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The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources

Developmental dysplasia of the hip (DDH) is a condition that includes a wide spectrum of anomalies ranging from simple instability with ligamentous hyperlaxity to the complete displacement of the femoral head outside the abnormally developed cotyloid cavity. Early detection and initiation of treatme...

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Autores principales: Candussi, Iuliana-Laura, Ene, Daniela, Bușilă, Camelia, Mihailov, Raul, Sârbu, Ioan, Lungu, Claudiu N., Ciongradi, Carmen Iulia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486788/
https://www.ncbi.nlm.nih.gov/pubmed/37685450
http://dx.doi.org/10.3390/healthcare11172416
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author Candussi, Iuliana-Laura
Ene, Daniela
Bușilă, Camelia
Mihailov, Raul
Sârbu, Ioan
Lungu, Claudiu N.
Ciongradi, Carmen Iulia
author_facet Candussi, Iuliana-Laura
Ene, Daniela
Bușilă, Camelia
Mihailov, Raul
Sârbu, Ioan
Lungu, Claudiu N.
Ciongradi, Carmen Iulia
author_sort Candussi, Iuliana-Laura
collection PubMed
description Developmental dysplasia of the hip (DDH) is a condition that includes a wide spectrum of anomalies ranging from simple instability with ligamentous hyperlaxity to the complete displacement of the femoral head outside the abnormally developed cotyloid cavity. Early detection and initiation of treatment allow “restitutio ad integrum” healing, which has raised the medical community’s interest in early diagnosis. However, in countries with limited material resources, where echographic screening is not performed, efforts are being made to increase the sensitivity of clinical screening. Thus, the concept of “hip at risk” is taking shape worldwide. This is the normal clinical hip, but associated with one or more risk factors. We conducted a retrospective study for the period 2010–2015 with patients who presented in the ambulatory clinic of the St. John Children’s Clinical Hospital, Galati. The study included 560 patients, who were all examined clinically and sonographically, according to the Graf method, by a senior orthopedic doctor with competence in hip sonography. The data obtained from the anamnesis, clinical examination, and ultrasound examination were recorded in the DDH file. The goal of the statistical analysis of the group of patients was to find a correlation between DDH and the risk factors used in the clinical detection of this pathology. In the studied group, four risk factors were identified that have an increased association with DDH: female sex, pelvic presentation, limitation of coxo-femoral abduction, and congenital clubfoot; thus, the conclusion of the study is that patients who have at least one of the listed risk factors should be examined sonographically as quickly as possible. The early ultrasound examination will allow the identification of the disease and the initiation of treatment.
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spelling pubmed-104867882023-09-09 The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources Candussi, Iuliana-Laura Ene, Daniela Bușilă, Camelia Mihailov, Raul Sârbu, Ioan Lungu, Claudiu N. Ciongradi, Carmen Iulia Healthcare (Basel) Article Developmental dysplasia of the hip (DDH) is a condition that includes a wide spectrum of anomalies ranging from simple instability with ligamentous hyperlaxity to the complete displacement of the femoral head outside the abnormally developed cotyloid cavity. Early detection and initiation of treatment allow “restitutio ad integrum” healing, which has raised the medical community’s interest in early diagnosis. However, in countries with limited material resources, where echographic screening is not performed, efforts are being made to increase the sensitivity of clinical screening. Thus, the concept of “hip at risk” is taking shape worldwide. This is the normal clinical hip, but associated with one or more risk factors. We conducted a retrospective study for the period 2010–2015 with patients who presented in the ambulatory clinic of the St. John Children’s Clinical Hospital, Galati. The study included 560 patients, who were all examined clinically and sonographically, according to the Graf method, by a senior orthopedic doctor with competence in hip sonography. The data obtained from the anamnesis, clinical examination, and ultrasound examination were recorded in the DDH file. The goal of the statistical analysis of the group of patients was to find a correlation between DDH and the risk factors used in the clinical detection of this pathology. In the studied group, four risk factors were identified that have an increased association with DDH: female sex, pelvic presentation, limitation of coxo-femoral abduction, and congenital clubfoot; thus, the conclusion of the study is that patients who have at least one of the listed risk factors should be examined sonographically as quickly as possible. The early ultrasound examination will allow the identification of the disease and the initiation of treatment. MDPI 2023-08-29 /pmc/articles/PMC10486788/ /pubmed/37685450 http://dx.doi.org/10.3390/healthcare11172416 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Candussi, Iuliana-Laura
Ene, Daniela
Bușilă, Camelia
Mihailov, Raul
Sârbu, Ioan
Lungu, Claudiu N.
Ciongradi, Carmen Iulia
The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources
title The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources
title_full The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources
title_fullStr The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources
title_full_unstemmed The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources
title_short The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources
title_sort influence of risk factors in the early detection of developmental dysplasia of the hip in a country with limited material resources
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486788/
https://www.ncbi.nlm.nih.gov/pubmed/37685450
http://dx.doi.org/10.3390/healthcare11172416
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