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15 month dd can't stand up

124 replies

lenaschildminding · 28/11/2007 14:13

My 15 month DD could not roll over until 7 months and did not crawl until 13 months and still cannot weight bare.

Her hips, knees and ankles all pop out of joint and if we try to stand her up, her legs just bend in ways they shouldn't.

She was refered in September to physio and I've just got an appmt for December 10th.

Just wondering if any one else has had this problem with their kids?

OP posts:
HereComeTheGirls · 15/01/2008 18:51

No - I assume that her hips are OK, since the physio has said her movements are normal, her problem is more that she has low muscle tone and is floppy. I hope you can bring forward your DDs appointment!

jkb · 15/01/2008 18:59

how did your DD get on on 10th dec??
xx

lenaschildminding · 15/01/2008 22:52

After screaming and shouting, crying and really spitting my dummy out, I finally got somewhere today!

Went back to the lovely secretary I spoke to last week and she has worked wonders for us.

After being told that DD couldn't be seen until March, she went balisitic! She was as angry as we were! She said there was no way it could wait that long and to leave it with her.

She phoned me back this afternoon and said another consultant at Coventry University Hospital could see her sooner!

TODAY! at 4.30pm!

I couldn't believe it, DH came home from work early, my friend had DS for us and we called into our local hospital on the way to collect a copy of the xrays, as the referal sent last week had been lost!

The lady we saw was lovely, she showed us the xrays - not good.

DD has no sockets. There is great concern that the hips will move after traction because of her joint laxity. She fears several surgeries and a very long time in plaster. She also said it's very unusual to have both hips in this condition.

She is going in on 28th January for 3 weeks of traction, followed by surgery to cut the tendons in her groin, then plaster for 6 weeks.

After 6 weeks, they will put dye into the hip joints to see whether the traction has worked.

If it has - 6 more weeks in plaster.

If it hasn't - surgery.

So that's it. We go into hospital for a 4 week stay on the 28th.

At least the process has been started now.

It pays to scream and shout!

OP posts:
HereComeTheGirls · 16/01/2008 06:52

I am so glad you managed to get seen! I hope the 4 weeks flies past and that you get good results quickly! x

jkb · 16/01/2008 12:48

mee too... i am so glad u have got sorted... yes it always pays to make a fuss- as a mum.. u know when somthing is wrong!
Im so sorry though to hear what u have to go through... good luck & hopefully in a few months she will feel alot better xxxx

SomeLikeItHot · 17/01/2008 16:07

My daughter had an operation on her hip when she was 1 year old... she had no socket either (hip dysplasia) she had an operation to clear out a socket, then her thigh bone straightened, pinned and put into place, she spent 4 months in a cast from waist down then 3 months in a softer harness .. She's 3 now and is doing really well, she's no different from all the other kids and you can hardly tell she's had anything wrong!

if you have any questions about it maybe i could help put your mind at rest? I know all the talk of casts sound pretty scary stuff when you hear about it from docs!

lenaschildminding · 18/01/2008 13:56

somelikeithot, thanks for the offer, I may be in touch! I think DD will have the same sort of thing done if this doesn't work and the consultant was not optimistic.

She did talk about cutting through thigh bones, twisting things and cutting through the pelvis but DD can only have this done one side at a time, so it's going to be a very lengthy process.

Just about managed to get everything sorted for my DS, I have no family near me and with DH being self employed, he can't afford time off work, I've already lost my childminding income, he works all over the country and irregular hours! Luckily, a wonderful friend has offered to have DS with her Monday to Friday, her DS is in his class at school and they are sooo excited! That's one long sleepover!!!!

I feel happier knowing he'll be ok. I never dreamt I'd be leaving him again whilst in hospital with a sibling. I had to do it when he was 1, because DS1 was in for 7 months, I'd promised him, never again. I'm just so relieved he is excited about it!

OP posts:
LoopyLena · 23/01/2008 22:59

Not long now, I am starting to feel uneasy.

