Depending on the degree of deformity present in the naciomiento this disease includes pictures ranging from the dislocated hip to alterations of the acetabulum less important, occurs in newborns, is more frequent in girls, primiparous, breech birth and left hip .
When exploring the child we see that we can not separate the hip completely if the hip is dislocated, thus the Ortolani maneuver is positive. If we can separate the hip we will perform the Barlow maneuver to verify that the hip is stable and does not dislocate. In turn we should inspect the naked child well to see if there is asymmetry of groin and gluteal folds.
This exploration must be done in the first days and at 3 and 6 months of age when there is suspicion of this disease. In this period any alteration must be studied by ultrasound, simple radiology can begin to be used between 3 and 6 months since before the absence of ossification centers will make the radiology useless for the diagnosis.
The treatment depends on the situation of the hip and the age at which the dysplasia is diagnsoticada:
• Less than 6 months: closed reduction + Paulik harness for 6 weeks
• 6 to 24 months: closed reduction and soft traction for 3 weeks. If this is not resolved, surgery is recommended by percutaneous tenotomies and inguinal plaster.
• Greater than 2 years: Surgery: open reduction associated or not to osteotomies.