Promote a healthy development of the baby's hip by spreading squats
When babies are born, their hips are not properly trained and are still sensitive and very malleable, especially in the first months of life. The so-called squat spread position when wearing contributes to a healthy development of the baby hip. This is indicated by health experts.
Babies are often worn on the body
Infants like to be carried on their bodies by their parents. The proximity to the mother or father should give them a feeling of security. However, mistakes can also be made that sometimes even cause hip damage. Properly worn, however, also promotes healthy training of the baby hip. This is pointed out by the German Society for Orthopedics and Trauma Surgery (DGOU).
Newborn's hip is not ready yet
After the birth, the hip is not yet finished, but mostly only preformed cartilaginously. It is therefore very sensitive in the first six months of life, the DGOU writes in a message.
According to the experts, it is still very malleable until the start of the run at 18 months. If the hip does not develop properly, then there is a so-called hip dysplasia: the femoral head and acetabulum do not fit together optimally.
The femoral head is only partially covered by the pan - and not as is usually the full width.
In rare cases, the cup is so poorly developed that it cannot hold the femoral head. So-called hip dislocation occurs: the hip dislocates.
Support proper maturation of the sensitive baby hip
Carrying the children in the so-called squat-spread position supports the proper maturation of the sensitive baby hip.
The baby's legs are spread apart and the knees are bent at the level of the navel. This position of the hips also corresponds to the natural position in the womb.
In this position, the femurs act optimally on the acetabular cups with their femoral heads. Properly bound baby slings and selected baby carriers support this hip-friendly posture.
"A healthy hip in childhood is the basis for a pain-free life in old age," says Prof. Dr. Werner Siebert, President of the DGOU and Medical Director of the Vitos Orthopedic Clinic in Kassel.
Improper wearing delays hip development
Conversely, wearing the legs in a stretched position with compressed legs can delay and damage hip development.
“When the thighs are straight, the pan is stressed at its most sensitive and weakest point. The cartilaginous part of the immature pan gives way. It is deformed and dysplastic, ”says Professor Robert Rödl, 1st chairman of the DGOU section“ Association for Pediatric Orthopedics ”and chief physician of the Department for Pediatric Orthopedics, Deformity Reconstruction and Foot Surgery at the University Hospital Münster.
The development of the hip must therefore be observed. The timely underground examinations of the "Yellow Booklet" are crucial.
The hips of children with risk factors are carefully examined with ultrasound at the U2 within the third to tenth day of life. All other children receive hip ultrasound at U3 in the fourth to fifth week of life.
“Hip ultrasound screening is a real blessing. In the past, many more operations were necessary because you missed the crucial phase, ”says Rödl.
However, the DGOU has pointed out in the past that hip sonography is often not used in infants.
Early detection and immediate gentle therapy
Hip ultrasound shows whether therapy is necessary before irreparable damage has occurred. "The earlier we recognize damage, the shorter and gentler the therapy," emphasizes Rödl.
If hip dysplasia is recognized in good time, the therapy is carried out conservatively, i.e. non-operatively: the position of the thighs in the squat-spread position is used for the good cup formation of the hip.
The sling is then no longer sufficient - rails and gypsum pants are used, which work 24 hours a day.
Dysplastic hips that are only recognized after the second year of life can only be corrected by pelvic surgery.
Even in older adolescents and young adults, the pelvis can still be corrected, but the operation is then more complex.
Failure to correct hip dysplasia will result in premature wear. Then it may be necessary to replace it with a new hip joint even at a young age.
This is prevented by early detection and immediate, gentle therapy - ideally immediately after birth - at the latest during the U2 and U3 preventive examinations.
According to the experts, around two to four out of a hundred children are born with hip maturation disorders that require treatment.
Using ultrasound, orthopedic surgeons and trauma surgeons recognize hip dysplasia immediately after birth and can treat it early on an outpatient basis. The diagnostic procedure has been an integral part of the U2 and U3 examinations since 1996.
The fact that hip maturation disorders are discovered and treated early these days will lead to a significant reduction in hip endoprostheses in patients under 50 years of age. Because at least 15 percent are currently used as a result of untreated hip dysplasia.
The introduction of ultrasound examination of the baby's hip therefore makes a significant contribution to improving pediatric health care. (ad)