Hip Dislocation

A child’s hip plays a key role in movement and stability, but sudden pain and limited mobility can occur when the hip joint slips out of place. If your child experiences a hip dislocation, David Konigsberg, MD, can offer prompt medical attention at Konigsberg Pediatric Orthopaedics in Midland Park, New Jersey. He has expertise in preventing long-term issues and supporting healthy development and movement as your child grows. Book an appointment today online or by phone.

What is hip dislocation?

A hip dislocation occurs when the ball at the top of the thigh bone slips from its socket into the pelvis. The condition is rare in children but serious and requires immediate medical attention. 

The hip joint is typically very stable, so a dislocation usually happens because of a significant force or trauma or a condition that affects hip development, like developmental dysplasia of the hip (DDH).

What are the symptoms of hip dislocation in a child?

When a child has a dislocated hip, you should be able to notice symptoms. The child may experience:

• Sudden, severe pain in the hip or groin
• Inability to move the leg or stand
• The affected leg is shorter than the other
• Inward or outward turning of the leg in an unnatural position
• Swelling or bruising around the hip area
• Popping sound or sensation at the time of injury

Signs may be more subtle in babies or toddlers who aren’t walking yet. You may notice uneven leg creases, limited movement in one leg, or limping once the child starts walking.

How does hip dislocation happen in a child?

In older children and teens, hip dislocation often results from high-impact trauma, such as a fall from a significant height or a car accident. 

The hip may dislocate in younger children and infants because of a developmental condition like DDH, where the hip joint doesn’t form properly and is more likely to slip out of place.

How is a child’s hip dislocation treated?

Dr. Konigsberg’s treatment depends on the child's age and the severity of the dislocation. For most cases, the first step is a closed reduction, which involves gently moving the hip back into place without surgery. Typically, it’s performed under sedation or anesthesia. The child may need a harness, special brace, or spica cast afterward to keep the hip stable while it heals.

In more complex cases, or if your provider can’t reposition the hip with closed reduction, the child may need surgery. Follow-up care includes physical therapy to help regain strength, flexibility, and typical movements. 

If you notice symptoms of hip dislocation, seek early treatment to avoid long-term complications such as joint damage or early arthritis.

Book a consultation today to learn more by calling the office or using the online scheduling feature.