How are hip dislocations diagnosed in babies?

One out of a hundred babies will have a little hip instability, but only one out of a thousand will have true hip dislocation or hip dysplasia. We catch this in the newborn nursery: When the child is relaxed, and not fighting the examination, we place our thumbs in the hip joint and rotate the leg and hip outward. If we feel a clunk, that is the femoral head (the top of the thigh bone) returning to the hip socket.

This does not hurt the babies, and often they're not crying or fussing while we are doing this (especially if we have good timing). Another way we look is to flip the baby on her tummy and see if her butt cheeks have symmetrical folds. Those with congenital hip dysplasia are put into a harness to keep the hips flexed and prevent complete dislocation.

This allows the capsular structures to tighten and maintain hip stability. It works 95 percent of the time. If reduced early, there is a great chance that it will be entirely normal at two years and thereafter.

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