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Ultrasound in detection of developmental hip dysplasia in premature born children
Verica Misanovic1, Fedzat Jonuzi1, Hajra Maksic-Kovacevic1
1Pediatric Clinic, Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Insights
Early ultrasound screening for developmental hip dysplasia is crucial for all newborns, including premature infants. This method aids in timely diagnosis and treatment, preventing long-term disability in infants.
Area of Science:
- Pediatric Orthopedics
- Neonatology
- Diagnostic Imaging
Background:
- Developmental hip dysplasia is the most common locomotor system deformity in children.
- Early diagnosis and treatment within the first year of life are critical for effective management.
- Ultrasound offers a simple and convenient method for early detection, preventing permanent disability.
Purpose of the Study:
- To highlight the increasing survival rates of premature infants due to advancements in Neonatal Intensive Care Units.
- To investigate the prevalence and diagnosis of developmental hip dysplasia in both premature and full-term infants.
Main Methods:
- A clinical investigation of 150 infants (77 girls, 73 boys) diagnosed with developmental hip dysplasia.
- Diagnosis confirmed through clinical examination, ultrasound, and X-ray of the hips.
- Data collected between January 2012 and August 2014.
Main Results:
- Two groups of 75 infants each were formed: premature and full-term.
- Developmental hip dysplasia was diagnosed in premature infants at the Ultrasound unit and Intensive Neonatal Care Unit.
- Control group consisted of full-term infants diagnosed with hip dysplasia during their first ultrasound examination.
Conclusions:
- Premature birth rates range from 5-10% and show an increasing trend.
- Ultrasound hip examination is recommended for all newborns at 6 weeks of age.
- Early screening facilitates prompt intervention for developmental hip dysplasia.
Introduction:
Developmental hip dysplasia represents the most common deformation of locomotor system in children. Developmental modulation of the hip is expressed during first year of life which is important for early diagnosis and treatment. Therefore, in the practice, it is very important to set a diagnosis early with application of simple and convenient methods (ultrasound) in order to achieve fast and efficient therapeutical effect and avoid permanent disability.
Aim:
The aim of this paper is to point out the increase of prematurely born infants and their survival thanks to the development of Unit for Intensive Neonatal Care at the Pediatric Clinics in Sarajevo.
Material And Methods:
Clinical investigation included 150 infants (77 girls and 73 boys) in whom the developmental hip dysplasia was diagnosed with clinical exam, ultrasound exam and x-ray of the hips. The exams were done in period of January 2012 to August 2014.
Results:
Two groups of patients were formed. The first one consisted of premature infants, total number of 75 (34 girls and 41 boys), with developmental hip dysplasia that was diagnosed at the first exam at the Ultrasound unit of the Pediatric clinics and at the Intensive Neonatal Care Unit of the Pediatric Clinics in Sarajevo. Second (control) group consistsed of patients-on term infants who had diagnosed one of developmental hip dysplasia, total of 75 (43 girls and 32 boys) during first exam in the Ultrasound unit of the Pediatric clinics in Sarajevo.
Conclusion:
The frequency of premature birth is between 5 and 10% of all labors and demonstrates increasing trend. We suggest ultrasound examination of hips in each newborn, term or premature, at the age of 6 weeks after birth.
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