DEVELOPMENTAL DYSPLASIA OF THE HIP – CURRENT TRENDS APLLIED IN ARAD

DEVELOPMENTAL DYSPLASIA OF THE HIP – CURRENT TRENDS APLLIED IN ARAD

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Title:	DEVELOPMENTAL DYSPLASIA OF THE HIP – CURRENT TRENDS APLLIED IN ARAD
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Article_Title:	DEVELOPMENTAL DYSPLASIA OF THE HIP – CURRENT TRENDS APLLIED IN ARAD
Authors:	PAVEL Adrian Ionel1, BOIA Eugen Sorin2
Affiliation:	1 PhD, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania 2 Prof., PhD, MD, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
Abstract:	Developmental dysplasia of the hip (DDH) is the most common musculoskeletal disorder in infancy and varies in severity, ranging from neonatal hip instability with or without associated acetabular dysplasia to irreducible dislocation. Although the disease is described by Hippocrates, there is no standard protocol for diagnosis and treatment unanimously accepted. There are still unsolved issues across the etiology, diagnosis method, the time of imaging screening and initiation of treatment. Considering the severity of the malformation, the current trend is to diagnose and treat early DDH. In our country, infants are referred to the orthopaedic pediatric service for DDH diagnosis by family physicians or pediatricians, late enough, after 4 months age.
Keywords:	Developmental dysplasia of the hip (DDH), newborns, early diagnosis, ultrasound hip.
References:	American Academy of Pediatrics. Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. Pediatrics. 2000;105(4 Pt 1):896-905. Aronsson DD, Goldberg MJ, Kling TF Jr, Roy DR. Developmental dysplasia of the hip. Pediatrics. 1994; 94: 201–208 Bialik V, Bialik GM, Blazer S, et al. Developmental dysplasia of the hip: a new approach to incidence. Pediatrics. 1999;103(1):93-99. Chan A, McCaul KA, Cundy PJ, et al. Perinatal risk factors for developmental dysplasia of the hip. Archives of Disease in Childhood Fetal & Neonatal Edition. 1997;76(2):F94-100. Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet. 2007; 369 (9572):1541-1552. Harcke H. T., “Developmental dysplasia of the hip: a spectrum of abnormality,” Pediatrics, vol. 103, no. 1, p. 152, 1999. Gelfer P, Kennedy K. Developmental dysplasia of the hip. J Pediatr Health Care. 2008; 22(5): 318–22. Homer C. J., R. D. Baltz, G. B. Hickson et al., Clinical practice guideline: early detection of developmental dysplasia of the hip, Pediatrics, vol. 105, no. 4 I, pp. 896–905, 2000. Mahan ST, Katz JN, Kim YJ. To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip. J Bone Joint Surg Am. 2009;91(7):1705-1719. Omeroglu H, Koparal S. The role of clinical examination and risk factors in the diagnosis of developmental dysplasia of the hip: a prospective study in 188 referred young infants. Archives of Orthopaedic & Trauma Surgery. 2001;121(1-2):7-11. Patel H, Canadian Task Force on Preventive Health C. Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns. CMAJ Canadian Medical Association Journal. 2001;164(12):1669-1677. Rosendahl K, Lie RT, Markestad T. Congenital hip dislocation. Ultrasonic screening of newborn infants. Tidsskr NorLaegeforen. 1997; 117(3): 346–52. Shipman SA, Helfand M, Moyer VA, Yawn BP. Screening for developmental dysplasia of the hip: a systematic literature review for the US Preventive Services Task Force. Pediatrics. 2006; 117(3):e557-576. Yiv BC, Saidin R, Cundy PJ, et al. Developmental dysplasia of the hip in South Australia in 1991: prevalence and risk factors. Journal of Paediatrics & Child Health. 1997;33(2):151-156. Zgoda M, Wasilewski P, Wasilewska I, Golicki D. Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children. J.of Child Orthop. 2009; 4(1): 9–12.
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Article Title:	DEVELOPMENTAL DYSPLASIA OF THE HIP – CURRENT TRENDS APLLIED IN ARAD
Authors:	PAVEL Adrian Ionel1, BOIA Eugen Sorin2
Affiliation:	1 PhD, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania 2 Prof., PhD, MD, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
Abstract:	Developmental dysplasia of the hip (DDH) is the most common musculoskeletal disorder in infancy and varies in severity, ranging from neonatal hip instability with or without associated acetabular dysplasia to irreducible dislocation. Although the disease is described by Hippocrates, there is no standard protocol for diagnosis and treatment unanimously accepted. There are still unsolved issues across the etiology, diagnosis method, the time of imaging screening and initiation of treatment. Considering the severity of the malformation, the current trend is to diagnose and treat early DDH. In our country, infants are referred to the orthopaedic pediatric service for DDH diagnosis by family physicians or pediatricians, late enough, after 4 months age.
Keywords:	Developmental dysplasia of the hip (DDH), newborns, early diagnosis, ultrasound hip.
References:	American Academy of Pediatrics. Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. Pediatrics. 2000;105(4 Pt 1):896-905. Aronsson DD, Goldberg MJ, Kling TF Jr, Roy DR. Developmental dysplasia of the hip. Pediatrics. 1994; 94: 201–208 Bialik V, Bialik GM, Blazer S, et al. Developmental dysplasia of the hip: a new approach to incidence. Pediatrics. 1999;103(1):93-99. Chan A, McCaul KA, Cundy PJ, et al. Perinatal risk factors for developmental dysplasia of the hip. Archives of Disease in Childhood Fetal & Neonatal Edition. 1997;76(2):F94-100. Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet. 2007; 369 (9572):1541-1552. Harcke H. T., “Developmental dysplasia of the hip: a spectrum of abnormality,” Pediatrics, vol. 103, no. 1, p. 152, 1999. Gelfer P, Kennedy K. Developmental dysplasia of the hip. J Pediatr Health Care. 2008; 22(5): 318–22. Homer C. J., R. D. Baltz, G. B. Hickson et al., Clinical practice guideline: early detection of developmental dysplasia of the hip, Pediatrics, vol. 105, no. 4 I, pp. 896–905, 2000. Mahan ST, Katz JN, Kim YJ. To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip. J Bone Joint Surg Am. 2009;91(7):1705-1719. Omeroglu H, Koparal S. The role of clinical examination and risk factors in the diagnosis of developmental dysplasia of the hip: a prospective study in 188 referred young infants. Archives of Orthopaedic & Trauma Surgery. 2001;121(1-2):7-11. Patel H, Canadian Task Force on Preventive Health C. Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns. CMAJ Canadian Medical Association Journal. 2001;164(12):1669-1677. Rosendahl K, Lie RT, Markestad T. Congenital hip dislocation. Ultrasonic screening of newborn infants. Tidsskr NorLaegeforen. 1997; 117(3): 346–52. Shipman SA, Helfand M, Moyer VA, Yawn BP. Screening for developmental dysplasia of the hip: a systematic literature review for the US Preventive Services Task Force. Pediatrics. 2006; 117(3):e557-576. Yiv BC, Saidin R, Cundy PJ, et al. Developmental dysplasia of the hip in South Australia in 1991: prevalence and risk factors. Journal of Paediatrics & Child Health. 1997;33(2):151-156. Zgoda M, Wasilewski P, Wasilewska I, Golicki D. Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children. J.of Child Orthop. 2009; 4(1): 9–12.
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