Abstract
Objective: to identify the signs of hip dysplasia in a large clinical material along with the symptoms of rickets (sweating, alopecia of the occipital region of the head, muscular hypotonia, irritability child). Materials: 935 children were observed at the CCH No 2 in Astana for 2010 with hip joint pathology, of whom up to 6 months, 56.6% after 6 months ‐ 32,6% to be conservative treatment and 10.8% children received surgical treatment. Results: Ultrasonography in 35.8% children 2‐3 months of age revealed a sharp flattening of the bone and bone bay window roof (angle d ranged between 34 ‐39), cartilaginous portion of the acetabulum has been shifted cranial ossification nucleus head femur was missing. At the age of 4‐5 months during treatment in the stirrups Pavlik appeared signs of the formation of the femoral head in the form of separate small “clumps” in 46.5% children in the remaining 36.5%, these terms are shifted to 6‐7 months of age (the angle d 48‐52). Only by 9‐10 months gradually underwent a process of mergers and the formation of a homogeneous core of ossification center of the femoral head (the angle d approaching 56‐58), cartilaginous portion of the roof of the acetabulum was relatively short. By the year 33% of patients the size of the hip bone formation were reduced, and only 67% of patients taking shape hip well‐formed, bone bay took a rectangular shape, cartilaginous part of the femoral head is completely covered).