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При дисплазии вертлужная впадина имеет недостаточную глубину и неправильную ориентацию, а головка бедра деформирована и не полностью в ней фиксируется [1](https://yandex.ru/medicine/disease/displazija-tazobedrennogo-sustava)[8](https://locmr.ru/articles/displaziya-tazobedrennykh-sustavov-u-vzroslykh/). \n\nПатология, как правило, возникает ещё во внутриутробном периоде развития и диагностируется в раннем детском возрасте [1](https://yandex.ru/medicine/disease/displazija-tazobedrennogo-sustava)[8](https://locmr.ru/articles/displaziya-tazobedrennykh-sustavov-u-vzroslykh/). Однако клинические проявления могут возникнуть и во взрослом состоянии, обычно на фоне повышенных нагрузок, травм и возрастных изменений [1](https://yandex.ru/medicine/disease/displazija-tazobedrennogo-sustava)[8](https://locmr.ru/articles/displaziya-tazobedrennykh-sustavov-u-vzroslykh/).\n\n\n\n## Причины\nНекоторые факторы, провоцирующие дисплазию: \n* **Генетическая предрасположенность** — если у родителей была дисплазия, риск у ребёнка увеличивается в 6–12 раз [4](https://deti.rzd-medicine.ru/articles/displaziya-tazobedrennogo-sustava-vsye-chto-nuzhno-znat-roditelyam/). \n* **Механические факторы во время беременности**: тазовое предлежание плода, маловодие, ограничивающее движения плода, первые роды (более узкий таз матери), крупный плод [4](https://deti.rzd-medicine.ru/articles/displaziya-tazobedrennogo-sustava-vsye-chto-nuzhno-znat-roditelyam/). \n* **Гормональные влияния**: повышенный уровень релаксина у матери может влиять на развитие связочного аппарата плода [4](https://deti.rzd-medicine.ru/articles/displaziya-tazobedrennogo-sustava-vsye-chto-nuzhno-znat-roditelyam/). \n* **Другие факторы**: токсикоз первой половины беременности может нарушать закладку и развитие суставов [4](https://deti.rzd-medicine.ru/articles/displaziya-tazobedrennogo-sustava-vsye-chto-nuzhno-znat-roditelyam/).\n\n## Симптомы\nСимптомы дисплазии зависят от возраста [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302): \n* **У младенцев (до 1 года)**: асимметрия кожных складок на бёдрах, ограниченная подвижность одной ноги при попытке развести ножки в стороны, щёлканье или хруст в области таза при движении ногами [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302). \n* **У малышей постарше (после 1 года)**: нестабильная походка, «утиноподобная» манера ходьбы (ребёнок переваливается с ноги на ногу), появление болей в ногах при физической активности, хромота, укорочение конечности поражённой стороны [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302). \n* **У подростков и взрослых**: боль в области тазобедренного сустава, которая усиливается при нагрузках, ощущение скованности сустава, нарушение осанки и искривления позвоночника [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302).\n\n## Диагностика\nДля диагностики дисплазии тазобедренного сустава используют различные методы [13](https://nevromed2016.ru/o-klinike/stati/displaziya-tazobedrennyix-sustavov-kak-vyiyavit-i-mozhno-li-vyilechit.html): \n* **Клинический осмотр** — врач оценивает подвижность суставов, симметрию складок и другие физические признаки, выполняет специальные ортопедические тесты [14](https://atribeautemed.ru/services/displaziya-tazobedrennykh-sustavov-u-detey/). \n* **УЗИ (ультразвуковое исследование)** — основной метод для диагностики у новорождённых и грудных детей, позволяет визуализировать структуру и развитие тазобедренного сустава [13](https://nevromed2016.ru/o-klinike/stati/displaziya-tazobedrennyix-sustavov-kak-vyiyavit-i-mozhno-li-vyilechit.html). \n* **Рентгенография** — применяется для диагностики у детей старше 4–6 месяцев и у взрослых пациентов, помогает оценить структуру сустава [13](https://nevromed2016.ru/o-klinike/stati/displaziya-tazobedrennyix-sustavov-kak-vyiyavit-i-mozhno-li-vyilechit.html).\n\n## Лечение\nМетоды терапии дисплазии зависят от возраста пациента и степени повреждения сустава [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302). Некоторые методы: \n* **До 6 месяцев** — мягкие фиксаторы (стремена Павлика, подушка Фрейка), позволяющие поддерживать ножки в нужном положении [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302). \n* **От 6 месяцев до 2 лет** — абдукционные шины (например, шина Виленского), гипсовые повязки, контроль с помощью УЗИ или рентгена [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302). \n* **Старше 2 лет и взрослые** — лечебная физкультура, ортопедическая обувь, стельки, в тяжёлых случаях — операция (остеотомия, коррекция вертлужной впадины) [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302). \n\n**Важно начинать терапию как можно раньше** — чем раньше начата коррекция, тем легче и быстрее достигается эффект [2](https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302).","linksData":[{"sourceId":1,"url":"https://yandex.ru/medicine/disease/displazija-tazobedrennogo-sustava","shownUrl":"https://yandex.ru/medicine/disease/displazija-tazobedrennogo-sustava","title":"Дисплазия тазобедренного сустава - симптомы, причины и лечение","shortUrl":"yandex.ru","isTranslated":false,"description":"","greenUrl":"yandex.ru"},{"sourceId":2,"url":"https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302","shownUrl":"https://Megapteka.ru/specials/displaziya-tazobedrennyh-sustavov-6302","title":"Дисплазия тазобедренных суставов: Причины, симптомы, диагностика, лечение","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":3,"url":"https://eurodon61.ru/about/articles/diagnostike-i-lecheniyu-displazii-tazobedrennogo-sustava-u-grudnichkov/","shownUrl":"https://eurodon61.ru/about/articles/diagnostike-i-lecheniyu-displazii-tazobedrennogo-sustava-u-grudnichkov/","title":"Диагностике и лечению дисплазии тазобедренного сустава у грудничков - Евродон","shortUrl":"eurodon61.ru","isTranslated":false,"description":"","greenUrl":"eurodon61.ru"},{"sourceId":4,"url":"https://deti.rzd-medicine.ru/articles/displaziya-tazobedrennogo-sustava-vsye-chto-nuzhno-znat-roditelyam/","shownUrl":"https://deti.rzd-medicine.ru/articles/displaziya-tazobedrennogo-sustava-vsye-chto-nuzhno-znat-roditelyam/","title":"Детская клиника РЖД-Медицина. 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