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[[So-called congenital hip dislocation--development of incidence, diagnosis and therapy in the last 7 years]
1Orthopädische Universitätsklinik Kiel.
Insights
Congenital Dislocation of the Hip (CDH) cases have decreased, with earlier ultrasound diagnosis improving outcomes. True congenital dislocations requiring surgery are now more prevalent.
Area of Science:
- Pediatric Orthopedics
- Developmental Dysplasia of the Hip
Background:
- Congenital Dislocation of the Hip (CDH) is a condition affecting newborns.
- Understanding trends in CDH frequency, diagnosis, and treatment is crucial for pediatric care.
Purpose of the Study:
- To analyze the changes in Congenital Dislocation of the Hip (CDH) over a seven-year period.
- To evaluate the frequency, diagnostic timing, and therapeutic approaches for CDH.
Main Methods:
- Retrospective analysis of hospital records.
- Review of ultrasound and X-ray imaging for pediatric patients diagnosed with CDH.
- Data collected from a university hospital setting.
Main Results:
- A total of 21 children (28 hips) were treated for CDH between 1991 and 1997.
- The incidence of CDH showed a decline compared to previous studies.
- Ultrasound successfully diagnosed CDH in 17 children, with 8 diagnosed within the first week of life.
- Open reduction was required for 9 hips; 7 of these had diagnoses made in the first days of life.
Conclusions:
- A decrease in overall CDH cases was observed.
- The proportion of "true" congenital dislocations requiring surgical intervention has increased.
- Early diagnosis, particularly via ultrasound, is critical for managing CDH effectively.
Problem:
How has the Congenital Dislocation of the Hip (CDH) developed in the last 7 years concerning frequency, time of diagnosis and therapy?
Method:
Retrospective analysis of hospital reports, ultrasound- and X-ray images of children treated with CDH in the University Hospital.
Results:
From 1. 1. 1991 to 31. 12. 1997 21 children with 28 dislocated hips were treated. The number of dislocated hips per anno is less than in a former study. In 17 children the diagnosis was found by ultrasound. The diagnosis was made within the first week of life in 8 children. In 9 dislocated hips, open reduction was necessary; in 7 of these 9 joints, diagnosis was made in the first days of life.
Conclusions:
Because of the distinct declination of CDH the "true" congenital dislocations, in which open reductions were often necessary, predominated.
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