Displasia del desarrollo de caderas
It is a relatively frequent pathology and is an important cause of disability if it is not treated properly. Integrates anatomi-cal abnormalities that affect the coxofemoral joint in children, including abnormal rim of the acetabulum (dysplasia) and malposition of the femoral head. Early diagnosis c...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2022
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8648135 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 4, 2022, pags. 316-326 |
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| Summary: |
It is a relatively frequent pathology and is an important cause of disability if it is not treated properly. Integrates anatomi-cal abnormalities that affect the coxofemoral joint in children, including abnormal rim of the acetabulum (dysplasia) and malposition of the femoral head. Early diagnosis can lead to a better prognosis and treatment depends on the degree of involvement of the entity and the age of the patient. Consequently, the purpose of the review is to summarize what is related to the diagnosis and treatment of Developmental Dysplasia of the Hip. The research was carried out under a bib-liographic documentary type methodology, under the review modality. Based on the reviewed authors, the prevalence of diagnostic examination before screening is fundamental in diagnosis, with the exception of patients with risk factors. The first diagnostic method is physical examination. As for systematic detection maneuvers, two are usually performed: the Ortolani maneuver and the Barlow maneuver. After the early neonatal period, a careful exploration of the hips should be carried out at each control during the first year of life (especially by means of forced abduction of the thighs and obser-vation of asymmetries). Regarding diagnosis by imaging evaluation, ultrasound (US) is the method of choice in patients up to 4-6 months. Beyond 4-6 months, the examination of choice is a simple pelvic X-ray. Early treatment of dysplasia is crucial. The hip can usually be reduced immediately after birth, and with growth. Treatment consists of devices, most often Pavlik's harness, Frejka's pillow and other splints may be helpful. In cases of late diagnosis (especially after the sixth month) or in those that do not respond well to orthopedic treatment, corrective surgery may be necessary. |
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