Morales RGI, Plascencia RJP, Patiño GLG, Girón SAV, Meza GEA, Anguiano CIM, Luna SSE, Torres VJJ, Flores-Vargas G, Padilla-Raygoza N

Language: Spanish
References: 12
Page: 15-20
PDF size: 289.50 Kb.

ABSTRACT

Introduction: developmental dysplastic hip disease can range from slight incongruity between the articular surfaces to dislocation of the femoral head outside the acetabulum. The prevalence among neonates in Mexico is 1%. For these cases, the diagnosis is made using the Graf technique. Objective: the aim was to evaluate the prediction and reliability of a risk factors questionnaire for screening before the Graf technique. Material and methods: a quantitative, cohort, longitudinal, prospective, and analytical study was designed. The study universe was neonates from the Guanajuato General Hospital of the Guanajuato State Public Health Institute, carried out between April and June 2023. A risk factors questionnaire for the Developmental Dysplastic Disease of the Hip was applied, and the prediction characteristics and reliability were analyzed. Results: reliability was measured with the Kappa coefficient, obtaining 100% for the intra- and inter-observer cases. Regarding the prediction, the Area Under the Curve of the ROC curve was 0.604 (CI95% 0.477-0.731). Conclusions: the results obtained were not conclusive. However, the point estimates suggest that the risk factor questionnaire may support the screening for developmental dysplastic disease of the hip.

REFERENCES

1. Cymet-Ramirez J, Alvarez-Martinez MM, Garcia-Pinto G, Frias-Austria R, Meza-Vernis A, Rosales-Muñoz ME, et al. El diagnóstico oportuno de la displasia de cadera. Enfermedad discapacitante de por vida. Consenso del Colegio Mexicano de Ortopedia y Traumatología. Acta Ortop Mex. 2011; 25 (5): 313-322.

2. Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet. 2007; 369 (9572): 1541-1552.

3. Padilla N. Developmental dysplasia of the hip. In: Martinez R. Ed. Martinez Health of Children and Adolescents. 7th Edition. Mexico: El Manual Moderno; 2013. 1513-1517.

4. Padilla N, Figueroa RC. Pruebas de transmisión del sonido en el diagnóstico de la luxación de cadera en el naonato. Rev Mex Pediatr. 1996; 63 (6): 265-268.

5. Omeroglu H, Akceylan A, Kose N. Associations between risk factors and developmental dysplasia of the hip and ultrasonographic hip type: a retrospective case control study. J Child Orthop. 2019; 13: 161-166. doi: 10.1302/1863-2548.13.180174.

6. Aronson J. Osteoarthritis of the young adult hip: etiology and treatment. Instr Course Lect. 1986; 35: 119-128.

7. 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. doi: 10.1542/peds.105.4.896.

8. Figueroa-Ferrari RC, Padilla-Raygoza N. Congenital dislocation of the hip in the macrosomic newborn ultrasound aspects. Rev Med IMSS. 1994; 32: 277-279.

9. Fernández E. Congenital hip dislocation: reduction with modified straps Pavlik children one year of age. Rev Mex Ortop Traumatol. 1989; 3: 30-34.

10. Arti H, Mehdinasab SA, Arti S. Comparing results of clinical versus ultrasonographic examination in developmental dysplasia of hip. J Res Med Sci. 2013; 18 (12): 1051-1055.

11. Kowalczyk B, Felus J, Kwinta P. Developmental dysplasia of the hip: the problems in the diagnosis process in our own experience. Med Wieku Rozwoj. 2005; 9 (3): 395-406.

12. Padilla-Raygoza N, Mendoza-Lara C, Olvera-Villanueva G, Delgado-Sandoval SC, García-Campos ML, Benítez-Guerrero V. Risk factors for developmental dysplasia of the hip. In: Nozic D (ed). New insights into disease and pathogen research Vol 2. Book Publisher International; 2019. doi: 10.937/bpi/nidpr/v2.