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What's New in Pediatric Hip?
Matthew R Schmitz1, Todd J Blumberg2, Susan E Nelson3
1Department of Orthopaedics, San Antonio Military Medical Center, San Antonio, TX.
Journal of Pediatric Orthopedics
|March 20, 2018
Summary
This review covers recent advancements in diagnosing and treating pediatric hip conditions like developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease (LCPD), and slipped capital femoral epiphysis (SCFE). It highlights key research for pediatric orthopaedic care.
Area of Science:
- Pediatric Orthopaedics
- Hip Joint Pathologies
Background:
- Developmental dysplasia of the hip (DDH) is a common deformity leading to osteoarthritis and hip arthroplasty.
- Legg-Calvé-Perthes disease (LCPD) involves vascular insult to the femoral epiphysis, causing hip joint morphologic changes.
- Slipped capital femoral epiphysis (SCFE) results from proximal femoral physis failure, displacing the epiphysis.
Purpose of the Study:
- To review the most important recent literature on pediatric hip conditions.
- To provide an overview of the diagnosis and treatment of DDH, LCPD, SCFE, and pediatric hip infections.
Main Methods:
- A comprehensive PubMed search was conducted for studies published between July 1, 2014, and August 31, 2017.
- The search focused on developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease (LCPD), slipped capital femoral epiphysis (SCFE), and pediatric hip infections.
- A total of 839 English articles were identified, with 40 selected for review based on significant findings.
Main Results:
- Forty significant papers were selected for review, supplementing with historical manuscripts for context.
- The selected literature represents new and important findings in the field of pediatric hip conditions.
Conclusions:
- Developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease (LCPD), slipped capital femoral epiphysis (SCFE), and hip infections remain critical areas in pediatric orthopaedics.
- This review synthesizes recent research, offering insights into the diagnosis and management of these pediatric hip conditions.