The Hip Disorders Program at Children's Hospital Los Angeles specializes in diagnosing and treating:
- congenital hip disorders
- developmental hip disorders
- post-traumatic hip abnormalities
- adolescent and young-adult hip pain
Specially trained pediatric orthopaedic surgeons use the latest diagnostic techniques, including ultrasound, arthrography, bone scans, computed tomography (CT) and magnetic resonance imaging (MRI) in their evaluation. CT and MRI evaluation in 3-D assists the orthopaedic surgeon in optimal surgical planning.
- orthopaedic surgeons
- physical therapists
In addition to the disorders listed below, our physicians also care for children, adolescents and young adults who have hip pain resulting from trauma, sickle cell disease, steroid treatments or renal transplants. In addition, treatment is available for patients with hip pain from all forms of arthritis, including juvenile rheumatoid arthritis, septic arthritis or other inflammatory hip conditions.
Developmental Dysplasia of the Hip (DDH)
COC orthopaedists in the Hip Disorder Program diagnose and treat dysplasia including abnormal hip development in infants and toddlers. Treatment alternatives vary with the severity of the problem. Some children under six months of age with hip dislocations may only need to wear a brace while others require surgery. As a child becomes older, surgical procedures are more frequently needed. Reconstructive bone surgery may be necessary to correct anatomic abnormalities and to prevent arthritis of the hip.
Legg-Calve-Perthes disease results from a loss of blood supply to the hip, usually affecting active boys aged four to ten. The Hip Disorder specialists are experienced in early detection of this condition and in determining the most appropriate type of treatment. Treatment for LCP disease begins with regaining good hip movement through physical therapy, exercises or traction. After hip movement has improved, x-rays, CT, or MRI may be used to determine treatment alternatives which range from bracing to reconstructive surgery.
Slipped Capital Femoral Epiphysis
Slipped Capital Femoral Epiphysis is a condition usually affecting growing adolescents aged ten to fifteen in which the ball of the hip begins to slip at the growth plate. Symptoms include a limp and gradual onset of hip or knee pain for several weeks or months. This condition is best treated by early diagnosis and surgery to stabilize the slippage. Specialists utilize the latest surgical techniques to avoid disabling complications.
Femoroacetabular Impingement is a condition usually affecting young adults and typically results in intermittent groin or hip pain. A misshapen femoral head (ball) and/or acetabulum (socket) causes excessive friction in the hip joint and can result in damage to the cartilage or labrum. The diagnosis can usually be made based on the clinical history, physical findings, and x-rays. CT and/or MRI are helpful if surgery is recommended. Not all patients require surgery. If surgery is necessary, the bone abnormalities can be addressed via hip arthroscopy or open surgery.