Hip health is something that sits in the back of my mind on a regular basis. Erin was a late diagnosed case of DDH or hip dysplasia in her right hip. She underwent multiple surgeries and spent months in a spica cast, my most popular post is The signs and symptoms of Hip Dysplasia in toddlers and I know pretty much all there is to know about DDH. I understand the medical terminology, I can read hip X-Rays and the treatment plans. However even I have been a little blindsided by a new development, snapping hip.
Snapping Hip is not a bone issue, it is a tendon or muscle issue and it seems Erin is suffering. DDH is different as in a nutshell it is a ball and socket joint and Erin’s socket was not the cup shape it should be. Hers was pretty flat, so one of the surgeries was to create a cup shape and pin the hip into place. Erin last had hip X-Rays in September and all looked good, so good that her consultant is happy not to see her for a few years. Although at the time Erin was complaining of some hip pain in her ‘good’ hip. Her consultant said this snapping hip was caused by the tendons and to head back to the GP if it continued as it was not bone related and therefore out of his remit.
This past weekend I had an appointment with the GP to discuss this snapping hip as it causes Erin regular pain, she has complained more and more recently and it has even made her cry.
Erin explained to the GP how her hip pops and moves and he examined Erin and asked her to show him where it hurts. He was happy with her movement range and I mentioned her hypermobility diagnosis. I had thought the pain would be due to the hypermobility and again is an example of hypermobility syndrome, the invisible illness.
However, after examining Erin, the GP has suggested that the pain Erin is experiencing and the snapping hip feeling could be as a result of her being out of line in her hips. Erin’s hips still don’t look like a ‘typical normal’ hip and she is not symmetrical due to the surgeries she has had. As a result of not being symmetrical, she is possibly overcompensating on her good side which is causing the issues she is now experiencing. Initially, the GP suggested more Xrays but I explained how we were trying to reduce these due to radiation etc and that as she only had some a few months back I didn’t believe they would show anything new. The GP agreed with me and suggested we head to physio to see what they suggest. If they want to do XRays we will proceed but firstly we are going to let them see if they can work their magic.
I am happy to try this although I have reservations about the physios as they missed her DDH initially, but then so did the health visitors and doctors we saw!
Snapping hip is caused by ligaments not running smooth over the hip, they catch and pull which is painful although at this stage I don’t know what the treatment plan would be. So, for now, we are resting it up as much as a 9-year-old can and waiting for the referral to physio. This all just demonstrates that a late diagnosis of hip dysplasia can have further consequences down the line.