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Congenital partial dislocation of unspecified hip, unilateral
ICD10CM code
#### Name of the Condition
- Congenital Partial Dislocation of Unspecified Hip, Unilateral
- Also known as Developmental Dysplasia of the Hip (DDH).
#### Summary
- Congenital partial dislocation of the hip, usually noticed in newborns or infants, refers to a condition where the thigh bone is not properly aligned with the hip socket. This can affect one hip unilaterally and can lead to joint instability.
#### Causes
- The exact cause of this condition is unclear, but it is believed to involve a combination of genetic factors and intrauterine positioning. Some theories suggest that a family history of hip dysplasia may contribute.
#### Risk Factors
- Female gender, breech birth position, family history of hip dysplasia, and limited space in the womb (such as with multiple pregnancies) increase the risk.
#### Symptoms
- Leg length discrepancy, limited range of motion in the affected hip, and asymmetrical folds in the skin around the thigh. Older children may have a limp or sway in their walk.
#### Diagnosis
- Routine physical examinations in newborns, using tests like the Barlow and Ortolani maneuvers. Imaging tests such as ultrasound or X-rays are often used to confirm the diagnosis.
#### Treatment Options
- Use of a Pavlik harness to stabilize the hip joint in young infants. Surgery may be required in older infants or if conservative measures fail. These treatments help in proper alignment and development of the hip joint.
#### Prognosis and Follow-Up
- Most infants treated early have an excellent prognosis and develop normally after treatment. Regular follow-ups to monitor hip development and address any issues promptly are crucial.
#### Complications
- If untreated, it can lead to early-onset arthritis, chronic pain, and significant mobility issues later in life.
#### Lifestyle & Prevention
- Regular pediatric check-ups for newborns can help early detection and intervention. Prenatal care and awareness of risk factors can assist in prevention and management planning.
#### When to Seek Professional Help
- If any symptoms such as observed limping, limited hip movement, or uneven leg lengths are noted, seek immediate medical evaluation.
#### Additional Resources
- American Academy of Orthopaedic Surgeons ([AAOS](https://www.aaos.org))
- International Hip Dysplasia Institute ([IHDI](https://hipdysplasia.org))
#### Tips for Medical Coders
- Ensure accurate laterality is documented before coding.
- Be aware of documentation specificity for coding congenital hip dysplasia accurately.
- Avoid coding errors by confirming if the condition is unilateral or bilateral and specifying which hip is affected if details are available.