Colta R C, Stoicanescu C, Nicolae M, Oros S, Burnei G
Trauma and Orthopaedics Department, Central Military University Emergency Hospital, Bucharest; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Paediatric Surgery Departament, Valcea County Emergency Hospital; Neonatal Department, Valcea County Emergency Hospital, Bucharest, Romania.
J Med Life. 2016 Jan-Mar;9(1):106-11.
:In its most severe form, developmental dysplasia of the hip (DDH) is one of the most common congenital malformations. Uncorrected developmental dysplasia of the hip is associated with long-term morbidity such as gait abnormalities, chronic pain, and degenerative arthritis.
(1) to identify the risks and predisposing factors involved in DDH (2) to define the incidence of the disease locally; (3) to emphasize the importance of ultrasonography in early diagnosis of DDH.
1021 newborns in the Neonatal Department of Valcea County Emergency Hospital were analyzed. The information contained in the observation sheets was collected and upon this, the ultrasound was performed accordingly to Graf's classification. The following parameters were analyzed: sex, area of origin, gestational age, birthweight, type of delivery, parturition. Out of 1021 newborns, 27 had an abnormal ultrasound examination. 20 infants were diagnosed with DDH. Regarding the risk factors: cephalic delivery was associated with a lower risk/ the lowest of DDH (with p=0.045 for the right hip and p=0.001 for the left hip). Increased gestational age and increased birthweight were incriminating factors in the occurrence of DDH.
Ultrasound imaging has become an accepted tool for accurately diagnosing DDH.
髋关节发育不良（DDH）最严重的形式是最常见的先天性畸形之一。未经矫正的髋关节发育不良与长期发病有关，如步态异常、慢性疼痛和退行性关节炎。
（1）确定DDH相关的风险和易感因素；（2）确定当地该病的发病率；（3）强调超声检查在DDH早期诊断中的重要性。
对瓦尔恰县急救医院新生儿科的1021名新生儿进行了分析。收集观察表中的信息，并据此按照格拉夫分类法进行超声检查。分析了以下参数：性别、出生地、胎龄、出生体重、分娩类型、产次。在1021名新生儿中，27名超声检查异常。20名婴儿被诊断为DDH。关于风险因素：头位分娩与较低的DDH风险相关/风险最低（右髋p = 0.045，左髋p = 0.001）。胎龄增加和出生体重增加是DDH发生的 incriminating因素。
超声成像已成为准确诊断DDH的公认工具。
