KaydedilenlerDerginizi ekleyin

Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2016 / Cilt: 50 - Sayı: 1

Results of a universal ultrasonographic hip screening program at a single institution

Olcay GÜLER
ALİ ŞEKER
Serhat MUTLU
Mehmet Halis ÇERÇİ
Baran KÖMÜR
Mahir MAHİROĞULLARI
Sayfa
42–48
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Hip US is recommended for detection and follow-up of DDH in newborns.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: The aims of the present study were to determine the prevalence of developmental dysplasia of the hip (DDH) in newborns screened by hip ultrasonography (US), to review outcome of followup and treatment of infants with DDH, and to evaluate the relationship between US-based diagnosis and risk factors.Methods: A total of 9564 hips of 4782 newborns (2398 females, 50.1%) were evaluated with US.
📊
Temel Bulgular & Veri:Graf classification type IIa(-), IIb, IIc, D, and III hips were treated with Pavlik harnesses.Results: Abnormal US findings (type IIa, IIc, or D hips) were detected in 475 newborns (9.9%).
💡
Sonuç & Katkı:Hip US is recommended for detection and follow-up of DDH in newborns.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The aims of the present study were to determine the prevalence of developmental dysplasia of the hip (DDH) in newborns screened by hip ultrasonography (US), to review outcome of followup and treatment of infants with DDH, and to evaluate the relationship between US-based diagnosis and risk factors.Methods: A total of 9564 hips of 4782 newborns (2398 females, 50.1%) were evaluated with US. Risk factors for DDH and accompanying deformities were also recorded. Graf classification type IIa(-), IIb, IIc, D, and III hips were treated with Pavlik harnesses.Results: Abnormal US findings (type IIa, IIc, or D hips) were detected in 475 newborns (9.9%). Risk factors and concomitant orthopedic deformities were similar in newborns with and without US abnormality and type I hips (p>0.05 for all). However, abnormal US findings were significantly more common in firstborn and female newborns. A total of 39 hips (5 bilateral, 20 left, 9 right) of 34 newborns (31 females) were placed in Pavlik harnesses. Twelve newborns had type IIc or D hips at initial evaluation, and 22 had type IIb or IIa(-) at follow-up. Mean recovery time was 12.5 (8-16) weeks for newborns with type IIc and D hips, 8.6 (8-12) weeks for those with type IIa(-) hips, and 11.2 (8-12) weeks for those with type IIb hips.Conclusion: DDH is still common among newborns in Turkey. Hip US is recommended for detection and follow-up of DDH in newborns.

🔖

Bu Makaleye Atıf Yap

GÜLER, O., ŞEKER, A., MUTLU, S., ÇERÇİ, M. H., KÖMÜR, B., MAHİROĞULLARI, M. (2016). Results of a universal ultrasonographic hip screening program at a single institution. Acta Orthopaedica et Traumatologica Turcica, Cilt: 50 - Sayı: 1, 42–48. https://ajindex.com/articles/200497

Kaynakça (10)

  1. Kokavec M, Bialik V. Developmental dysplasia of the hip. Prevention and real incidence. Bratisl Lek Listy 2007;108:251-4.
  2. Loder RT, Skopelja EN. The epidemiology and demograph- ics of hip dysplasia. ISRN Orthop 2011;2011:238607. Arti H, Mehdinasab SA1, Arti S2. Comparing results of clinical versus ultrasonographic examination in develop- mental dysplasia of hip. J Res Med Sci 2013;18:1051-5.
  3. Phelan N, Thoren J, Fox C, O'Daly BJ, O'Beirne J. De- velopmental dysplasia of the hip: incidence and treat- ment outcomes in the Southeast of Ireland. Ir J Med Sci 2015;184:411-5.
  4. Weinstein SL, Mubarak SJ, Wenger DR. Developmental hip dysplasia and dislocation: Part II. Instr Course Lect 2004;53:531-42.
  5. Gulati V, Eseonu K, Sayani J, Ismail N, Uzoigwe C, Choudhury MZ, et al. Developmental dysplasia of the hip in the newborn: A systematic review. World J Orthop 2013;4:32-41.
  6. Shorter D, Hong T, Osborn DA. Cochrane Review: Screening programmes for developmental dysplasia of the hip in newborn infants. Evid Based Child Health 2013;8:11-54. van der Sluijs JA, De Gier L, Verbeke JI, Witbreuk MM, Pruys JE, van Royen BJ. Prolonged treatment with the Pavlik harness in infants with developmental dysplasia of the hip. J Bone Joint Surg Br 2009;91:1090-3.
  7. Gray A, Elbourne D, Dezateux C, King A, Quinn A, Gardner F. Economic evaluation of ultrasonography in the diagnosis and management of developmental hip dyspla- sia in the United Kingdom and Ireland. J Bone Joint Surg Am 2005;87:2472-9. Graf R. Hip sonography. Diagnosis and management of infant hip dysplasia, 2nd edn. Springer, Berlin 2006. Graf R. Classification of hip joint dysplasia by means of sonography. Arch Orthop Trauma Surg 1984;102:248- 55. Pavlik A. Method of functional therapy with strap braces as a principle of conservative therapy of congenital disloca- tion of the hip in infants. [Article in German] Z Orthop Ihre Grenzgeb 1957;89:341-52. [Abstract] Songür M, Akel I, Karahan S, Kuzgun U, Tümer Y. Preva- lence of untreated hip dislocation in Turkish children aged 6 months to 14 years. Acta Orthop Traumatol Turc 2011;45:215-20.
  8. Omeroglu H, Koparal S, Bicimoglu A, Karademir A. The relationship between risk factors, clinical findings and ul- trasonographic findings in developmental hip dysplasia. Acta Orthop Traumatol Turc 1999;33:30-4.
  9. Tümer Y, Omeroglu H. Prevention of developmental hip dysplasia in Turkey. Acta Ortop Traumatol Turc 1997;31:176-81.
  10. Doğruel H, Atalar H, Yavuz Oy, Uraş İ, Günay C, Şayli U. An Evaluation