A hip dysplasia is a congenital developmental disorder of the hip, which is usually detected in babies by means of ultrasound and usually heals without consequences with the right therapy. A so-called residual dysplasia, in which the hip does not develop properly despite treatment in childhood, is relatively rare nowadays. However, if hip dysplasia in children is overlooked or treated too late, serious consequences can occur.
Untreated, joint wear threatens
Frequently, premature wear of the hip joint (coxarthrosis) already occurs in young adults. Not infrequently, a joint replacement is necessary even at an early stage. Here you will learn which symptoms cause hip dysplasia in adults and what treatment options there are.
Hip dysplasia: Symptoms sometimes late
An unrecognized hip dysplasia may only lead to initial symptoms in adulthood. Usually it comes first during sports or heavy loads to pain in the groin or in the lateral hip. Also, sudden joint blockages, a sense of instability or a "buckling" of the joint can occur.
Hip pain in osteoarthritis
If the hip dysplasia is not treated, the hip joint can be permanently damaged. Because of the incorrect loading of the articular surfaces, the joint wears out very quickly - under certain circumstances, there is already before the 40th year of age to a painful hip joint arthrosis.
This manifests itself then by strong pain with the smallest loads as well as with long sitting and standing. In most cases, the mobility of the hip is reduced and the ability to walk is restricted. Often the affected people are severely limited in their everyday lives and rely on painkillers.
Diagnosis "hip dysplasia" by X-ray
In adults, hip dysplasia can usually be easily diagnosed by an X-ray. It is a good way to assess the shape and position of the hip joint. In addition, it can be seen whether there is already an arthrosis of the hip.
By examining the symptoms (history) and a physical examination, the doctor can estimate the severity of the discomfort in order to select the right treatment method.
Therapy: OP usually necessary
Unlike babies, adults with hip dysplasia usually need surgery. Because the malposition of the hip joint must be corrected in order to prevent further damage to the joint. There are various surgical procedures that aim to "fit" the femoral head better in the pan and thus to achieve the most natural possible joint position.
Tönnis's so-called triple osteotomy is most frequently performed. The ilium, pubis and ischium are severed and re-attached in an altered position. This reshapes the malformed acetabulum so it can better encase the femoral head.
Joint replacement in hip dysplasia
The success of surgical treatment of hip dysplasia in adults is critically dependent on how severely affected the hip joint is. If there is no or only a small degree of osteoarthritis, the discomfort caused by the operation can be significantly alleviated.
However, with severe wear and tear, an artificial hip joint may be the only way to remain permanently pain-free as an adult with hip dysplasia.