SLOB

Why? What YOU called home isn't there anymore. There are rare exceptions, but, generally, everything changes. Old literature? Literature that you as a resident in orthopedics and were at home with – vast literature of CDH hip surgery – freezes mind time but not the universe in which it exists. You feel the need to do whatever [the then] science articles proved was right to do ( but which ignore ongoing changes of context – that home of CDH/DDH was indeed changing). That is where we are. Things changed. The whole world of this topic changed. But the sacred quoted literature did not. That dated old familiarity persists. People are not saying CDH or DDH... just vaguely ... children with hip dysplasia. DH An Austrian found a great & noninvasive way (ultrasound) to screen hips of newborns. Seen early, a pair of cute suspenders & stirrups fixes the newborn problem in 8 weeks!

Hip dysplasia goes AWAY!!! Yesssssss!!!!

Uh... No. You see, remember those babies that were slated for heaven? Yeah, them. They are now surviving with all the new things we have learned to do. Heaven can and did wait. Late term womb pressure isn't something these tiny kids get to experience, so their hips are as preemie as the baby, but normal . But their nervous systems? That is another story, a different story. Neurological injury often takes time to manifest as not all the circuits have gotten to where they are going yet. Damage to supportive brain cells isn't seen until that lack of supportive function chips away at the neurons that are missing that support. Again a similar gradual PRESENTATION of hip dysplasia. But it is not the same damage. This new cause (muscular pressure) which worsens with time. And the soft socket is pressed flat on the opposite side of the socket as in CDH.