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At least 289 records · Page 16Linked to original sources
PubMed1992

Congenital hip dislocation: the importance of early detection and comprehensive treatment.

Hip dislocation is the musculoskeletal condition most commonly missed during neonatal examinations. Failure to diagnose the condition can lead to long-term disability and is a common target in pediatric legal suits concerning damage to the musculoskeletal system. Early neonatal assessment for hip dislocation includes an examination using the Barlow and Ortolani tests. Later examinations include assessment of gluteal folds, knee height and the degree of hip abduction. The preferred treatment is use of the Pavlik harness, an outpatient treatment regime that provides effective reduction in 90 percent of the cases. The harness uses flexion and free abduction to direct the femoral head into the acetabulum; it uses time, gravity and motion to position the hip in a reduced position. The harness requires three to six months of continuous wear for the hip to become radiographically stable. Health care providers are instrumental in diagnosing congenital hip dislocation and teaching families how to promote the infant's physical and psychosocial well-being. If this condition is not detected until after the infant is 6 weeks old, or the harness is ineffective after three weeks, skin traction, closed reduction and spica-cast application may be needed. Open reduction and recasting are also options. In rare cases, total hip replacement is necessary in later life.

Caregivers↗
PubMed1991

[Changes in the osteoarticular system after completion of the treatment of congenital hip dislocation in children and adolescents].

There have been analyzed the results of the treatment of congenital femur dislocation in 189 children. It has been stated that the results of treatment are in direct relation with the timely commencement of treatment, dysplasia expression of pelvic and femur components, adequacy of the treatment methods to the pathology nature, observation of the orthopedics regimen and rehabilitation treatment. There have been detected the group of children, in which in spite of the treatment applied in total accordance with the rules of orthopedics, have been noticed the changes of the degenerative-dystrophic nature both on the side of dislocation and in the remote parts of skeleton. The obtained data are to be taken into consideration for vocational orientation of adolescents and at the stage of dispensary observation in order to compile the plans of rehabilitation treatment.

Adolescent↗
PubMedDate not supplied

[Ultrasonic neonatal screening of congenital hip dislocation].

Routine echographical neonatal diagnosis of congenital dislocation of the hip is today a good method of treatment of this pathology: early diagnosis, infarct, allows treatment in early years with complete healing as shown by long term follow-up. 596 newborns have met with echographic hip screening: the method has shown good result and the study has led us to realize an anamnestical schema pointed on the familiarity which is one of the pathognomic matters of this pathology.

Hip Dislocation, Congenital↗
PubMed1988

[Proton spin tomography in the treatment of congenital hip dislocation].

In twelve patients with a congenital dislocation of the hip a comparative study was carried out with Magnetic Resonance Imaging and arthrography. MRI can provide accurate information about pathologic anatomic changes in and around a luxated hip in several planes. Until recently arthrography was considered as the imaging technique of choice when further precise information was required. However it is an invasive method which involves ionising radiation. Furthermore, tridimensional structures are transformed in two-dimensional structures and the contrast medium only outlines the bony and soft tissues, which contour the hip joint.

Arthrography↗