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临床医生床边超声检查辅助体格检查:发育性髋关节发育不良技术指南

Point of Care Ultrasound as Performed by the Clinician for the Enhancement of Physical Examination: A Technique Guide for Developmental Hip Dysplasia.

作者信息

Herrero Christina, Jejurikar Neha, Kanakalamedala Ajay, Iban Yhan Colon, Castañeda Pablo

机构信息

NYU Langone Health Department of Orthopaedic Surgery, 301 E 17th St, New York, NY 10010 USA.

Icahn School of Medicine at Mount Sinai, New York, USA.

出版信息

Indian J Orthop. 2021 Nov 21;55(6):1597-1600. doi: 10.1007/s43465-021-00570-8. eCollection 2021 Dec.

Abstract

UNLABELLED

Developmental dysplasia of the hip (DDH) is the most common anatomical pathology present in newborns. DDH is the most common orthopaedic disorder in newborns, with incidences cited from 4.4% to 51.8% depending on risk factors, populations and method of reporting. Traditionally, the standard physical exam for newborns includes the Barlow and Ortolani maneuvers. If either is positive by the pediatrician, the baby is then sent for evaluation by a pediatric orthopaedic surgeon. At this stage, either the pediatrician or pediatric orthopaedic surgeon obtains an ultrasound-the gold standard for DDH diagnosis. When early identification and treatment are not in place, it can lead to significant consequences on an individual's health and financial and public health implications for society at large. This is a detailed technique guide aimed to help physicians consistently perform thorough US evaluations of pediatric hips in order to successfully screen, diagnosis and manage treatment of DDH.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s43465-021-00570-8.

摘要

未标注

发育性髋关节发育不良(DDH)是新生儿中最常见的解剖学病理情况。DDH是新生儿中最常见的骨科疾病,根据风险因素、人群和报告方法,发病率从4.4%到51.8%不等。传统上,新生儿的标准体格检查包括巴洛试验和奥托兰尼试验。如果儿科医生检查结果为阳性,则将婴儿转介给小儿骨科医生进行评估。在此阶段,儿科医生或小儿骨科医生会进行超声检查——这是DDH诊断的金标准。如果未能及时进行早期识别和治疗,可能会对个人健康产生重大影响,并对整个社会的财政和公共卫生造成影响。这是一份详细的技术指南,旨在帮助医生持续对小儿髋关节进行全面的超声评估,以便成功筛查、诊断和管理DDH的治疗。

补充信息

在线版本包含可在10.1007/s43465-021-00570-8获取的补充材料。

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本文引用的文献

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Ultrasound Evaluation of Pediatric Orthopaedic Patients.小儿骨科患者的超声评估。
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Orthop Clin North Am. 2012 Jul;43(3):281-9. doi: 10.1016/j.ocl.2012.05.002.
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J Pediatr Orthop. 1997 Sep-Oct;17(5):626-30. doi: 10.1097/00004694-199709000-00010.

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