Dygut Jacek, Sułko Jerzy, Guevara-Lora Ibeth, Piwowar Monika
Independent Public Healthcare Center in Międzyrzec Podlaski, Warszawska 2/4 st., 21-560 Międzyrzec Podlaski, Poland.
Wojewódzki Specjalistyczny Szpital Dziecięcy im Św. Ludwika w Krakowie, Strzelecka 2 st., 31-503 Krakow, Poland.
Diagnostics (Basel). 2022 Jun 15;12(6):1472. doi: 10.3390/diagnostics12061472.
(1) Background. This paper presents a case of hip joints that were initially described as either normal or physiologically immature in four successive ultrasound examinations using the static method by Graf; however, the final treatment of the patient involved multiple hip reconstruction surgeries. (2) Case presentation. The patient was born with an Apgar score of 10 and did not exhibit neurological diseases that could deform and lead to pathological dislocation of the right hip joint. The subsequent analysis of medical data revealed that the hip luxation was due to secondary (late) developmental dysplasia of the right hip. (3) Conclusion. The article emphasizes the importance of early diagnosis and treatment standards for developmental dysplasia of the hip (DDH). The development of uniform international medical guidelines for the diagnosis, treatment, and prevention of hip dysplasia, along with the unification of DDH-related terminology, would allow for more effective management of DDH cases and reduce the cost of patient treatment.
(1) 背景。本文介绍了一例髋关节病例，在使用格拉夫静态法进行的连续四次超声检查中，该髋关节最初被描述为正常或生理上未成熟；然而，患者最终的治疗涉及多次髋关节重建手术。(2) 病例介绍。该患者出生时阿氏评分10分，未表现出可导致右髋关节畸形和病理性脱位的神经系统疾病。随后对医疗数据的分析显示，髋关节脱位是由于右髋关节继发性（晚期）发育不良所致。(3) 结论。本文强调了髋关节发育不良（DDH）早期诊断和治疗标准的重要性。制定统一的国际髋关节发育不良诊断、治疗和预防医学指南，以及统一与DDH相关的术语，将有助于更有效地管理DDH病例并降低患者治疗成本。
