Comparative analysis of clinical and radiological diagnosis of pediatric patients with suspected congenital hip dysplasia

Authors

DOI:

https://doi.org/10.33448/rsd-v12i7.42709

Keywords:

Hip; Congenital hip dysplasia; Congenital hip dislocation; Pediatrics.

Abstract

Objective: To analyze the epidemiologic profile of patients suspected of developmental dysplasia of the hip (DDH) in Rio Grande do Sul, correlating to the clinical and radiological diagnosis of the pathology. Methods: A cross-sectional observational study executed by the Orthopaedic and Traumatology service from a philanthropic hospital in Rio Grande do Sul. Epidemiologic data had been collected, clinical radiological diagnosis of pediatric patients suspected of DDH assisted from 2016 to 2021 in that unit had been analyzed. Results: 85 patients were included in the study, the analysis of the epidemiologic profile shown a predominance of the female gender and caucasian ethnicity, standing out in cesarean sections. When comparing the physical examination to the radiograph or ultrasound, it wasn’t observed any statistically significant association (p>0,05). When comparing the radiograph to ultrasound, there also wasn’t any matching between them (p>0,05). Conclusion: The clinical exam it is considered the most efficient of screening and diagnosis methods. Complementary exams such as radiograph and ultrasound are fundamental to situations in which diagnostic suspicions are maintained. However, those tests shouldn’t be evaluated isolated, as the evaluation with only one method decreases the diagnosis accuracy.

References

Bertol, P., Macnicol, M. F., & Mitchell, G. P. (1982). Radiographic features of neonatal congenital dislocation of the hip. The Journal of bone and joint surgery. British volume, 64(2), 176–179. https://doi.org/10.1302/0301-620X.64B2.7068736

Bowen, J.R., & Kotzias-Neto, A. (2006). Developmental Dysplasia of the Hip. Townson: Data Trace Publishing Company

Dias, H. F. R., Toqueton, T. R., Contiero, M., Corrêa, A. C. Q., Marangoni, I. P., de Souza, L. C. F., Bernardes, J. P. A., Gallego, J., Sales, F. de C. D., Nogueira, L. C., Rodrigues, M. L., Tamekuni, M. E. Y., Silva, G. F. P., de Melo, M. J. A., de Paulo, M. R., Ferreira, F. M. G., Costa e Silva, P. H., Quintana, E. N. B., & Mariano, C. B (2022). Displasia Do Desenvolvimento Do Quadril, relação Entre via De Parto E Impacto No Tempo De Tratamento: Dysplasia of Hip Development, Relationship Between Way of Living and Impact on Time of Treatment. Braz. J. Develop. 8, 79153-79170.

Escribano García, C., Bachiller Carnicero, L., Marín Urueña, S. I., Del Mar Montejo Vicente, M., Izquierdo Caballero, R., Morales Luengo, F., & Caserío Carbonero, S. (2021). Developmental dysplasia of the hip: Beyond the screening. Physical exam is our pending subject. Anales de pediatria, 95(4), 240–245. https://doi.org/10.1016/j.anpede.2020.07.024]

Guarniero, R. (2010). Displasia do desenvolvimento do quadril: atualização. Revista Brasileira De Ortopedia, 45(2), 116–121. https://doi.org/10.1590/S0102-36162010000200002

Herring, J. A. (2014) Tachdjian’s pediatric orthopaedics. (5a ed.). Saunders. Capítulo 32

Ibrahim, S. (2015). Tachdjian's Pediatric Orthopaedics: from the Texas Scottish Rite Hospital for Children. Malaysian Orthopaedic Journal, 9(1), 53. https://doi.org/10.5704/MOJ.1503.012

Jacobino, B. C. P., Galvão, M. D., da Silva, A. F., & de Castro, C. C. (2012). Using the Graf method of ultrasound examination to classify hip dysplasia in neonates. Autopsy & case reports, 2(2), 5–10. https://doi.org/10.4322/acr.2012.018

Kelly, D. M. (2017). Anomalias congênitas e do desenvolvimento do quadril e da pelve. In: Campbell cirurgia ortopédica. 12th ed. Amsterdam: Elsevier Sanders, p.1079-1112.

