Congenital partial dislocation of hip, bilateral
ICD-10 Q65.4 is a billable code used to indicate a diagnosis of congenital partial dislocation of hip, bilateral.
Congenital partial dislocation of the hip, also known as developmental dysplasia of the hip (DDH), is a condition where the hip joint does not properly form in infants and young children. In bilateral cases, both hips are affected, leading to instability and potential dislocation. This condition can result from genetic factors, mechanical factors during pregnancy, or a combination of both. Early diagnosis is crucial as untreated DDH can lead to significant complications, including hip osteoarthritis and impaired mobility later in life. Diagnosis typically involves physical examination and imaging studies such as ultrasound or X-rays. Treatment options may include bracing, casting, or surgical intervention, depending on the severity of the dislocation and the age of the child. The condition is often associated with other congenital malformations, particularly those affecting the musculoskeletal system, and requires careful monitoring and management by pediatric specialists.
Pediatric documentation must include detailed physical examination findings, imaging results, and treatment plans. Growth and developmental assessments are also critical.
Common scenarios include routine newborn screenings, referrals for hip instability, and follow-up visits post-treatment.
Considerations include the age of the child at diagnosis, the timing of intervention, and the potential for long-term follow-up.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital hip dislocation.
Scenarios may involve genetic counseling for families with a history of congenital conditions or syndromes associated with hip dysplasia.
Considerations include the potential for genetic syndromes that may present with multiple congenital anomalies, including hip dislocation.
Used in cases where non-surgical management fails and surgical intervention is necessary.
Detailed operative reports and pre-operative assessments.
Orthopedic specialists must document the rationale for surgical intervention.
Early diagnosis is crucial as it allows for timely intervention, which can prevent long-term complications such as osteoarthritis and impaired mobility. Regular monitoring and appropriate treatment can significantly improve outcomes for affected children.
