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

2013, Number 1

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Rev Mex Ortop Ped 2013; 15 (1)

Who should undergo an ultrasound of the hip? Early diagnosis

Aparicio AM

Language: Spanish
References: 14
Page: 9-13
PDF size: 232.19 Kb.


ABSTRACT

Introduction: Developmental dysplasia of the hip is the leading cause of early arthritis and is the most common congenital defect in the newborn. The patient’s first contact is responsible of diagnosing and referring patients with this problem in a timely manner. Early detection: Every newborn should be evaluated by the pediatrician or the family doctor, and should be referred to a specialist before eight weeks of age if any abnormal findings of significant risk factors are detected. Diagnosis: Medical history and Physical Findings may suggest the presence of developmental dysplasia of the hip, but ultrasound the ideal method to confirm the diagnosis during the first four months of life. Treatment: Pavlik harness represents the first line of treatment for developmental dysplasia of the hip during the first six months of life.


REFERENCES

  1. Mahan ST, Katz JN, Kim YJ. To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip. J Bone Joint Surg Am. 2009; 91: 1705-1719.

  2. Cymet-Ramírez J, Álvarez-Martínez MM et al. El diagnóstico oportuno de la displasia de cadera. Enfermedad discapacitante de por vida. Consenso del Colegio Mexicano de Ortopedia y Traumatología. Acta Ortopédica Mexicana. 2011; 25(5): 313-322.

  3. Herring JA. Tachdjian’s pediatric orthopaedics. Fourth Edition. Saunders, an imprint of Elsevier Inc. 2008; 637-770.

  4. Montes LE, Menchaca R et al. Displasia del desarrollo de cadera: Conocimiento en médicos pediatras. Acta Ortopédica Mexicana. 2009; 23(1): 22-25.

  5. Roovers EA, Boere-Boonekamp MM et al. Effectiveness of ultrasound screening for developmental dysplasia of the hip. Arch Dis Child Fetal Neonatal. 2005; 90: F25-F30.

  6. Dogruel H, Atalar H et al. Clinical examination versus ultrasonography in detecting developmental dysplasia of the hip. International Orthopaedics. 2008; 32: 415-419.

  7. Schwend RM, Schoenecker P et al. Screening the newborn for developmental dysplasia of the hip now what do we do? J Pediatr Orthop. 2007; 27-6: 607-610.

  8. Clinical Practice Guideline: Early detection of developmental dysplasia of the hip. Committee on quality improvement, subcommittee on developmental dysplasia of the hip. American Academy of Pediatrics. 2000; 105(4 Pt 1): 896-905.

  9. Kocher MS. Ultrasonographic screening for developmental dysplasia of the hip: an epidemiologic analysis (part 1). Am J Orthop. 2000; 29: 929-933.

  10. Graf R. Fundamentals of sonographic diagnosis of infant hip dysplasia. J Pediatr Orthop. 1984; 4: 735-740.

  11. Pavlik A. The functional method of treatment using a harness with stirrups as the primary method of conservative therapy for infants with congenital dislocation of the hip. 1957. Clin Orthop Relat Res. 1992; 281: 4-10.

  12. US Preventive Services Task Force. Screening for developmental dysplasia of the hip: recommendation statement. Pediatrics. 2006; 117: 898-902.

  13. Harris IE, Dickens R, Menelaus MB. Use of the Pavlik harness for hip displacements. When to abandon treatment. Clin Orthop Relat Res. 1992; 281: 29-33.

  14. Castañeda P, Flores A. The treatment of graf type III and IV hips with the Pavlik harness. POSNA 2010, Waikoloa, Hawaii.




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