I've been so busy, what with arranging Childcare for DS2, helping my mindee's mum to find another childminder at short notice, getting all the bits we need for 4 weeks in hospital, thinking about clothing issues with spica casts, special car seats and so on, that now everything is in place I am actually having time to sit and think!

Too much thinking is not good for me!

I am dangerous when my brain is switched on, I'm better when I'm running around like a headless chicken, then just colapse in bed exhausted and go straight to sleep!

I'm waffling, simply because my brain is sooo switched on right now!

Need to switch off and go to bed!

LoopyLena · 24/02/2008 23:34

Update...

Went into hospital on 28th January and DD started her 3 weeks in traction at 3pm.

She soon adapted to having her legs strung up and learnt to flip over, swing around and do headstands!!!

The consultant came with the consent forms, which was very scary, I had to sign for her to have Bi- Lateral or uni-lateral femoral osteotomy, (basically either
one or both thigh bones cut and repositioned) as well as the cutting of the tendons and application of a hip spica cast.

DD went to theatre for 3 hours on Wednesday 20th feb, she had the tendons in her groin cut and her femors positioned correctly for the sockets to form around them. As she has never been able to walk, the heads of her femors were in perfect condition, which meant they got a good position without the need for cutting the femors and re-shaping them...big relief!

She has adapted very well to her new trousers!

Despite catching a tummy bug and being sick, she recovered from surgery very quickly and we were allowed home Thursday evening.

The consultant has told us that she does not think it is the dislocated hips that have prevented her from standing and walking, but the ligament laxity and this will need to be addressed after her hips are sorted. It is uncertain at this stage if/when DD will walk and further intervention will be needed.

As far as her hips are concerned, only time will tell if this will work or if further surgery will be required. She has an xray on 4th March, just to check the hips haven't moved at all. She will then have a scan in 7 weeks time to see if the sockets are growing properly. She will also have a cast change at this point. She will be in cast for a minimum of 3 months, possibly longer. Depending on the results of scans and xrays, she may need further surgery, whatever happens, she will need further surgery when she is around 4 years of age.

I am so relieved to be home, even though I came down with DD's tummy bug yesterday and felt really ill!

I am coping ok with the nappy changes, the first one took me 20 minutes, now down to 5! The hardest thing is dealing with her awkward shape and the extra weight, I suffer with my back already!!! She has a bar between her legs which makes her hard to hold.

DD has coped amazingly with it all, she's remained happy throughout, bless her.

SomeLikeItHot · 25/02/2008 15:03

just been reading your updates...glad things are going well.. my daughter was exactly the same, never once did i notice she was uncomfortable or frustrated with being in the cast, they just seem to adapt to it straight away dont they?!! Does your daughter have a snazzy colour cast? My daughter had her operation 23 nov 06 and the surgeon put a red cast on so "she'd look christmassy"

Nappy changes are the hard part and i also really missed being able to bath her which she'd loved so much before the op.

I bet the time will fly by and before you know it the first 3 months will be up and believe me there is nothing nicer than when they take the cast off and you can give your daughter a proper cuddle without the hard awkward cast in the way!!!

Did youmanage to find clothes for your DD? The bar across makes it really hard doesnt it?!!

LoopyLena · 03/03/2008 22:53

Boring white cast!

I'm dressing her in 3 - 4 year old skirts, which go over her head and fit around the cast.

X rays tomorrow to make sure nothing has moved, I'm a bit worried because I think she lost weight after the tummy bug, she's only just got her appetite back. The cast seems very 'roomy' inside and she can move her bum up and down. Fingers crossed hips are still in place.

Had the appointment through for scans and cast change, 9th April. That'll be here before we know it! Can't believe we in March already!

HereComeTheGirls · 04/03/2008 07:48

Lena - I am so pleased she seems to be quite happy with her cast on. I hope your back is getting used to it!! Hope the time continues to fly past

LoopyLena · 05/03/2008 13:50

Whey hey!!!

