Related Experiment Video
Updated: Jun 23, 2026

Surgical Technique of the 3-Dimensional-printed Personalized Hip Implant for the Treatment of Canine Hip Dysplasia
Published on: April 19, 2024
[Development hip dysplasia. Knowledge in pediatricians]
Luis E Montes1, Rufino Menchaca, Ana María Valles
1Hospital Infantil de las Californias. montesmd@hotmail.com
Insights
Paediatricians in Tijuana recognize the importance of early diagnosis for developmental hip dysplasia (DHD) in newborns, but a knowledge gap exists. Further training is needed to improve recognition and management of DHD.
Area of Science:
- Paediatrics
- Orthopaedics
- Medical Education
Context:
- Developmental hip dysplasia (DHD) diagnosis relies on newborn clinical evaluation.
- Early intervention is crucial for favorable outcomes; delayed diagnosis leads to severe consequences.
- Assessing paediatrician knowledge is vital for effective DHD management.
Purpose:
- To evaluate the theoretical knowledge of paediatricians in Tijuana, Mexico, regarding DHD.
- To identify gaps in understanding epidemiology, risk factors, diagnosis, and early management of DHD.
Summary:
- A 13-item questionnaire assessed DHD knowledge in 77 Tijuana paediatricians.
- While 100% agreed on the importance of early diagnosis, only 22% achieved a satisfactory score (mean 6/12 correct answers).
- A significant deficit in theoretical knowledge regarding DHD was observed.
Impact:
- Highlights a critical need for enhanced paediatrician training in DHD recognition and management.
- Underscores the importance of college boards assessing and reinforcing essential DHD knowledge.
- Aims to improve early detection and treatment of DHD, leading to better patient prognoses.
Introduction:
The diagnosis of developmental hip dysplasia (DHD) is based on clinical evaluation of newborns. Early conservative orthopaedic management usually resolves the problem, but delay of proper recognition and treatment can cause poorer prognosis and severe consequences.
Objectives:
To evaluate the paediatrician's theoretical knowledge level in DHD in the city of Tijuana, Mexico.
Material And Methods:
A 13 item questionnaire about DHD was elaborated and applied to collegiate paediatricians in Tijuana, Mexico. The questions were assessed theoretical aspects of epidemiology, risk factors, diagnosis and early management of DHD. The questionnaire was validated in a pilot study.
Results:
The questionnaire was applied to 77 paediatricians. At least two thirds (67%) were working in official health institutions and more than a half (58%) were practicing paediatrics for 10 years or more. All of them concluded that early diagnosis in the newborns through rutinary clinical evaluation was very important. A mean of 6 correct answers was obtained (range 1 to 12). Only 17 paediatricians (22%) had satisfactory evaluation.
Conclusions:
Evaluated paediatricians agree about the importance of early diagnosis of DHD in the newborns rutine clinical evaluation, but there was a significant lack of theoretical knowledge about this condition. College boards need to evaluate and reinforce the minimal appropriate knowledge level of paediatricians in assessing the early recognition and management of DHD.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Drug Excretion
Cellular Adaptation IV: Dysplasia and Metaplasia
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Degenerative Disc Disease I: Introduction
