Canavese Federico, Vargas-Barreto Bernardo, Kaelin André, de Coulon Geraldo
Department of Child and Adolescent, Pediatric Orthopaedic Unit, Faculty of Medicine, University of Geneva Hospitals, 6 Rue Willy-Donzé, Geneva, Switzerland.
J Pediatr Orthop B. 2011 May;20(3):152-6. doi: 10.1097/BPB.0b013e3283441030.
Developmental dysplasia of the hip and idiopathic clubfoot are common musculoskeletal conditions in the pediatric orthopedic population. Although ultrasound or radiographic screening is generally recommended to rule out occult hip dysplasia, it has been suggested that children with clubfoot should no longer be screened. We report two cases of newborns with unilateral clubfoot and bilaterally stable hips that developed unilateral hip dysplasia on the same side as the foot deformity during clubfoot treatment. All cases previously reported in the literature are reviewed. We recommend systematic hip ultrasound screening in patients with idiopathic clubfoot. A second hip ultrasound or a pelvis radiograph, if the ossific nucleus has appeared, should be performed after completion of the clubfoot treatment if clinical examination is abnormal.
发育性髋关节发育不良和特发性马蹄内翻足是小儿骨科常见的肌肉骨骼疾病。尽管一般建议进行超声或影像学筛查以排除隐匿性髋关节发育不良，但有人提出不应再对马蹄内翻足患儿进行筛查。我们报告了两例单侧马蹄内翻足且双侧髋关节稳定的新生儿，在马蹄内翻足治疗期间，患侧出现了与足部畸形同侧的单侧髋关节发育不良。我们回顾了文献中先前报道的所有病例。我们建议对特发性马蹄内翻足患者进行系统性的髋关节超声筛查。如果临床检查异常，在马蹄内翻足治疗完成后，若骨化核已出现，应进行第二次髋关节超声检查或骨盆X光检查。
