examination is performed as a screening test for the diagnosis of hip
maturation delay and hip dysplasia.
It is recommended to
perform the hip ultrasound in the 4th-5th week of life, but always preferably
before the age of 6 weeks. At this age, cartilage tissue is usually rapidly
malleable, so if there is a delay in hip maturation or hip dysplasia,
therapeutic intervention will be successful.
If there is a hip
maturation delay, handling recommendations and "wide wrap" may be
therapeutic options. In the presence of hip dysplasia usually a brace treatment
is necessary, which can be achieved for example by wearing permanently a soft
brace like a Pavlik harness. If the therapy is started in the first few weeks
of life, a treatment duration of one month may be sufficient, in severe cases
or in case of delayed start of treatment, a therapy of up to five months may be
necessary. The sooner the diagnosis is made, and the treatment is started, the
more likely and faster is complete healing.
Failure to treat
hip dysplasia in infancy may cause gait problems, pain, osteoarthritis, or
dislocation of the hip.