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Slovenska pediatrija 2019; 26: 116-120


Review article

DEVELOPMENTAL DYSPLASIA OF THE HIP - GUIDELINES FOR EVALUATION AND REFERRAL IN NEWBORNS AND INFANTS IN SLOVENIA

Eta Mijoč Ocepek
Zdravstveni dom Velenje Vodnikova 1, 3320 Velenje, Slovenija

Nataša Berden
Oddelek otroške ortopedske kirurgije, Ortopedska klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Janez Brecelj
(upokojen)

Abstract

Developmental dysplasia of the hip (DDH) is one of the most common abnormalities of musculoskeletal development. It covers a wide spectrum of irregularities. Known risk factors include a positive family history, breech presentation, female gender and improper and tight swaddling. DDH is the most common cause of hip arthritis in women younger than 40 years and accounts for 9% to 10% of all total hip replacements. As such, emphasis should be placed on early diagnosis and treatment. Therefore, clinical assess­ment of the newborns and ultrasound based screening at the age of 6 weeks is recommended. when initiated early, treatment using a simple abduction harness has an excel­lent success rate. Key words: hip dislocation, congenital, diagnosis, screening, ultrasonography.

Key words: hip dislocation, congenital, diagnosis, screening, ultrasonography


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