家庭医学住院医师对发育性髋关节发育不良的及时影像学检测。教育干预。

Timely radiographic detection of developmental dysplasia of the hip in family medicine residents. Educative intervention.

作者信息

Gaytán-Fernández Suemmy, Barragán-Hervella Rodolfo G, Quiroz-Williams Jorge, Valle-Cortés Evelyn M Del, Castillo-Ramírez Isabel O, Montiel-Jarquín Álvaro J

机构信息

Unidad Médica de Alta Especialidad, Hospital de Traumatología y Ortopedia Manuel Ávila Camacho, Instituto Mexicano del Seguro Social (IMSS).

Facultad de Medicina, Programa de Servicio Social en Investigación en Salud, Universidad Popular Autónoma del Estado de Puebla.

出版信息

Cir Cir. 2023;91(5):703-708. doi: 10.24875/CIRU.21000797.

DOI:10.24875/CIRU.21000797

PMID:37844899

Abstract

BACKGROUND

Developmental dysplasia of the hip (DDH) is a complex clinical entity that is usually underdiagnosed, if not detected and managed early, will turn the affected individual into a disabled being, with negative social, economic and emotional effects.

OBJECTIVE

To determine the capacity for the timely radiographic detection of DDH before and after an educational intervention.

METHOD

An educational intervention is carried out in family medicine resident, where they are given training on detection in DDH radiographic projections. Pre- and post-training evaluation is carried out. Statistical analysis is performed using Student's t and χ, taking p ≤ 0.05 as significant.

RESULTS

94 residents participated. In the pre-intervention evaluation, 87.2% had no knowledge of the early detection protocol (p = 0.525). It was observed that 98.9% incorrectly drew the Perkins line (p = 0.427), 96.8% the Hilgenreiner line (p = 0.177) and 87.2% did not consider the data of bilateral dysplasia (p = 0.956). After the educational intervention, 87.2% correctly drew the Perkins line (p = 0.926), 97.8% the Hilgenreiner line (p = 0.325) and 78.7% if they considered the data of bilateral dysplasia (p = 0.826).

CONCLUSIONS

After this training, 80% of family medicine residents were able to detect DDH in a timely manner.

摘要

背景

发育性髋关节发育不良（DDH）是一种复杂的临床病症，通常诊断不足，如果不及早发现和处理，会使患病个体致残，造成负面的社会、经济和情感影响。

目的

确定教育干预前后对DDH进行及时影像学检测的能力。

方法

对家庭医学住院医师进行教育干预，培训他们对DDH影像学投照的检测方法。进行培训前和培训后的评估。采用学生t检验和χ检验进行统计分析，以p≤0.05为有统计学意义。

结果

94名住院医师参与。在干预前评估中，87.2%的人不了解早期检测方案（p = 0.525）。观察到98.9%的人珀金斯线绘制错误（p = 0.427），96.8%的人希尔根赖纳线绘制错误（p = 0.177），87.2%的人未考虑双侧发育不良的数据（p = 0.956）。教育干预后，87.2%的人正确绘制了珀金斯线（p = 0.926），97.8%的人正确绘制了希尔根赖纳线（p = 0.325），78.7%的人考虑了双侧发育不良的数据（p = 0.826）。