Marras, F., Asti, C., Ciatti, C., Pescia, S., Locci, C., Pisanu, F., Doria, C., & Caggiari, G. (2022). Congenital hip dysplasia: The importance of early screening and treatment. La Pediatria medica e chirurgica: Medical and surgical pediatrics, 44(s1), 10.4081/pmc.2022.290. https://doi.org/10.4081/pmc.2022.290

Maxwell, S. L., Ruiz, A. L., Lappin, K. J., & Cosgrove, A. P. (2002). Clinical screening for developmental dysplasia of the hip in Northern Ireland. BMJ (Clinical research ed.), 324(7344), 1031–1033. https://doi.org/10.1136/bmj.324.7344.1031

Pereira, A. S. et al. Metodologia da pesquisa científica. UFSM, 2018.

Santilli, C., Akkari, M., & Alcantara, T. (2007). Doenças do desenvolvimento. Displasia do Desenvolvimento do quadril. In: Cohen M, Mattar RJr, Garcia RJF. Tratado de Ortopedia. Roca, p. 501-506

Schmitz, M. R., Murtha, A. S., Clohisy, J. C., & ANCHOR Study Group (2020). Developmental Dysplasia of the Hip in Adolescents and Young Adults. The Journal of the American Academy of Orthopaedic Surgeons, 28(3), 91–101. https://doi.org/10.5435/JAAOS-D-18-00533

Schott, P.C.M. (2000). Displasia do desenvolvimento do quadril e luxação displásica do quadril. Revista Brasileira Ortopedia, 35(1/2):.

Swarup, I., Penny, C. L., & Dodwell, E. R. (2018). Developmental dysplasia of the hip: an update on diagnosis and management from birth to 6 months. Current opinion in pediatrics, 30(1), 84–92. https://doi.org/10.1097/MOP.0000000000000574

Synder, M., Harcke, H. T., & Domzalski, M. (2006). Role of ultrasound in the diagnosis and management of developmental dysplasia of the hip: an international perspective. The Orthopedic clinics of North America, 37(2), 141–v. https://doi.org/10.1016/j.ocl.2005.11.002

Vaquero-Picado, A., González-Morán, G., Garay, E. G., & Moraleda, L. (2019). Developmental dysplasia of the hip: update of management. EFORT open reviews, 4(9), 548–556. https://doi.org/10.1302/2058-5241.4.180019

Weinstein, S. L., Mubarak, S. J., & Wenger, D. R. (2004). Developmental hip dysplasia and dislocation: Part I. Instructional course lectures, 53, 523–530.

Yang, S., Zusman, N., Lieberman, E., & Goldstein, R. Y. (2019). Developmental Dysplasia of the Hip. Pediatrics, 143(1), e20181147. https://doi.org/10.1542/peds.2018-1147

Zhang, S., Doudoulakis, K. J., Khurwal, A., & Sarraf, K. M. (2020). Developmental dysplasia of the hip. British journal of hospital medicine (London, England: 2005), 81(7), 1–8. https://doi.org/10.12968/hmed.2020.0223.

Published

29/07/2023

How to Cite

BARBOSA, F. H. .; CASSOL, A. C. .; PETROLI, C. M. .; OLIVEIRA JÚNIOR, A. N. de .; BARBOSA, M. H. .; JORGE, M. A. D. A. . Comparative analysis of clinical and radiological diagnosis of pediatric patients with suspected congenital hip dysplasia. Research, Society and Development, [S. l.], v. 12, n. 7, p. e16212742709, 2023. DOI: 10.33448/rsd-v12i7.42709. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42709. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences