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[发育性髋关节发育不良的筛查与诊断建议]

[Screening and diagnostic recommendations in the developmental dysplasia of the hip].

作者信息

Nally A Patricia, Galeano Mónica A

机构信息

Hospital Interzonal Especializado Materno Infantil Don Victorio Tetamanti, Mar del Plata, Argentina.

Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2021 Aug;119(4):S159-S158. doi: 10.5546/aap.2021.S159.

Abstract

Developmental dysplasia of the hip (DDH) is a hip joint anomaly that is characterized by a laxity or abnormal positioning of the femoral head with respect to the acetabulum. It is the most common perinatal pathology of the skeleton and includes a spectrum of alterations ranging from flattening or acetabular dysplasia, to a complete dislocation of the femoral head outside the joint that can compromise joint development and stability. The purpose of this presentation is to transmit a systematic study in the evaluation of the newborn's hip, emphasizing a correct physical examination as primordial in the detection of DDH. Also, guide the pediatrician in the proper selection of the complementary diagnostic method to be used according to the age of the patient, in order to optimize detection and reduce the number of dislocated hips in early and late stages as well as the incidence of related pathologies.

摘要

发育性髋关节发育不良(DDH)是一种髋关节异常,其特征是股骨头相对于髋臼松弛或位置异常。它是骨骼最常见的围产期病变,包括一系列改变,从髋臼扁平或发育不良到股骨头完全脱出于关节外,这可能会影响关节发育和稳定性。本报告的目的是传达一项关于新生儿髋关节评估的系统研究,强调正确的体格检查是检测DDH的首要因素。此外,根据患者年龄指导儿科医生正确选择辅助诊断方法,以优化检测并减少早期和晚期脱位髋关节的数量以及相关病理的发生率。

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