ORTHOPEDIC ASSESSMENT OF THE HIPS IN NEWBORNS AFTER INITIAL PEDIATRIC SURVEY
Felipe Chioro Gonzalez1, Felipe Fontes1, Guilherme de Albuquerque Souza Maia1
1Santa Casa de Ribeirão Preto, Serviço de Ortopedia, Ribeirão Preto, SP, Brazil.
Insights
Early hip examination in newborns with initial physical abnormalities is crucial. A prospective study found only 2 out of 34 infants required Pavlik harness treatment for hip issues, with successful outcomes.
Area of Science:
- Pediatric Orthopedics
- Neonatal Screening
Background:
- Congenital hip dysplasia screening is vital for early detection and intervention.
- Pediatricians play a key role in identifying newborns requiring further orthopedic evaluation.
Purpose of the Study:
- To analyze and follow-up newborns with altered initial physical examination findings.
- To identify pathological hip changes in at-risk infants.
Main Methods:
- Prospective cohort study of 34 newborns (68 hips) with abnormal initial physical exams.
- Clinical and ultrasonographic examinations using the Graf method were performed.
- Specific treatments and outcomes were analyzed.
Main Results:
- Out of 68 hips, only 2 hips in 2 patients required intervention.
- Pavlik harness treatment for 8 weeks resulted in satisfactory outcomes for both cases.
- The incidence of hip pathology requiring intervention was low.
Conclusions:
- Initial evaluation of all newborns is mandatory, particularly those with risk factors.
- Early detection and management of hip abnormalities can lead to favorable outcomes.
- Findings align with existing literature on neonatal hip screening.
Objective:
To analyze and follow-up patients previously selected by pediatricians at the time of birth who presented altered initial physical examination results to identify the pathological changes in their hips.
Methods:
A prospective cohort study was conducted involving 34 newborns (68 hips) out of a total of 1273 live births; these infants were assessed within the first days of life as altered findings were noted in the initial examination by the pediatrician. The results of clinical and ultrasonographic examination performed using the GRAF method and of specific treatments were analyzed.
Results:
Of the 68 hips in 34 patients, 2 hips in 2 patients required intervention using the Pavlik harness for 8 weeks; a satisfactory treatment outcome was obtained in both cases.
Conclusions:
Despite the low orthopedic workload in medical courses, it was possible to identify data consistent with the literature, both in the presentation of clinical findings and in those that required treatment, indicating that an initial evaluation of all newborns is mandatory, especially those with risk factors.
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