Errors of diagnosis and the initiation of conservative treatment in children with congenital hip dislocation
- 作者: Pozdnikin I.Y.1, Baskov V.E.1, Voloshin S.Y.1, Barsukov D.B.1, Krasnov A.I.1, Poznovich M.S.1, Bortulev P.I.1, Baskaeva T.V.1, Bortuleva O.V.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- 期: 卷 5, 编号 2 (2017)
- 页面: 42-51
- 栏目: Articles
- URL: https://bakhtiniada.ru/turner/article/view/6755
- DOI: https://doi.org/10.17816/PTORS5242-51
- ID: 6755
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详细
Background. Dysplasia of hip joints and congenital hip dislocation are common impaired developments in newborns. Currently, there are common cases of late detection of the disease, failure in treatment, and development of complications, which is not adequately reflected in the modern literature.
Aim of the study. This study aimed to identify the most common errors during diagnosis and treatment onset in children with congenital hip dislocation during the first year of life.
Materials and methods. This study is based on a retrospective analysis of the anamnesis history, which is the history of diagnosis and previous treatment, as well as on clinical, sonographic, radiation, and magnetic resonance examinations of 250 patients aged 5 months to 2 years. The patients were admitted to the specialized Department of Hip Joint Pathology of the Turner Scientific and Research Institute for Children’s Orthopedics with a diagnosis of congenital hip dislocation between 2005 and 2015.
Results and Conclusion. The most common causes of errors during diagnosis of congenital hip dislocation in children are the lack of examination of the newborn by an orthopedist in the maternity hospital and sonographic screening as well as an error in its implementation. At the onset of treatment, the use of structures that did not provide the optimal position for repositioning the femoral head was noted as well as late indications for primary surgical treatment in cases of unreducible hips.
作者简介
Ivan Pozdnikin
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: pozdnikin@gmail.com
MD, PhD, research associate of the department of hip pathology
俄罗斯联邦, Saint PetersburgVladimir Baskov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: dr.baskov@mail.ru
MD, PhD, head of the department of hip pathology
俄罗斯联邦, Saint PetersburgSergei Voloshin
The Turner Scientific Research Institute for Children’s Orthopedics
Email: volochin_ortoped@mail.ru
MD, PhD, chief of the department of hip pathology
俄罗斯联邦, Saint PetersburgDmitry Barsukov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: dbbarsukov@gmail.com
MD, PhD, senior research associate of the department of hip pathology
俄罗斯联邦, Saint PetersburgAndrey Krasnov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: dbbarsukov@gmail.com
MD, PhD, orthopedic and trauma surgeon
俄罗斯联邦, Saint PetersburgMahmoud Poznovich
The Turner Scientific Research Institute for Children’s Orthopedics
Email: dbbarsukov@gmail.com
MD, PhD student
俄罗斯联邦, Saint PetersburgPavel Bortulev
The Turner Scientific Research Institute for Children’s Orthopedics
Email: pavel.bortulev@yandex.ru
MD, research associate of the department of hip pathology
俄罗斯联邦, Saint PetersburgTamila Baskaeva
The Turner Scientific Research Institute for Children’s Orthopedics
Email: tamila-baskaeva@mail.ru
MD, orthopedic surgeon
俄罗斯联邦, Saint PetersburgOksana Bortuleva
The Turner Scientific Research Institute for Children’s Orthopedics
Email: tamila-baskaeva@mail.ru
MD, PhD student of the department of hip pathology
俄罗斯联邦, Saint Petersburg参考
- Гончарова М.Н., Бровкина Т.А. Ранняя диагностика и функциональные методы лечения врожденного вывиха бедра у детей. – Л.: Медицина, 1968. – 145 с. [Goncharova MN, Brovkina TA. Rannyaya diagnostika i funkcional’nye metody lecheniya vrozhdennogo vyviha bedra u detej. Leningrad: Medicina; 1968. 145 p. (In Russ).]
- Jacobsen S, Sonne-Holm S. Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey. Rheumatology (Oxford). 2005;44(2):211-218. doi: 10.1093/rheumtology/keh436.
- Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986;213:20-33. doi: 10.1097/00003086-198612000-00004.
