Hip Dysplasia

Hip dysplasia can affect infants, children, and adolescents, but early evaluation and expert care can make a significant difference. At Premier Podiatry and Orthopedics, pediatric orthopedic specialist Dr. Sheu provides experienced, family-centered care to guide children through diagnosis, treatment, and long-term hip health.

Hip Dysplasia

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Introduction

Hip dysplasia is a condition in which the hip joint does not form or align correctly. Because the hip is essential for balance and movement, early detection and treatment can greatly improve a child’s long-term comfort and mobility.

What is Hip Dysplasia?

Hip dysplasia occurs when the ball and socket of the hip joint do not fit together securely. The socket may be shallow, or the ball may not stay in the proper position. Infants may show subtle signs during newborn screenings, while adolescents may experience pain, stiffness, or limitations during activity.

What Are the Causes of Hip Dysplasia?

Hip dysplasia can result from several factors, including:

Breech positioning during pregnancy
Family history of hip problems
Swaddling that restricts natural hip and leg movement
Joint looseness or hypermobility
Growth changes during adolescence that reveal alignment issues

How Do I Know if My Child has Hip Dysplasia?

Symptoms may vary depending on age. Parents may notice:

Uneven leg lengths
Limited outward movement of one or both hips
Clicking or popping during movement
Asymmetrical thigh or buttock folds
Limping, toe walking, or a waddling gait in older children
Hip or groin pain during sports or physical activity in adolescents

Hip Screening and Monitoring

Newborn hip screenings often detect early hip instability. When further evaluation is needed, imaging such as ultrasound or X-ray provides a clearer view of hip structure. Children with borderline results or risk factors may require ongoing monitoring to ensure healthy hip development as they grow.

Healthy Hip Habits

Parents and caregivers can support healthy hip development through simple habits:

Swaddling that allows the legs to bend and move naturally
Baby carriers that support the thighs and hips
Encouraging natural movement and age-appropriate play
Avoiding prolonged time in restrictive seats or positions

Treatments for Hip Dysplasia in Young Children

Early treatment in infants and young children is often highly effective. Options may include:

Soft braces that help position the hip correctly
Casting to maintain proper hip alignment
Procedures designed to reposition or stabilize the hip when necessary

Treatments for Hip Dysplasia in Adolescents

Older children and teens may require different approaches depending on symptoms and activity level. Treatments may include:

Physical therapy to strengthen supporting muscles and improve stability
Activity modification to reduce hip stress
Bracing in select cases
Surgical procedures to improve alignment and long-term hip function

Personalized Pediatric Hip Care

Every child’s hip development is unique, so individualized care is essential. At Premier Podiatry and Orthopedics, Dr. Sheu provides personalized recovery and rehabilitation plans tailored to each child’s needs. Families receive clear guidance, ongoing support, and a treatment approach designed to promote healing, mobility, and lifelong hip health.

References

Schmitz MR, Murtha AS, Clohisy JC. Developmental Dysplasia of the Hip in Adolescents and Young Adults. J Am Acad Orthop Surg. 2020;28(3):91-101. doi:10.5435/JAAOS-D-18-00533.

Murphy RF, Kim YJ. Surgical Management of Pediatric Developmental Dysplasia of the Hip. J Am Acad Orthop Surg. 2016;24(9):615-624. doi:10.5435/JAAOS-D-15-00154.

Mulpuri K, Song KM, Goldberg MJ, Sevarino K. Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age. J Am Acad Orthop Surg. 2015;23(3):202-205. doi:10.5435/JAAOS-D-15-00006.

Taylor IK, Burlile JF, Schaeffer EK, et al. Developmental Dysplasia of the Hip: An Examination of Care Practices of Pediatric Orthopaedic Surgeons in North America. J Pediatr Orthop. 2020;40(4):e248-e255. doi:10.1097/BPO.0000000000001505.