Olivia has learnt to 'crawl' in her cast!

She has just made the journey from the lounge, down the hall, through the kitchen into the conservatory!

She kind of shuffles her bottom half from side to side and pulls along with her arms, she looked so cute and soooo proud of herself!

Xrays were fine yesterday, all still in place.

fordfiesta · 06/03/2008 21:36

Am trying to find some info from an old post and came across this post again...... i know it is a bit old, but if your about how are things???

SomeLikeItHot · 08/03/2008 19:23

Glad to hear that things are going well LoopyLena, thats so lovely she's getting around and exploring the house!

I've heard some kids even start to walk while in the cast!!! Mine didnt she kind of just dragged herself around on the floor comando style!!

LoopyLena · 28/04/2008 23:24

fordfiesta, only just seen your post!!!

I'm doing ok I guess, we all put on this "oh well, it could be worse, I'm coping just fine" fake smiley face, but inside we are thinking - What's worse than not being able to touch our babies delicate skin, to hold them properly, cuddle them, tickle those chubby little thighs and make them squirm with laughter and delight, watch them progress from sitting, crawling, walking and running, like all their friends of similar ages, watching them watching others running around, climbing up slides, jumping in ball pits, sitting in ride-on toys, playing on rocking horses and seesaws and having a turn in the swing. The other issue is not being able to potty train her as she cannot sit on a potty due to the position of her legs. DD was using a potty before all this started.

This is harder to deal with than many people can understand, seeing the frustration on the faces of our babies, experiencing the horrible way these spicas restrict our children, but at the same time knowing, it's there to make them better.

I didn't anticipate feeling so low about this, after loosing a precious child to cancer, I nievely though this would be easy. Although it is on one hand, a world away from where I was with DS1, on the other hand some of the fears and frustrations - particularly the unknown outcomes and implications are the same.

DS1 too had problems with his legs, his was registered disabled, his bones were riddled with disease, so I have already experianced caring for a disabled child and although it was a far different cause of his disability, it does not take away the significance of DD's disabilities or make them easier to deal with.

All in all, I am ok, just have some bad days when it all gets to me. When I think DD has been in cast for 10 weeks now and has at least another 12 weeks to go, through the summer, in the warm weather, it is hard to look on the bright side. Even more so because we don't know if this will work, because of the extent of her hypermobility, the first 7 weeks in cast did nothing, her hips were loose inside the cast, the consultant cannot say if she'll be able to stabilise DD's hips and if she can, she still doesn't know if DD will walk, as it's the Hypermobility thats stopped her from doing that, not her DDH. She has made it clear that this will be a long and difficult process, she may very well need further surgery later this year, which means more time in casts and she's actually suggested DD may be in cast for all of this year! After her hips are sorted, she may need surgery, or whatever they do for the Hypermobility.

DD copes well, she drags herself along the floor, she does one handed press ups - very impressive!!! She pulls herself up but due to the Hypermobility, her feet rotate by 180 degrees and look like they are on backwards - it really makes us feel sick! There is just no way she can stand, even before the cast she couldn't support her own weight, her legs just popped, cracked, crunched and folded beneath her. Still, she remains a very happy, bright, funny, cheeky little ray of sunshine.

wrinklytum · 28/04/2008 23:30

Your little girl sounds gorgeous xxx

You have been through so much

It is very hard,sometime, seeing other kids of a similar age doing stuff "normally" isn't it?

My dd has sn and cannot walk independently,but today she managed very wobbly walking down the street in her Kaye walker (proud mummy moment).She was more interested in the parked cars,wanting to get into them and letting go of her frame she did make me laugh!!

Love to your little ray of sunshine

LoopyLena · 28/04/2008 23:38

Thankyou.

Please excuse my ignorance, what is sn?

Obviously it affects her walking ability and it must have been fantastic to watch her. How old is your DD?