- Shipman SA, Helfand M, Moyer VA, Yawn BP. Screening for developmental dysplasia of the hip: a systematic literature review for the US Preventive Services Task Force. Pediatrics. 2006;117(3):e557-76. doi: 10.1542/peds.2005-1597.
- Weinstein SL. Natural history of congenital hip dislocation (CHD) and hip dysplasia. Clin Orthop. 1987;225:62-76. doi: 10.1097/00003086-198712000-00007.
- Weinstein SL. Developmental hip dysplasia and dislocation. In: Morrissy RT, Weinstein SL, editors. Lovell and Winter’s pediatric orthopaedics. 4th ed. Philadelphia: Lippincott-Raven; 1996:903-43.
- Tachdjian MO. Congenital dysplasia of the hip. In: Tachdjian MO, editor. Pediatric orthopedics. 2nd ed. Vol 1. Philadelphia: WB Saunders; 1990:297-526.
- Gosvig KK, Jacobsen S, Sonne-Holm S, et al. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am. 2010;92(5):1162-1169. doi: 10.2106/JBJS.H.01674.
- Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 2012;81(3):e344-351. doi: 10.1016/j.ejrad.2011.11.003.
- Баиндурашвили А.Г., Камоско М.М., Краснов А.И. и др. Дисплазия тазобедренных суставов (врожденный вывих, подвывих бедра) — диагностика и лечение у детей младшего возраста. Пособие для врачей. – СПб., 2011. – 36 с. [Baindurashvili AG, Kamosko MM, Krasnov AI, et al. Displaziya tazobedrennyh sustavov (vrozhdennyj vyvih, podvyvih bedra) – diagnostika i lechenie u detej mladshego vozrasta. Posobie dlya vrachej. Saint Petersburg; 2011. 36 p. (In Russ.)]
- Pavlik A, Peltier LF. The functional method of treatment using a harness with stirrups as the primary method of conservative therapy for infants with congenital dislocation of the hip. 1957. Clin Orthop Relat Res. 1992;281:4-10. doi: 10.1097/00003086-199208000-00002.
- Grill F, Bensahel H, Canadell J, et al. The Pavlik harness in the treatment of congenital dislocating hip: report on a multicenter study of the European Paediatric Orthopaedic Society. J Pediatr Orthop. 1988;8(1):1-8. doi: 10.1097/01241398-198801000-00001.
- Ömeroğlu H, Köse N, Akceylan A. Success of Pavlik Harness Treatment Decreases in Patients ≥ 4 Months and in Ultrasonographically Dislocated Hips in Developmental Dysplasia of the Hip. Clin Orthop Relat Res. 2015;474(5):1146-52. doi: 10.1007/s11999-015-4388-5.
- Gage JR, Winter RB. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip. A critical review of twenty years’ experience at Gillette Children’s Hospital. J Bone Joint Surg Am. 1972;54(2):373-88. doi: 10.2106/00004623-197254020-00015.
- Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am. 1994;76(12):1777-92. doi: 10.2106/00004623-199412000-00004.
- Баиндурашвили А.Г., Волошин С.Ю., Краснов А.И. Врожденный вывих бедра у детей грудного возраста: клиника, диагностика, консервативное лечение. – СПб.: Спец. Лит, 2012. – 95 с. [Baindurashvili AG, Voloshin SY, Krasnov AI. Vrozhdennyj vyvih bedra u detej grudnogo vozrasta: klinika, diagnostika, konservativnoe lechenie. Saint Petersburg: Spec. Lit; 2012. 95 p. (In Russ).]
- Mulpuri K, Schaeffer EK, Andrade J, et al. IHDI Study Group. What Risk Factors and Characteristics Are Associated With Late-presenting Dislocations of the Hip in Infants? Clin Orthop Relat Res. 2016;474(5):1131-7. doi: 10.1007/s11999-015-4668-0.
- de Hundt M, Vlemmix F, Bais JM, et al. Risk factors for developmental dysplasia of the hip: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2012;165(1):8-17. doi: 10.1016/j.ejogrb.2012.06.030.
- Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 2012;81(3):e344-51. doi: 10.1016/j.ejrad.2011.11.003.
- Garvey M, Donoghue VB, Gorman WA, et al. Radiographic screening at four months of infants at risk for congenital hip dislocation. J Bone Joint Surg Br. 1992;74(5):704-7.
