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Developmental dysplasia of the hip
Developmental Dysplasia of the Hip | Omar Saleem, MD, MsPT
Dr. Omar Saleem is a highly skilled orthopedic surgeon and physical therapist specializing in the management of Developmental Dysplasia of the Hip (DDH). DDH is a condition characterized by the improper formation of the hip joint in infants and young children, where the hip socket is not deep enough to fully accommodate the ball of the femur. Dr. Saleem is dedicated to providing comprehensive care that includes early diagnosis, effective treatment, and ongoing support to ensure optimal hip development.
Comprehensive Diagnosis
Dr. Saleem employs a thorough diagnostic process to identify DDH in infants and children:
- Physical Examination: Assessing hip movement and stability through various tests, such as the Ortolani and Barlow maneuvers, to check for dislocation or subluxation of the hip joint.
- Imaging Studies: Utilizing ultrasound for infants (typically under six months) to visualize hip joint anatomy, or X-rays for older children to assess the degree of dysplasia and joint alignment.
Non-Surgical Treatment Options
For mild cases of DDH or when diagnosed early, Dr. Saleem emphasizes non-surgical interventions:
- Pavlik Harness: A soft, adjustable harness that holds the hips in the proper position to allow for normal development and proper socket formation. This is usually worn for several weeks or months, depending on the severity of the condition.
- Physical Therapy: Developing a program that may include gentle exercises to improve hip strength and range of motion, ensuring proper development during the early stages of treatment.
Surgical Treatment Options
In cases where non-surgical treatments are ineffective or if DDH is diagnosed later in childhood, Dr. Saleem may recommend surgical intervention:
- Closed Reduction: Manipulating the hip back into the socket without incisions, often followed by casting to maintain the position.
- Open Reduction and Femoral Osteotomy: A surgical procedure to directly reposition the femur and secure it in the proper alignment within the hip socket, ensuring optimal joint function and stability.
- Post-Operative Care: Providing comprehensive follow-up assessments to monitor healing and rehabilitation plans to restore mobility and strength.
Holistic Care and Long-Term Management
Dr. Saleem is committed to a holistic approach to managing DDH, focusing on long-term outcomes and overall health:
- Monitoring Development: Regular follow-up appointments to assess hip joint development and ensure proper alignment as the child grows.
- Family Education and Support: Providing guidance to families about the condition, treatment options, and expected outcomes to alleviate concerns and promote active involvement in the child’s care.
- Rehabilitation: Collaborating with physical therapists to design individualized rehabilitation programs that support recovery and enhance mobility post-treatment.