Early detection of developmental displacement of the hip at Virovitica general hospital department of children’s diseaseReport as inadecuate




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Medicina, Vol.44 No.3-4 December 2008. -

Aim: To present results and efficiency of ultrasound hip examination according to Graf technique of newborns and infants in our community with a purpose of early detection of hip dysplasia.

Subjects and methods: Ultrasound hip examination was performed on 2528 newborns and infants at the Department of Children-s Diseases, Virovitica General Hospital in the period between March 2000 and June 2002, and October 2005 and April 2006. In the same period we examined 1822 78,2% newborns and infants of a total of 2331 liveborn children at the Maternity ward. Based on the results they were classified in one of ten types according to Graf and then diagnosed.

Results: In 1720 94,62% children ultrasound results were negative and in 98 5,38% developmental displacement of the hip was detected. Patological ultrasound results were found in 73 74,5% female and 25 25,5% male infants. There were 52 53,1% findings from weeks 0-6, 34 34,7% from 7 weeks-3 months and 12 12,2% findings from 3-7 months. According to Graf classification there were 41 20,9% cases of type II-a hips, 9 4,6% type II-b, types II-g 1 0,5%, II-d 10 5,1%, III-a 25 12,8% and III-b 0 0,0%, and one type IV 1,0%. Among children with developmental displacement of the hip disorder there is a high prevalence of hip dysplasia 79 80,5% compared to 18 18,5% subluxations and 1 1,0 % luxation.

Conclusion: Our results based on non-selective ultrasound examination of newborns and infants indicate the efficiency of this method in early diagnosis of developmental displacement of the hip.

developmental displacement of the hip; early detection; screening; ultrasound



Author: Kornelija Koši-Šantić - orcid.org-0000-0002-9345-9149 ; Department of children-s diseases, General hospital Virovitica, Virovi

Source: http://hrcak.srce.hr/



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