Olvera-Cortés HE, Ortiz-Sánchez AG, Rubio-Martínez R, Morales-López S

Language: Spanish
References: 6
Page: 67-71
PDF size: 135.60 Kb.

ABSTRACT

Background: Developmental dysplasia of the hip (DDH), it is the leading cause of hip osteoarthritis. For diagnosis Barlow and Ortolani maneuvers, who have a sensitivity and specificity of 26% y 84% respectively, are used. The Barlow and Ortolani maneuvers should be performed at newborns and every month from birth to one year of age or the moment at which starts walking. The aim of the study was to determine if these maneuvers are part of the routine physical examination of the newborn, by medical interns, and determine the relationship with their rotation in the pediatric department. Material and methods: This is an observational, descriptive and cross-sectional research, using a simulator with DDH left in a sample of 70 medical interns and evaluated to perform the Ortolani and Barlow maneuvers during a physical exam. The odds ratio was used to determine the relationship between the rotation or not in pediatrics. Results: Of the total, 32.8% performed maneuvers, 28.5% diagnosed DDH, 65.7% had already rotated in the pediatric department, we obtained odds ratio of 3.5:1 compared to those who had not rotated. Conclusion: One third of the population studied, performed maneuvers and diagnosed DDH. Having rotated in the pediatric department positively influences the acquisition of clinical skills for the diagnosis of this entity. It is necessary to emphasize the clinical teaching of this topic.

REFERENCES

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