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What is the treatment for hip dysplasia in a baby?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My few months old baby was delivered by breech position. The doctor suggested taking a hip ultrasound. I am attaching her reports. Does she require any treatment?

Please help.
Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

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Hello,

Welcome to icliniq.com.

I went through your query.

I went through her reports (the attachments removed to protect the patient's identity).

We take the lower limit of alpha angle as 60 degrees. The angle lower than this is suggestive of developmental dysplasia of the hip (DDH). Have you consulted any pediatric orthopedic surgeon who has examined the child clinically?

Kindly reply to the above question.

Thanks and regards.

Patient's Query

Hello doctor,

Thanks for your reply.

The doctor said to wait for 3 months after an ultrasound. When the alpha angle improves then it does not need treatment. I have attached a scan report.

Please suggest.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

I do not want to stress you. So basically, for diagnosing DDH, any single investigation is not reliable. We get an ultrasound, clinically examine the child and after 4 months of age get an x-ray. So, the diagnosis is made based on all these things. Moreover, the alpha angle is checked two to three times to look for the trend. If it is improving, then it is not DDH. Also, your child's value is very near to normal, so there is a high chance that it will improve.

I would suggest you let the child grow normally and do not panic. Keep the child under regular follow-up with the pediatric orthopedic surgeon and after 3 months, get an x-ray done.

Hope it helps.

Thanks and regards.

Answered by Dr. Anuj Gupta
Medically reviewed by iCliniq medical review team
Published At December 5, 2023
Reviewed At August 29, 2024

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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