At Slocum Center in Eugene, Oregon, our hip surgeons specialize in developmental dysplasia. We have been treating hip injuries and conditions for more than four decades. In fact, our hip team has helped hundreds of Eugene-area patients each year regain strength, flexibility, and function through their commitment and continuous education.
Hip dysplasia describes a problem with formation of the hip joint before or shortly after birth. Perthes is a rare childhood disease that happens when the blood flow to the head of the thighbone for reasons that are not clear is interrupted. This causes the bone cells to die.
Hip dysplasia occurs in about 0.4% of all births, and is most common in first-born girls. Risk factors include: family history, babies born in breech position, and problems resulting from the in-utero position of the baby. Perthes Disease most commonly affects boys between 4 and 8 years old, and will be present in both hips in one-fifth of those affected.
The goal of treatment for hip dysplasia is to properly position the hip joint. In the first six months of age, the standard of care is a Pavlik harness, which holds the hips bent up and out but allows for motion as the child kicks the legs. If the hip does not remain in the socket, surgery may be needed.
In general, treatment of Perthes Disease is aimed at relieving symptoms, maintaining hip motion, and keeping the hip in the proper position. Occasionally, surgery is needed to keep the femoral head inside the hip joint, but most often treatment of Perthes Disease is nonsurgical.