crumblling hip in child

[amanda1981]

my son was born with dislocated hips he had the plastercast on for about 12 months, when they took it off they told me his blood circulation in his right hip was dead he has been complaining with pain in his hip and his knee so i took him back and they are now saying his hip is crumbling whos fault is it he is 5 years old

[nigella]

This would depend on if there is an underlying cause or disease! for example, perthes disease. perthes disease affects 4-8 year olds mainly, though it can be as young as 2. perthes is thought to be caused through inflammation, trauma, infection or even hip problems at birth, i.e. dislocation. perthes causes pain in the knee when its the hip thats the problem, sufferers may walk with a limp too. i must stress this is NOT a disgnosis, but merely a suggestion, since it certainly fits the criteria you mentioned. please continue to take your son to the doctors and ensure he is tested to get a thorough disgnosis and treatment, all the best xx

[LazyGun]

As Nigella says, the symptoms as described do sound somewhat indicative of Perthes disease, and it is possible that this was brought about by the hip dysplasia your son suffered at birth.

It is important to realise that this may well be self correcting over time, as your son grows, but it does need to be monitored, and you do need more information that you apparently have. I would take a notebook and pen when you next see the specialist, and ask specific questions, such as what is the condition that your son currently has, what is the prognosis, what medical and/or surgical treatment is he likely to need, what will the impact be on quality of life, what do they think the most likely causes were, etc.
You then need to review this information with your GP.

I am a little concerned that you seem to want to ascribe fault to someone though. Not every medical condition is as a result of error or negligence... some things just happen.

[amanda1981]

its not that i want to blame anyone i had dislocated hips when i was born and i am now fine and they said the blood circulation is dead i would just like to know how this happened there was no insision so how did it die

[LazyGun]

amanda, if it is perthes disease... then at the moment, no one knows quite why the blood supply is affected, I am afraid. I am not even sure if anyone has proposed a mechanism that might explain why.