https://doi.org/10.4081/pmc.2022.290

Congenital hip dysplasia: The importance of early screening and treatment

Vol. 44 No. s1 (2022)
Published: 28 October 2022
Congenital hip dysplasia, development hip dysplasia, hip ultrasonography, pediatric screening
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Authors

Francesco Marras
Orthopaedic Department, Sassari University Hospital, Italy.
Chiara Asti
Orthopaedic Department, Sassari University Hospital, Italy.
Corrado Ciatti
Orthopaedic Department, Sassari University Hospital, Italy.
Stefano Pescia
Orthopaedic Department, Sassari University Hospital, Italy.
Cristian Locci
Pediatric Clinic Department of Medicine, Surgery and Pharmacy University of Sassari, Italy.
Francesco Pisanu
Orthopaedic Department, Sassari University Hospital, Italy.
Carlo Doria
Orthopaedic Department, Sassari University Hospital, Italy.
Gianfilippo Caggiari
gianfilippocaggiari@gmail.com
Orthopaedic Department, Sassari University Hospital, Italy.

Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than registered, with a predominance in female sex and left side; risk factors are now defined. In Italy, the incidence rate is 3-4%, with significant regional differences: higher in Lombardy and lower in Sicily. Because clinical examination alone is insufficient to diagnose CHD, it is supplemented with ultrasonography and X-ray if necessary. Surveillance, static or dynamic splints, or osteotomies are the only treatment options. The goal of this study was to evaluate our experience in terms of management and conservative treatment of all newborns from January 2018 to May 2022: female sex and left hip were major involved, risk factors were not significant in our case, but results from early diagnosis and treatments, in terms of better outcome, were interesting. After a strict 6-month follow-up period, 89.13% of the patients were classified as grade Ia or Ib according to the Graf classification system. Finally, we emphasize the importance of early universal screening and subsequent diagnosis to allow for early treatment of the disorder, at an age when conservative treatments can yield good results.

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How to Cite

Marras, F., Asti, C., Ciatti, C., Pescia, S., Locci, C., Pisanu, F., … Caggiari, G. (2022). Congenital hip dysplasia: The importance of early screening and treatment. La Pediatria Medica E Chirurgica, 44(s1). https://doi.org/10.4081/pmc.2022.290
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