Abuamara S, Dacher J N, Gaucher S, Lechevallier J, Brossard V, Delhaye L, Durand C, Levasseur F, Henocq A
Clinique chirurgicale infantile, hôpital Charles-Nicolle, CHU, Rouen, France.
Arch Pediatr. 1999 Jun;6(6):675-82. doi: 10.1016/s0929-693x(99)80302-9.
Early detection and low-risk treatment are the two main objectives of the management of developmental dislocation of the hip. The best way to evaluate neonatal hips is to perform clinical and ultrasound examinations at the same time, and to confront their results. Early diagnosis allows to restrict treatment to infants with neonatal dislocation who do not improve by 4 weeks of age. On the other hand, neonates with reductible dislocated hips must be treated at birth and followed at the joint consultation. Early diagnosis and management must not decrease later efforts to detect dislocated hip until walking age.
早期发现和低风险治疗是髋关节发育性脱位管理的两个主要目标。评估新生儿髋关节的最佳方法是同时进行临床和超声检查,并对比检查结果。早期诊断可将治疗局限于4周龄时仍无改善的新生儿脱位患儿。另一方面,髋关节可复位的新生儿必须在出生时接受治疗,并在关节门诊进行随访。在步行年龄之前,早期诊断和管理不应减少对脱位髋关节的后续检测力度。