Congenital hip dysplasia: The importance of early screening and treatment
Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than register...
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| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2022-10-01
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| Series: | La Pediatria Medica e Chirurgica |
| Subjects: | |
| Online Access: | https://pediatrmedchir.org/pmc/article/view/290 |
| _version_ | 1797989641091022848 |
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| author | Francesco Marras Chiara Asti Corrado Ciatti Stefano Pescia Cristian Locci Francesco Pisanu Carlo Doria Gianfilippo Caggiari |
| author_facet | Francesco Marras Chiara Asti Corrado Ciatti Stefano Pescia Cristian Locci Francesco Pisanu Carlo Doria Gianfilippo Caggiari |
| author_sort | Francesco Marras |
| collection | DOAJ |
| description |
Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than registered, with a predominance in female sex and left side; risk factors are now defined. In Italy, the incidence rate is 3-4%, with significant regional differences: higher in Lombardy and lower in Sicily. Because clinical examination alone is insufficient to diagnose CHD, it is supplemented with ultrasonography and X-ray if necessary. Surveillance, static or dynamic splints, or osteotomies are the only treatment options. The goal of this study was to evaluate our experience in terms of management and conservative treatment of all newborns from January 2018 to May 2022: female sex and left hip were major involved, risk factors were not significant in our case, but results from early diagnosis and treatments, in terms of better outcome, were interesting. After a strict 6-month follow-up period, 89.13% of the patients were classified as grade Ia or Ib according to the Graf classification system. Finally, we emphasize the importance of early universal screening and subsequent diagnosis to allow for early treatment of the disorder, at an age when conservative treatments can yield good results.
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| first_indexed | 2024-04-11T08:23:29Z |
| format | Article |
| id | doaj.art-74cea27e51af44c285714faf236fb718 |
| institution | Directory Open Access Journal |
| issn | 0391-5387 2420-7748 |
| language | English |
| last_indexed | 2024-04-11T08:23:29Z |
| publishDate | 2022-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | La Pediatria Medica e Chirurgica |
| spelling | doaj.art-74cea27e51af44c285714faf236fb7182022-12-22T04:34:51ZengPAGEPress PublicationsLa Pediatria Medica e Chirurgica0391-53872420-77482022-10-0144s110.4081/pmc.2022.290Congenital hip dysplasia: The importance of early screening and treatmentFrancesco Marras0Chiara Asti1Corrado Ciatti2Stefano Pescia3Cristian Locci4Francesco Pisanu5Carlo Doria6Gianfilippo Caggiari7Orthopaedic Department, Sassari University HospitalOrthopaedic Department, Sassari University HospitalOrthopaedic Department, Sassari University HospitalOrthopaedic Department, Sassari University HospitalPediatric Clinic Department of Medicine, Surgery and Pharmacy University of SassariOrthopaedic Department, Sassari University HospitalOrthopaedic Department, Sassari University HospitalOrthopaedic Department, Sassari University Hospital Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than registered, with a predominance in female sex and left side; risk factors are now defined. In Italy, the incidence rate is 3-4%, with significant regional differences: higher in Lombardy and lower in Sicily. Because clinical examination alone is insufficient to diagnose CHD, it is supplemented with ultrasonography and X-ray if necessary. Surveillance, static or dynamic splints, or osteotomies are the only treatment options. The goal of this study was to evaluate our experience in terms of management and conservative treatment of all newborns from January 2018 to May 2022: female sex and left hip were major involved, risk factors were not significant in our case, but results from early diagnosis and treatments, in terms of better outcome, were interesting. After a strict 6-month follow-up period, 89.13% of the patients were classified as grade Ia or Ib according to the Graf classification system. Finally, we emphasize the importance of early universal screening and subsequent diagnosis to allow for early treatment of the disorder, at an age when conservative treatments can yield good results. https://pediatrmedchir.org/pmc/article/view/290Congenital hip dysplasiadevelopment hip dysplasiahip ultrasonographypediatric screening |
| spellingShingle | Francesco Marras Chiara Asti Corrado Ciatti Stefano Pescia Cristian Locci Francesco Pisanu Carlo Doria Gianfilippo Caggiari Congenital hip dysplasia: The importance of early screening and treatment La Pediatria Medica e Chirurgica Congenital hip dysplasia development hip dysplasia hip ultrasonography pediatric screening |
| title | Congenital hip dysplasia: The importance of early screening and treatment |
| title_full | Congenital hip dysplasia: The importance of early screening and treatment |
| title_fullStr | Congenital hip dysplasia: The importance of early screening and treatment |
| title_full_unstemmed | Congenital hip dysplasia: The importance of early screening and treatment |
| title_short | Congenital hip dysplasia: The importance of early screening and treatment |
| title_sort | congenital hip dysplasia the importance of early screening and treatment |
| topic | Congenital hip dysplasia development hip dysplasia hip ultrasonography pediatric screening |
| url | https://pediatrmedchir.org/pmc/article/view/290 |
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