Perfil dos pacientes diagnosticados com displasia do desenvolvimento do quadril

Abstract

Objective To describe the profile of patients with developmental dysplasia of the hip (DDH) diagnosed by physical and ultrasound examination, with the implementation of a protocol for the treatment and follow-up of DDH. Methods A cross-sectional study with DDH patients born between January 2014 and December 2016, in the city of Pelotas, Southern Brazil. Ethnicity, gender, birth weight, fetal presentation, affected side of the hip, gestational age, maternal age and family history were considered. The data on the medical records were compared with the characteristics of the general population described on the Brazilian National Information System on Live Births (Sistema de Informação sobre Nascidos Vivos [SINASC]). Results A total of 33 DDH patients were identified, mostly female, with a four-fold higher probability of having the condition ( p < 0.001); the left was the most affected side. No statistically significant association was found regarding the following factors: birth weight, gestational age, ethnicity, and maternal age. The newborns in breech presentation had a 15-fold higher probability of presenting DDH ( p < 0.001). A total of 21 newborns required immediate treatment of the hips, since the ultrasound showed a Graf classification of IIb or higher, or the radiography showed dislocation in DDH patients older than 6 months of age. Conclusion Screening for DDH is essential in all newborns; physical examinations revealing alterations must be complemented with ultrasound imaging to avoid the delayed diagnosis of the condition.

Prevalência de displasia do desenvolvimento do quadril em uma maternidade de São Paulo, Brasil

“…Barbosa and Albernaz 8 were the only authors who tried to estimate the prevalence of DDH in Brazil, in a retrospective study performed in the School of Medicine at Universidade Católica de Pelotas. The authors reported many potential selection biases because the analysis was performed with a small number of cases identified through the patients' medical records.…”

“…Barbosa e Albernaz 8 foram os únicos autores que tentaram estimar a prevalência de DDQ no Brasil, em estudo retrospectivo realizado na Faculdade de Medicina da Universidade Católica de Pelotas. Os autores relataram muitos potenciais vieses de seleção, porque a análise foi realizada em um pequeno número de casos identificados a partir dos prontuários dos pacientes.…”

Displasia do desenvolvimento do quadril: série de casos no Rio Grande do Norte

“…In the United States, the Pediatric Orthopedic Society of North America (POSNA) recommends that a physical examination be carried out during the first months of life primarily by a pediatrician, and when positive, referral for a more detailed analysis with a pediatric orthopedist to confirm or reject the diagnosis. USG is performed for positive cases and those at high risk for DDH, with an agreement of 87.5% between the echogram and the positive result of the physical examination 12,13 . The newborn healthcare guide for orthopedic problems from the Ministry of Health (MoH) in Brazil recommends the Ortolani maneuver in the first two days of life and in subsequent consultations 14,15 .…”

Influence of physiotherapy treatment for developmental dysplasia of the hip after use of the Pavlik Suspension

“…It is also important to mention femoral nerve palsy. These complications present a good resolvability when there is suspension of the established treatment (BARBOSA;Albernaz, 2019).…”