Hip Ultrasound

Hip anomalies can be detected and treated early. The incidence of this anomaly is 1-2 per 1,000 newborns, with girls being affected four to six times more often than boys. Breech presentation and a positive family history can also increase the risk of hip dislocation.

In Germany, two hip ultrasounds are recommended to screen for this condition. The first ultrasound is done at the U2 exam, which is usually conducted between the 3rd and 10th day of life, and the second ultrasound is done at the U3 exam, which takes place between the 4th and 6th week of life. During the ultrasound exam, the structure and position of the hip in relation to the pelvis are carefully examined. Two angles, alpha, and beta, are measured, and based on these criteria, the decision is made whether the hip is normal, should be watched, or therapy should be started.

If therapy is required, a referral is made to an orthopedic doctor. The therapy for hip dislocation is conservative and depends on the severity of the dislocation, a pelvic harness or a cast may be used. The duration and method of therapy are determined by the orthopedic doctor.

One of the most common questions that parents ask is whether their child will have problems with walking and running later in life if they have had hip dislocation. The good news is that if the dislocation is recognized and treated early, children will have no problems with walking or running later in life. They will be able to take part in any sports activity they desire. During the newborn period, the hip is still made of cartilage, and through therapy, the hip can be formed properly and pushed back into the pelvis.

If you have any concerns or questions about your child's hip development, we encourage you to speak to your pediatrician or orthopedic doctor.

Ressources:

https://register.awmf.org/assets/guidelines/033-033l_S2k_Hueftdysplasie_2021-12_01.pdf

https://www.kbv.de/media/sp/KBV_PraxisWissenSpezial_SonografieSaeugling.pdf