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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2022, Number 1

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Acta Ortop Mex 2022; 36 (1)

Application of the Graf method for diagnosis and early detection of hip dysplasia

Villanueva-Martínez S, Hermida-Ochoa E, Benavides-Rodríguez D, Hermida-Ochoa J
Full text How to cite this article 10.35366/106752

DOI

DOI: 10.35366/106752
URL: https://dx.doi.org/10.35366/106752

Language: Spanish
References: 11
Page: 2-7
PDF size: 267.91 Kb.


Key words:

Hip dysplasia, diagnosis, treatment, timely, ultrasound.

ABSTRACT

Introduction: Developmental hip dysplasia (DHD) is the most common disorder affecting pediatric hip; screening all neonates clinically, and using ultrasonography selectively for those babies who are at high risk is a widespread recommendation. our goal is to evaluate the impact that USG diagnosis and early treatment of DHD has had on the child population of our unit. Material and methods: Retrospective, descriptive and cross-sectional study. Records of those children from one to six months of age, with a diagnosis of DHD, without distinction of sex, subjected to ultrasonographic tracking in the period from January 2018 to December 2019 were reviewed. A follow-up of six months was carried out in all patients, from the moment of diagnosis and the start of treatment with harness, weekly visits for relocation, as well as ultrasonographic revision every four weeks to monitor the treatment. Results: 19 cases were reported from the left side (47.5%), 10 cases from the right side (25%) and 11 bilateral cases (27.5%). The main associated risk factors were: product of the first pregnancy, family history of DHD, pelvic presentation, female sex. The results were favorable with a continuous use of harness of 23 hours observing a satisfactory evolution in 99.2% of the patients. Conclusion: With the results obtained we can analyze the considerable success rate of the hip clinic of our hospital with the realization of the ultrasound, we find a lower incidence of patients with pain, limitation of function, as well as satisfactory gait patterns.


REFERENCES

  1. Quader N, Hodgson AJ, Mulpuri K, Schaeffer E, Abugharbieh R. Automatic evaluation of scan adequacy and dysplasia metrics in 2-d ultrasound images of the neonatal hip. Ultrasound Med Biol. 2017; 43(6): 1252-62.

  2. Axotla BVM, González Aceves D, Gómez-Llata GS. Luxación congénita de la cadera. Rev Hosp Jua Mex. 2000; 67(2): 77-83.

  3. Barr L. V, Rehm A. Should all twins and multiple births undergo ultrasound examination for developmental dysplasia of the hip? Bone Joint J. 2018; 95-B(1): 132-4.

  4. Castañeda LP. Guía práctica para realizar ultrasonografía de cadera en neonatos. Rev Mex Ortop Ped. 2016; 18(2): 110-7.

  5. Davies RW. Acetabular dysplasia and familial joint laxity: two etiological factors in congenital dislocation of the hip. A review of 589 patients and their families. J Bone Joint Surg Br. 1970; 52(4):704-16.

  6. Aparicio AM. ¿A quién se le debe realizar un ultrasonido de cadera y por qué? Detección oportuna y algoritmos de tratamiento. Rev Mex Ortop Ped. 2013; 15(1): 9-13.

  7. Choudry QA, Paton RW. Neonatal screening and selective sonographic imaging in the diagnosis of developmental dysplasia of the hip. Bone Joint J. 2018; 100-B(6): 806-10.

  8. Expert Panel on Pediatric Imaging, Nguyen JC, Dorfman SR, Rigsby CK, Iyer RS, Alazraki AL, et al. ACR Appropriateness Criteria® developmental dysplasia of the hip-child. J Am Coll Radiol. 2019; 16(5S): S94-103.

  9. Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Pediatrics. 2000; 105(4 Pt 1): 896-905.

  10. Flores E, Kim HKW, Beckwith T, Lloyd A, De La Rocha A, Paraison L, et al. Pavlik harness treatment may not be necessary for all newborns with ultrasonic hip dysplasia. J Pediatr Health Care. 2016; 30(4): 304-5.

  11. Clarke NMP, Judd J. La cadera neonatal limítrofe: observación versus Pavlik. Rev Mex Ortop Ped. 2013; 15(1): 14-8.



EVIDENCE LEVEL

IV




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Acta Ortop Mex. 2022 Ene-Feb;36