LoopyLena · 28/04/2008 23:40

Brain just kicked in!!!! It's Special Needs isn't it?!

wrinklytum · 28/04/2008 23:43

Sorry,SPECIAL NEEDS!!!

Have no diagnosis at the mo,she is delayed in speech and mobility and getting lots of help from lovely physios,SALTs and the marvellous Portage service.

sHE IS 2.5

Have you been on the special needs board??They are lovely on there,not just for children with intellectual disabilities (which dd has) but for any kind of condition.Really supportive.

LoopyLena · 28/04/2008 23:54

No, didn't know there was one!!! TBH I haven't been on here for ages as I joined STEPS charity for kids with lower limb disorders. They have a forum for people with DDH and they also have a facebook page so we can share photos, so I got myself on facebook.

DD, thankfully, is well above average with her language development, she already speaks in clear sentances of around 4 - 5 words and she's like a parrot, repeating everything she hears!!!! We have to be sooo careful, she has said 'oh shit' 'oh my god' and 'minger', the last of which she got from my DS2!!!! She's only 19 months and you can have a conversation with her, her whole language and understanding is fantastic. For that, I am truely grateful, it must be really frustrating for you DD trying to communicate, bless her, I hope you get some form of diagnosis and all th ehelp you need.

wrinklytum · 29/04/2008 00:02

If you go to the topics list and scroll down you will find the SN board.They are all very lovely and supportive,whatever the childs condition.

LOL at expletives.Will never forget taking ds on holiday age 2 ish.Prior to holiday,at home I fell down stairs over cat and yelled "Bloody hell".Anyway we had rented a cottage on holiday and the very posh lady who owned it had come to collect the keys when all of a sudden I could hear ds goign "Bloody hell" at the top of his lungs and dp shocked going "Who said that to you ?" and ds going "Mummy!!".I couldn't look the woman in the face.....Kids,don't you just love em!!!!

LoopyLena · 29/04/2008 00:23

They certainly bring sunshine to our lives!

LoopyLena · 02/10/2008 19:16

Just thought I'd summarise and update as I haven't posted for ages. DD saw physio in december last year, they refused to do anything with her as all her joints were dislocating!!! I had to go back to the gp and ask for a referal to orthopedics. That appmt came through for Jan this year, she was dx with Hypermobility. She has severe Hypermobility in her lower limbs, not as severe in her upper body (beighton score 9/9!!!) Xrays revealed she has Bi-lateral CDH both her hips are completely dislocated, always have been and sockets have never formed!!!! She spent 23 days in Traction, tied up by her legs in hospital then has closed reduction to position the femors correctly for the sockets to grow. This was in February. She then had a hip spica applied. This is a cast from her chest to her ankles, this procedure failed because of her hypermobility - she dislocated inside the cast!!! It was repeated in April only to find it had failed again in July. She then had a 6 hour open surgery on both hips. She is still in a hip spica cast as her hips will not stay together, her feet rotate 180 degrees, her toes dislocate so we have to be careful putting her socks and shoes on, her knees are inside the cast - but they dislocated too before the cast went on. Her fingers have started to dislocate, sometimes particially - sometimes completely, which makes her really cry. Her shoulder came out once and went back in.

The surgeon has also told us dds skin is very elasticy and stretchy.

She's been in a full hip spica cast now for 8 months and has another 4 months at least, followed by braces, orthotics and paediatric boots. We still don't know if she will ever be able to weight bare.

DD has been refered to a consultant geneticist, it looks like she has Elhers Danlos. People I have spoken to about her Hypermobility are all concerned that a year in cast being immobilised is preventing her muscle development - therefore when the cast does come off the joints will dislocate again as there is nothing to hold them in place! For this reason i have requested a referal to Great Ormond Street Hypermobility Clinic for expert advice, in the hope that they can then work with her hip surgeon and come up with the best course of action!

What a year!!!!

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