may seem selfish but I wanted DD first Christmas to be free from the harness so she could play. She will still enjoy her Christmas no matter what; just feel upset that she needs to be in the cast for another 6 months. I know that this is for the best for my DD but I know that as a mother I just wanted her to be happy and I know that she is starting to fight me and get frustrated which makes me upset. Not sure what else I can do to help her or us at this stage.
Rachelle- how is DD going? Has she started to settle down yet? Any update on what her specialist thinks?:cry:
Karen- how is summer going?
Suzet- My DD has just been fitted to the Rhino Cast and it has been rather hot at the moment. I have put cloth around her legs where the straps are. This helps stop the rash, hope this helps.