Hip Dysplasia Research Paper
OB PROJECT (WEEK 4)
Definition:
Hip Dysplasia- dislocation of the hip joint that is present at birth.
Cause:
The socket is too shallow and the ball may slip out of the socket, partially or completely (one or both hips may be involved) The cause is unknown.
Risk factors include:
• Low levels of amniotic fluid in the womb
• Females are at higher risk
• Family history
• Breech
• Being the first born
• Large birth weight
Signs & Symptoms:
• Legs may turn outward
• Shorter leg on one side
• Reduced movement of affected side
• Uneven skin folds of the thigh or buttocks
Once the child begins walking, symptoms may include:
• Back that is rounded inward
• Child walks on their toes on one side because one leg is shorter
• Waddling or limping
Labs/Diagnostic Tests:
• Physical exam
• X-ray
• Ultrasound
Treatment:
• A brace or harness is used to hold the hip joint in place as the child grows (more effective if problem is detected before 6 months of age)
• Surgery is performed if the harness is not effective of if the problem is found after 6 months
Nursing Interventions:
1. Perform physical examination.
2. Assess the newborns reflexes.
3. Compare lengths of the legs.
4. Assist with X-ray if needed.
5. Explain condition to mother and possible treatments.
6. Handle newborn gently.
7. Educate mother on proper use of the harness if ordered.
8. Perform preoperative teaching if child is to have surgery.
9. Encourage maternal/fetal bonding.
10. Watch for skin irritation due to the bracing device.
NANDA Diagnoses:
1. Risk for delayed development R/T effects of dislocation of the hip.
2. Risk for impaired skin integrity R/T rubbing from the bracing device.
3. Impaired comfort R/T bracing device.
4. Deficient knowledge R/T unsuspected hip dislocation.
5. Risk for falls R/T physiologic effects of hip dysplasia.
Long-Term Problems:
If condition is found in the first 6 months after birth, it can usually be successfully treated with a bracing device. If left untreated hip dysplasia will lead to arthritis and deterioration of the hip, which can be severely debilitating.
Definition:
Hip Dysplasia- dislocation of the hip joint that is present at birth.
Cause:
The socket is too shallow and the ball may slip out of the socket, partially or completely (one or both hips may be involved) The cause is unknown.
Risk factors include:
• Low levels of amniotic fluid in the womb
• Females are at higher risk
• Family history
• Breech
• Being the first born
• Large birth weight
Signs & Symptoms:
• Legs may turn outward
• Shorter leg on one side
• Reduced movement of affected side
• Uneven skin folds of the thigh or buttocks
Once the child begins walking, symptoms may include:
• Back that is rounded inward
• Child walks on their toes on one side because one leg is shorter
• Waddling or limping
Labs/Diagnostic Tests:
• Physical exam
• X-ray
• Ultrasound
Treatment:
• A brace or harness is used to hold the hip joint in place as the child grows (more effective if problem is detected before 6 months of age)
• Surgery is performed if the harness is not effective of if the problem is found after 6 months
Nursing Interventions:
1. Perform physical examination.
2. Assess the newborns reflexes.
3. Compare lengths of the legs.
4. Assist with X-ray if needed.
5. Explain condition to mother and possible treatments.
6. Handle newborn gently.
7. Educate mother on proper use of the harness if ordered.
8. Perform preoperative teaching if child is to have surgery.
9. Encourage maternal/fetal bonding.
10. Watch for skin irritation due to the bracing device.
NANDA Diagnoses:
1. Risk for delayed development R/T effects of dislocation of the hip.
2. Risk for impaired skin integrity R/T rubbing from the bracing device.
3. Impaired comfort R/T bracing device.
4. Deficient knowledge R/T unsuspected hip dislocation.
5. Risk for falls R/T physiologic effects of hip dysplasia.
Long-Term Problems:
If condition is found in the first 6 months after birth, it can usually be successfully treated with a bracing device. If left untreated hip dysplasia will lead to arthritis and deterioration of the hip, which can be severely debilitating.