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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2022, Number 2

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An Med Asoc Med Hosp ABC 2022; 67 (2)

Implementation of a pediatric screening program for developmental dysplasia of the hip with an ultrasound method at the Brimex-Amistad Clinics of the American British Cowdray Medical Center

Vanegas-Medellín M, Castillo-Vázquez FG, Sánchez RR, Camacho GJ, Vidal RCA

Language: Spanish
References: 18
Page: 89-93
PDF size: 219.75 Kb.


ABSTRACT

Introduction: Developmental dysplasia of the hip is the most common orthopedic disorder in newborns, this diagnosis can lead to instability of the pediatric hip, as well as a series of complications with repercussions in adult life. Objective: To stablish a universal screening program that allows an early diagnosis of developmental dysplasia of the hip in the pediatric population of our hospital. Material and methods: This is a descriptive paper about the implementation of a novel screening universal program for developmental dysplasia of the hip with ultrasonography in our hospital. Ultrasonography will be used as primary diagnostic tool in patients younger than 4 months and pelvis X-ray in patients older that 4 months. Results: 102 ultrasounds have been performed in 51 patients and 7 pelvic X-rays have been analyzed in 7 patients, conforming a total of 58 patients who received care in this program for one year. 100% of the patients who underwent ultrasound have been classified as Graf type 1, which translates as healthy hips. The radiographs performed in 7 patients showed normal measurements, so they have also been classified as healthy. Conclusions: Graf utrasonography technique is the most sensitive and specific tool available for early diagnosis of developmental dysplasia of the hip in pediatric population.


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EVIDENCE LEVEL

III




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