

Hello friend, I love you too

Happy Birthday Olivia! here is your cake. At this moment, I believe Savannah was thinking something along the lines of "It's so close, and there no one close enough to stop me""If I just put one finger in there, surely no one will notice. "
This picture is actually after the first time she stuck her finger in the cake, but gives you a good idea of what happened.
And then look what she started. So, so cute.

As everyone always says, "So what's the deal with her hips again?" here is an explanation. I know, I know, you didn't come here to learn, but bear with me.
Savannah has bilateral, congenital, hip dysplasia. At the checkup in the hospital right after they are born, the pediatrician does a check of the baby's hips by flexing them in their sockets. When our ped did the check up, Savannah's right hip clunked out of the socket. It didn't hurt her, but was a problem we needed to get checked out by an orthopedic doctor.
We had an ultrasound performed on her at 5 weeks (lots of times kids have them done earlier) and it was found that Savannah's hip 'ball' was too shallow in it's socket. At she grew this would have meant that the hip socket wouldn't have developed normally (it would have been flat, instead of a nice round circle). She would have had some trouble walking and doing fun kid stuff like running and jumping and eventually would have had pain and a double hip replacement sometime in her 40's. Yikes!
So we had her put in a Pavlik harness which correctly positioned her legs and hips for optimal growing. She responded beautifully to the harness (almost 90% of kids do) and was out of it in six weeks. There are lots of angles and ratios of the hip relative to the socket involved - I won't bore you with that part.
Why did Savannah have this problem? Well, she had pretty much every risk factor there is. Hip Dysplasia typically affect girls (I think it's like 1 in 300 live births v. 1 in 1200 for boys), the first born child, breech babies (which Savannah wasn't), large babies (Savannah was 22 inches at birth) and children with a family history of hip problems. Gaga B had undiagnosed hip dysplasia and had a hip replacement some time in her 40's. It also mostly affects Caucasian and Asian kids, with a high skewing of towards kids of Irish, English and Scottish descent. Basically, the poor kid didn't stand a chance.
Savannah's last checkup went pretty well, but there were a few things the doctor wanted to monitor. Savannah has asymmetrical thigh creases, which can be nothing, but can mean that her hips are out of alignment. I have been obsessing over these thigh folds for the last six months.




