Claire,
It is very possible for a child to have had some treatment, then stopped
treatment, and things to either get worse, or have never been totally
'fixed' in the first place. If a doc at the hospital can feel something
then I would think it is fairly significant. Sorry, I am not trying to
worry you. Much more common is that the doc can not feel something, but on
the x-ray it becomes very apparent that the femur is not in the socket
correctly. That is why the standard of care is to both feel ( manual exam)
and also x-ray ( or ultrasound if the child is under 6 months or so). A
child can often also walk even if there is something wrong with the hip. I
think it would be the best thing that you could do by going to a ped ortho.
Good luck, and let me know what happens with the visit.

Nancy[keeper of the www.hip-baby.org website, mom to Claudia, misdiagnosed
at 9 months by an adult orthopedic surgeon, diagnosed at 16 months old with
bilaterally dislocated hips and DDH by a pediatric orthopedic surgeon, 8
days traction, adductor tenotomy, closed reduction, AVN in left hip, spica
casts for 20 weeks, full-time abduction brace wearing for 1 year, bilateral
open reductions and pelvic osteotomies, spica casts for 7 weeks, now going
for once a year check-ups!]

----- Original Message -----
From: "claire Greaves" <clairegreaves2000@...>
To: <clickyhipsclub@yahoogroups.com>
Sent: Friday, July 23, 2004 3:43 PM
Subject: Re: [Clicky Hips Club] shallow hip????


>
>
> Nancy Sanders <njsanders@...> wrote:Claire,
> I would be worried as you are. A 1/2 mm change is really small. The
> problem with DDH is that if you wait too long then the treatment gets more
> complicated. I agree with Sara who asked if you could be seen by a ped
> ortho. I know in our case we were misdiagnosed by an adult ortho. There
> are so many subleties with DDH that unless the doctor has had training in
> it, those things may be missed.
>
> I would be nervous that someone else looked at an x-ray and noticed she
has
> something not quite right with her hips. Just my thoughts.
>
> Nancy[keeper of the www.hip-baby.org website, mom to Claudia, misdiagnosed
> at 9 months by an adult orthopedic surgeon, diagnosed at 16 months old
with
> bilaterally dislocated hips and DDH by a pediatric orthopedic surgeon, 8
> days traction, adductor tenotomy, closed reduction, AVN in left hip,
spica
> casts for 20 weeks, full-time abduction brace wearing for 1 year,
bilateral
> open reductions and pelvic osteotomies, spica casts for 7 weeks, now going
> for once a year check-ups!]
>
>
>
> ----- Original Message -----
> From: "claire greaves" <clairegreaves2000@...>
> To: <clickyhipsclub@yahoogroups.com>
> Sent: Monday, July 19, 2004 4:53 PM
> Subject: [Clicky Hips Club] shallow hip????
>
>
> > Hi my daughter had/has DDH both hips since birth. She wore a pavlik
> > 24/7 for 6mths and then had an xray where the ADULT orto doc said her
> > hips were still slightly shallow but just said to come back in 6mts
> > when she was re xrayed and they had improved by 1/2 mm???? he still
> > said no treatment was neccassay and hes seeing what will happen. She
> > is going back in a few weeks and im probably being paranoid but if
> > the hips are still shallow DOESNT she need treatment?? has this
> > happened to anyone else. She recently went to the Birmingham
> > childrens hosp for an unrelated check and the doctor there gave her
> > the once over and asked if we knew she had DDH. If a doc can pick it
> > up like that it says to me its not improving??
> > HHHEEELLLPPP.
> > Jessicas mum.
> >
> >
> >
> >
> >
> > Yahoo! Groups Links
> >
> >
> >
> >
> >
> >
>
>
>
> Yahoo! Groups SponsorADVERTISEMENT
>
> Hi Nancy
>
> Thanks for replying to my message, my husband says i should just listen to
the doctor who knows best but ive just got this gut feeling something still
isnt right. The doctor at the childrens hosp dint actually see any x-ray she
did a physical exam?? which i guess makes it even worse really dosnt it if
she can feel something isnt right.
>
> She is walking fine etc so does that mean shes ok or can children still
need treatment although they are walking.
>
> I think im going to go to the consultation and depending on what the doc
says i will have her transfered to a ped ortho.
>
> Do you know of anyone else that has had pavlik treatment then a break and
still needed treatmnt in the end.???
>
> Yours hopefully claire and jess
>
>
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