单一机构的一项通用超声髋关节筛查项目的结果。

Results of a universal ultrasonographic hip screening program at a single institution.

作者信息

Güler Olcay, Şeker Ali, Mutlu Serhat, Çerçi Mehmet Halis, Kömür Baran, Mahiroğulları Mahir

机构信息

Medipol University Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Turkey.

Kanuni Sultan Süleyman Training and Research Hospital, Department of Orthopedics and Traumatology, İstanbul, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2016;50(1):42-8. doi: 10.3944/AOTT.2016.15.0024.

DOI:10.3944/AOTT.2016.15.0024

PMID:26854048

Abstract

OBJECTIVE

The aims of the present study were to determine the prevalence of developmental dysplasia of the hip (DDH) in newborns screened by hip ultrasonography (US), to review outcome of follow-up and treatment of infants with DDH, and to evaluate the relationship between US-based diagnosis and risk factors.

METHODS

A total of 9564 hips of 4782 newborns (2398 females, 50.1%) were evaluated with US. Risk factors for DDH and accompanying deformities were also recorded. Graf classification type IIa(-), IIb, IIc, D, and III hips were treated with Pavlik harnesses.

RESULTS

Abnormal US findings (type IIa, IIc, or D hips) were detected in 475 newborns (9.9%). Risk factors and concomitant orthopedic deformities were similar in newborns with and without US abnormality and type I hips (p>0.05 for all). However, abnormal US findings were significantly more common in firstborn and female newborns. A total of 39 hips (5 bilateral, 20 left, 9 right) of 34 newborns (31 females) were placed in Pavlik harnesses. Twelve newborns had type IIc or D hips at initial evaluation, and 22 had type IIb or IIa(-) at follow-up. Mean recovery time was 12.5 (8-16) weeks for newborns with type IIc and D hips, 8.6 (8-12) weeks for those with type IIa(-) hips, and 11.2 (8-12) weeks for those with type IIb hips.

CONCLUSION

DDH is still common among newborns in Turkey. Hip US is recommended for detection and follow-up of DDH in newborns.

摘要

目的

本研究的目的是确定通过髋关节超声检查（US）筛查的新生儿中发育性髋关节发育不良（DDH）的患病率，回顾DDH婴儿的随访和治疗结果，并评估基于超声的诊断与危险因素之间的关系。

方法

对4782例新生儿（2398例女性，占50.1%）的9564个髋关节进行了超声评估。还记录了DDH的危险因素和伴随畸形。Graf分类为IIa（-）型、IIb型、IIc型、D型和III型的髋关节采用 Pavlik 吊带治疗。

结果

475例新生儿（9.9%）检测到超声异常结果（IIa型、IIc型或D型髋关节）。有和没有超声异常的新生儿以及I型髋关节的危险因素和伴随的骨科畸形相似（所有p>0.05）。然而，超声异常结果在头胎和女性新生儿中明显更常见。34例新生儿（31例女性）的39个髋关节（5例双侧，20例左侧，9例右侧）采用了 Pavlik 吊带。12例新生儿在初次评估时为IIc型或D型髋关节，22例在随访时为IIb型或IIa（-）型。IIc型和D型髋关节新生儿的平均恢复时间为12.5（8 - 16）周，IIa（-）型髋关节新生儿为8.6（8 - 12）周，IIb型髋关节新生儿为11.2（8 - 12）周。