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[Application of the Graf method for diagnosis and early detection of hip dysplasia]
S Villanueva-Martínez1, E H Hermida-Ochoa1, D Benavides-Rodríguez1
1Hospital de Ortopedia para Niños «Dr. Germán Díaz Lombardo». México.
Insights
Early ultrasound (USG) diagnosis and harness treatment for developmental hip dysplasia (DHD) in infants show a 99.2% success rate, leading to improved function and reduced pain.
Area of Science:
- Pediatric Orthopedics
- Medical Imaging
- Developmental Biology
Background:
- Developmental hip dysplasia (DHD) is a prevalent pediatric hip disorder.
- Clinical screening and selective ultrasonography (USG) for high-risk neonates are recommended.
- This study evaluates the impact of USG diagnosis and early DHD treatment.
Purpose of the Study:
- To assess the effectiveness of ultrasonography (USG) in diagnosing developmental hip dysplasia (DHD).
- To evaluate the outcomes of early DHD treatment using harness therapy.
- To analyze the impact on pediatric patient outcomes within a specific hospital unit.
Main Methods:
- Retrospective, descriptive, cross-sectional study of children aged 1-6 months with DHD.
- Ultrasonographic (USG) tracking from January 2018 to December 2019.
- Six-month follow-up including harness treatment (23 hours/day) and regular USG revisions.
Main Results:
- 19 left-sided (47.5%), 10 right-sided (25%), and 11 bilateral (27.5%) DHD cases identified.
- Associated risk factors included firstborn status, family history, breech presentation, and female sex.
- 99.2% satisfactory evolution observed with continuous harness use.
Conclusions:
- Ultrasonography (USG) plays a crucial role in the successful management of developmental hip dysplasia (DHD).
- Early diagnosis and treatment lead to a high success rate in the hip clinic.
- Reduced incidence of pain, functional limitations, and improved gait patterns were observed.
Introduction:
Developmental hip dysplasia (DHD) is the most common disorder affecting pediatric hip; screening all neonates clinically, and using ultrasonography selectively for those babies who are at high risk is a widespread recommendation. our goal is to evaluate the impact that USG diagnosis and early treatment of DHD has had on the child population of our unit.
Material And Methods:
Retrospective, descriptive and cross-sectional study. Records of those children from one to six months of age, with a diagnosis of DHD, without distinction of sex, subjected to ultrasonographic tracking in the period from January 2018 to December 2019 were reviewed. A follow-up of six months was carried out in all patients, from the moment of diagnosis and the start of treatment with harness, weekly visits for relocation, as well as ultrasonographic revision every four weeks to monitor the treatment.
Results:
19 cases were reported from the left side (47.5%), 10 cases from the right side (25%) and 11 bilateral cases (27.5%). The main associated risk factors were: product of the first pregnancy, family history of DHD, pelvic presentation, female sex. The results were favorable with a continuous use of harness of 23 hours observing a satisfactory evolution in 99.2% of the patients.
Conclusion:
With the results obtained we can analyze the considerable success rate of the hip clinic of our hospital with the realization of the ultrasound, we find a lower incidence of patients with pain, limitation of function, as well as satisfactory gait patterns.
