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ISSN 2007-087X (Impreso)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2016, Número 2

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Rev Mex Ortop Ped 2016; 18 (2)


Guía práctica para realizar ultrasonografía de cadera en neonatos

Castañeda LP

Idioma: Español
Referencias bibliográficas: 43
Paginas: 110-117
Archivo PDF: 210.33 Kb.


RESUMEN

La displasia del desarrollo de la cadera es la condición anormal más frecuentemente vista en el neonato. Se han identificado ciertos factores de riesgo, incluyendo el sexo femenino, una historia familiar, una presentación obstétrica de nalgas, y cierta etnicidad; sin embargo, la mayoría de los casos de la displasia ocurren en niños sin ningún otro factor de riesgo. El examen físico utilizando las pruebas de Barlow-Ortolani, o el hallazgo de abducción limitada pueden revelar el diagnóstico, pero niños con un examen inconcluso o con factores de riesgo deben de ser referidos para mayor seguimiento. La ultrasonografía puede detectar la displasia que puede no ser evidente en el examen físico o radiografías simples. Cuando se identifica la displasia se debe de iniciar tratamiento, en niños pequeños la ortesis dinámica de abducción diseñada por pública es segura y efectiva. La detección temprana y tratamiento permiten los mejores resultados a largo plazo.


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