The hip joint is the joint connecting the thigh and pelvis. Due to incomplete development, children are prone to dislocation of the hip joint, which will cause permanent injury. So, how should children hip joint dislocation be treated?
The dislocation of crotch joint in children is likely to be caused by congenital factors. The reason is related to the pregnancy of the mother. During the second to third months of pregnancy, when the fetal hip joint was formed, the cold, fever or other diseases of the pregnant mother caused the fetal growth to stop for a while, and the joint did not develop normally, resulting in dislocation. The male to female ratio of the disease is about 1:5. When a child is born, especially a girl, young parents must pay attention to check it.
Experts explain that this is because children's joint capsule is stronger than bone. Even if they are accidentally broken by external force, there will be no dislocation. Children's dislocation of hip joint can appear symptoms long ago, but some parents mistakenly think it's because children are naughty and deliberately don't walk well, or misdiagnosed as calcium deficiency in basic hospitals and other reasons, which often delay the early diagnosis and treatment.
How to deal with dislocation of hip joint in children
1. Tirafa
The patient lies on his back, the assistant's movement and the operator's position are the same as the above method. During the reduction, the operator first bends the hip and knee joint of the affected side to 90-deg; to relax the iliofemoral ligament and knee flexor, then holds the lower leg with one hand and presses it down, while the other arm covers the back of the knee and pulls it up, so that the femoral head moves forward close to the breach of the posterior wall of the joint capsule, and at the same time rotates the femoral shaft inward and outward, so that the femoral head slides into the hip socket, helping to The hand can push the femoral head to the acetabulum at the same time. An obvious noise can be heard or felt frequently. This method is relatively safe.
2. Treatment after reset
After reduction, it can be fixed for 4-5 weeks with unilateral crotch herringbone plaster (or fixed with sandbag to make the affected limb show slight abduction and internal rotation). Later, it can be used for early movement of crutches, but the affected side can not bear weight. After 6-8 weeks, X-ray examination is carried out to show that it can walk with weight when there is no necrosis of femoral head.
3. Old dislocation of hip joint
Because the acetabulum is full of fibrous scars and the surrounding soft tissue contracture, manual reduction is not easy to succeed. According to the time of dislocation, local lesion and the condition of the wounded, the treatment method can be determined. If the dislocation does not exceed three months, or try manual reduction. After 1-2 weeks of bone traction, the femoral head was pulled down to the edge of the acetabulum, and then the hip joint was moved by gentle manipulation under anesthesia to release the adhesion, and then it was restored by fresh dislocation. But don't be rude to avoid fracture. If the manual reduction is not successful or the dislocation has been more than three months, the operation should be performed. In case of serious damage to the articular surface, hip joint fusion or artificial joint replacement can be performed according to the patient's professional decision.