Spica Cast Advice

What to expect (and how to cope) when your child with
congenital hip dysplasia is placed in a spica cast.

Home › What is Hip Dysplasia?

Pediatric Hip Dysplasia

Developmental Dysplasia of the Hip (DDH) is a condition that results in the hip joint not being aligned correctly. It affects thousands of children and adults each year and is known by many different names, including:

  • Developmental Dysplasia of the Hip (DDH)
  • Hip Dislocation
  • Congenital Dislocation of the Hip (CDH)
  • Loose Hips

Hip Dysplasia prevents the hip joint from functioning properly and the joint wears out much faster than normal, much like a car's tires will wear out faster when out of alignment. It is also a "silent" condition that means pain is not normally felt until much later stages, making it harder to detect.

Approximately 1 out of every 20 full-term babies has some hip instability and 2-3 out of every 1,000 infants will require treatment. In spite of the frequency of DDH in babies and the potential for life-long disability caused by DDH, the awareness of this condition is poor outside of the medical profession.

Early diagnosis, prevention, and simple treatment is the best solution, however many hip dislocations are difficult to treat with the current methods of care.

In some cases, pediatric cases of DDH can be treated with a pavlic harness. But should the harness not correct the problem, there is a good chance the child will wind up spending a few months in a spica cast.