51 pages 1 hour read

Natalia Sylvester

Breathe and Count Back from Ten

Fiction | Novel | YA | Published in 2022

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Background

Medical Context: Hip Dysplasia

Hip dysplasia, also called developmental dysplasia of the hip (DDH) is a developmental condition that people are born with, but it may go undiagnosed until adolescence or even adulthood. DDH “occurs when the top of the thigh bone (femur), which normally fits tightly into the hip socket (acetabulum), has an imperfect fit” (“Developmental Hip Dysplasia Fact Sheet.” Boston Children’s Hospital) It’s also possible a child is born with a normal bone structure, but, as they grow and develop, misalignment slowly occurs (“Hip Dysplasia.” Boston Children’s Hospital). The most common symptoms are hip pain, knee pain, and uneven leg length. Verónica’s hip dysplasia was present from birth, but it was not diagnosed until it was too late for simple treatments, and she had to endure several surgeries. In hip dysplasia, the part of the femur (thigh bone) that connects to the hip does not align properly and causes pain, trouble walking, and limited activity. For Verónica, a major surgery that required her leg to be in a cast for several months caused her muscles to atrophy, so her doctor recommended swimming to strengthen her legs. Her doctor discouraged her from running and jumping, but Verónica did these things anyway to rebel against the implication that she was fragile.