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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| Format: | Article |
| Language: | Spanish |
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2022
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| 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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RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 4, 2022, pags. 316-326
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Displasia
Desarrollo Caderas Diagnóstico Tratamiento Dysplasia Development Hips Diagnosis Treatment |
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Displasia
Desarrollo Caderas Diagnóstico Tratamiento Dysplasia Development Hips Diagnosis Treatment Jiménez Guerrero, Juan Carlos Cadena Pineda, Pamela Alexandra Sigüencia Sanmartín, Julieta Estefanía Curicho Imbacuán, Diego Arturo Displasia del desarrollo de caderas |
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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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| format |
Article
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| author |
Jiménez Guerrero, Juan Carlos
Cadena Pineda, Pamela Alexandra Sigüencia Sanmartín, Julieta Estefanía Curicho Imbacuán, Diego Arturo |
| author_facet |
Jiménez Guerrero, Juan Carlos
Cadena Pineda, Pamela Alexandra Sigüencia Sanmartín, Julieta Estefanía Curicho Imbacuán, Diego Arturo |
| author_sort |
Jiménez Guerrero, Juan Carlos
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| title |
Displasia del desarrollo de caderas
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| title_short |
Displasia del desarrollo de caderas
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| title_full |
Displasia del desarrollo de caderas
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| title_fullStr |
Displasia del desarrollo de caderas
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| title_full_unstemmed |
Displasia del desarrollo de caderas
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| title_sort |
displasia del desarrollo de caderas
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| publishDate |
2022
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| url |
https://dialnet.unirioja.es/servlet/oaiart?codigo=8648135
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1767464039810596864
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| spelling |
dialnet-ar-18-ART00015564272023-05-30Displasia del desarrollo de caderasJiménez Guerrero, Juan CarlosCadena Pineda, Pamela AlexandraSigüencia Sanmartín, Julieta EstefaníaCuricho Imbacuán, Diego ArturoDisplasiaDesarrolloCaderasDiagnósticoTratamientoDysplasiaDevelopmentHipsDiagnosisTreatmentIt 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.Se trata de una patología relativamente frecuente y es una causa importante de discapacidad si no se trata de la forma adecuada. Integra anormalidades anatómicas que afectan la articulación coxofemoral del niño incluyendo el borde anormal del acetábulo (displasia) y mala posición de la cabeza femoral. El diagnóstico precoz puede incidir en un mejor pronóstico y el tratamiento depende del grado de afección de la entidad y de la edad del paciente. En consecuencia, el propósito de la revisión consiste en compendiar lo relacionado con el diagnóstico y tratamiento de la Displasia del Desarrollo de la Cadera. La investigación se realizó bajo una metodología de tipo documental bibliográfica, bajo la modalidad de revisión. Con base a los autores revisados resulta fundamental en el diagnóstico la prevalencia de la exploración diagnóstica antes del screening, con excepción de pacientes con factores de riesgo. El primer método diagnóstico es la exploración física. En cuanto a las maniobras de detección sistemática, suelen realizarse dos: la Maniobra de Ortolani y la de Barlow. Tras el periodo neonatal precoz se debe realizar en cada control del primer año de vida una exploración cuidadosa de las caderas (sobre todo mediante abducción forzada de muslos y observación de asimetrías). En cuanto al diagnóstico por medio de evaluación imagenológica, la ecografía (US) es el método de elección en pacientes de hasta 4-6 meses. Más allá de los 4-6 meses, la exploración de elección es la radiografía simple de pelvis. El tratamiento temprano de la displasia es crucial. Por lo general, la cadera puede reducirse inmediatamente después del nacimiento, y con el crecimiento. El tratamiento consiste en dispositivos, la mayoría de las veces el arnés de Pavlik, la almohada de Frejka y otras férulas pueden ser útiles. En los casos de diagnóstico tardío (sobre todo a partir del sexto mes) o en aquellos que no responden bien al tratamiento ortopédico, puede ser necesaria la cirugía correctora2022text (article)application/pdfhttps://dialnet.unirioja.es/servlet/oaiart?codigo=8648135(Revista) ISSN 2588-073XRECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 4, 2022, pags. 316-326spaLICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. 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