By Annette Pinder 

Kevin T. Schauer, MD, a pediatric orthopedic surgeon at UBMD Orthopaedics & Sports Medicine, specializes in diagnosing and treating hip dysplasia in infants, children, and adolescents. 

What Is Hip Dysplasia?

Developmental dysplasia of the hip (DDH) occurs when the ball at the top of the thighbone does not fit properly into the hip socket. The socket may be too shallow, making the joint unstable or, in severe cases, dislocated. The condition affects approximately one to 28 out of every 1,000 newborns, depending on how it is defined and diagnosed. Although some cases are mild, others require treatment to prevent future joint damage.

Who Is at Risk?

According to Dr. Schauer, genetics and fetal positioning are important risk factors. Babies born in the breech position, with their feet or buttocks first, are at increased risk. Family history also matters. Children with a parent or sibling who has hip dysplasia are more likely to develop the condition. A family history of hip problems requiring replacement at an unusually young age may also warrant attention.

Because newborns rarely experience noticeable pain from hip dysplasia, screening is essential. Pediatricians routinely examine babies’ hips during well-child visits and recommend ultrasound screening for babies born in the breech position, even when their physical examinations appear normal.

Treatment Depends on Age.

When diagnosed early, hip dysplasia can often be treated without surgery. Infants may wear a specialized brace called a Pavlik harness, which holds the hips in a position that promotes normal development. Some children require additional bracing or casting. Older children with more significant abnormalities may need an osteotomy, a procedure that carefully cuts and repositions bones to improve hip alignment and stability. Dr. Schauer emphasizes preserving the natural hip joint whenever possible.

What Happens When Hip Dysplasia Goes Undetected?

Some children with undiagnosed hip dysplasia may have few symptoms for years. Problems may not become apparent until adolescence or young adulthood, when persistent hip or groin pain develops. If left untreated, dysplasia can gradually damage cartilage, increasing the risk of premature arthritis and potentially requiring hip replacement at a younger age. For adolescents and young adults, hip preservation procedures may help improve joint function and delay or prevent the need for replacement.

When Should Parents Seek Help?

Parents should consult their pediatrician about persistent hip pain, limping, uneven leg movement, or concerns about walking development. Pain that repeatedly interferes with sports or everyday activities should not be dismissed as growing pains. 

Beyond hip dysplasia, Dr. Schauer treats childhood fractures, sports injuries, ligament and cartilage injuries, and developmental issues affecting the knees, feet, and gait. His goal is to preserve joint health and help young patients remain active throughout their lives. He also emphasizes that early evaluation can make a meaningful difference. Parents who notice persistent pain or unusual movement should not hesitate to seek an orthopedic evaluation. 

Dr. Schauer sees patients at UBMD Orthopaedics & Sports Medicine in Williamsville and Orchard Park. Learn more and request an appointment at https://ubortho.com or call 716-204-3200.