Name of the Condition

• Other Specified Congenital Deformities of Hip
• Also referred to as "Congenital Hip Deformities"

Summary

Congenital hip deformities encompass a range of developmental issues present at birth that affect the hip joint. These deformities can result in improper formation, alignment, or function of the hip joint, leading to varying degrees of disability or discomfort in affected individuals.

Causes

• Genetics: A family history of hip deformities increases the risk.
• Developmental Factors: Problems during pregnancy and fetal development can contribute.
• Breech Birth: Positioning in the womb, such as breech presentation, may lead to hip issues.

Risk Factors

• Family History: Genetic predisposition to structural defects.
• Gender: Females are more commonly affected than males.
• Birth Conditions: Firstborn children and breech births have higher incidence rates.

Symptoms

• Limited range of motion in one or both hips.
• Asymmetry in leg length or hip alignment.
• Clicking or popping of the hip joint during movement.
• Visible deformity or uneven skin folds around the thigh or buttocks.

Diagnosis

• Physical Examination: Physicians check for asymmetry or restricted movement.
• Ultrasound: Used predominantly in infants for initial assessment.
• X-rays: Helpful in identifying structural irregularities once the bones have matured.

Treatment Options

• Orthopedic Bracing/Splints: Used in infants to correct alignment.
• Physical Therapy: To strengthen muscles and improve mobility.
• Surgical Interventions: In severe cases, surgery may be necessary for reconstruction or alignment.

Prognosis and Follow-Up

• Early diagnosis and treatment can lead to excellent outcomes.
• Regular follow-ups are crucial to monitor hip development.
• Long-term prognosis varies depending on severity and treatment success.

Complications

• Osteoarthritis: Increased risk if deformities are not corrected early.
• Chronic Pain or Limping: Unaddressed issues may cause ongoing discomfort.
• Reduced Mobility: Potential impact on physical activity throughout life.

Lifestyle & Prevention

• Prenatal Care: Regular monitoring during pregnancy for risk factors.
• Positioning Awareness: Encouraging proper posture and movements in children.
• Exercise: Regular low-impact exercises to maintain hip joint health.

When to Seek Professional Help

• Signs of developmental delays or uneven growth in infants.
• Persistent hip pain or movement issues in older children or adults.

Additional Resources

• International Hip Dysplasia Institute: hipdysplasia.org
• American Academy of Orthopaedic Surgeons: aaos.org
• Local support groups for families dealing with congenital hip deformities.

Tips for Medical Coders

• Ensure specificity when coding by verifying the precise deformity described.
• Avoid generalizations; use Q65.89 only when no more specific code applies.
• Be meticulous with documentation to support the chosen ICD code.