- Jones DA, Powell N. Ultrasound and neonatal hip screening. A prospective study of “high risk” babies. J Bone Joint Surg Am. 1990;72(3):457-9.
- Marks DS, Clegg J, Al-Chalabi AN. Routine ultrasound screening for neonatal hip instability. Can it abolish late-presenting congenital dislocation of the hip? J Bone Joint Surg Br. 1994;76(4):534-8.
- Tredwell SJ, Bell HM. Efficacy of neonatal hip examination. J Pediatr Orthop. 1981;1(1):61-65. doi: 10.1097/01241398-198101010-00009.
- Barlow TG. Early diagnosis and treatment of congenital dislocation of the hip. J Bone Joint Surg Br. 1962;44:292-301.
- Камоско М.М., Краснов А.И., Басков В.Е., и др. Система лечения дисплазии тазобедренного сустава у детей // Ортопедия, травматология и восстановительная хирургия детского возраста. – 2013. – Т. 1. – № 1. – C. 26–35. [Kamosko MM, Krasnov AI, Baskov VE, et at. The system of treatment of hip dysplasia in children (conception of Srico n.a. H.I. Turner). Pediatric Traumatology, Orthopaedics, and Reconstructive Surgery. 2013;1(1):26-35. (In Russ.)] doi: 10.17816/PTORS1126-35.
- Graf R. Fundamentals of sonographic diagnosis of infant hip dysplasia. J PediatrOrthop. 1984;4(6):735-40. doi: 10.1097/01241398-198411000-00015.
- Dorn U, Neumann D. Ultrasound for screening developmental dysplasia of the hip: a European perspective. Curr Opin Pediatr. 2005;17(1):30-3. doi: 10.1097/01.mop.0000151554.10176.34.
- Rosendahl K, Toma P. Ultrasound in the diagnosis of developmental dysplasia of the hip in newborns. The European approach. A review of methods, accuracy and clinical validity. Eur Radiol. 2007;17:1960-7.
- Lehmann HP, Hinton R, Morello P, Santoli J. Developmental dysplasia of the hip practice guideline: technical report. Committee on Quality Improvement, and Subcommittee on Developmental Dysplasia of the Hip. Pediatrics. 2000;105(4):e57. doi: 10.1542/peds.105.4.e57.
- Goldberg M. Early detection of developmental hip dysplasia: synopsis of the AAP Clinical Practice Guideline. Pediatr Rev. 2001;22(4):131-4. doi: 10.1542/pir.22-4-131.
- Orak MM, Onay T, Cagirmaz T, et at. The reliability of ultrasonography in developmental dysplasia of the hip: How reliable is it in different hands? Indian J Orthop. 2015;49(6):610. doi: 10.4103/0019-5413.168753.
- Mahan ST, Katz JN, Kim Y-J. To Screen or Not to Screen? A Decision Analysis of the Utility of Screening for Developmental Dysplasia of the Hip. The Journal of Bone and Joint Surgery American volume. 2009;91(7):1705-1719. doi: 10.2106/JBJS.H.00122.
- Dornacher D, Cakir B, Reichel H, Nelitz M. Early radiological outcome of ultrasound monitoring in infants with developmental dysplasia of the hips. J Pediatr Orthop B. 2010;19(1):27-31. doi: 10.1097/pb.0b013e328330335e.
- Tonnis D. Normal values of the hip joint for the evaluation of X-rays in children and adults. Clin Orthop Relat Res. 1976;119:39-47. doi: 10.1097/00003086-197609000-00007.
- Narayanan U1, Mulpuri K, Sankar WN, et at. Reliability of a New Radiographic Classification for Developmental Dysplasia of the Hip. J Pediatr Orthop. 2015;35(5):478-84. doi: 10.1097/BPO.0000000000000318.
- Kalamchi A, McEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone and Joint Surg. 1980;62(6):876-888. doi: 10.2106/00004623-198062060-00002.
- Бовтунов А.З. Пострепозиционный ишемический некроз головки бедренной кости у детей (диагностика, лечение): автореф. дис. ... канд. мед. наук. – СПб., 2000. – 19 с. [Bovtunov AZ. Postrepozicionnyj ishemicheskij nekroz golovki bedrennoj kosti u detej (diagnostika, lechenie) [dissertаtion]. Saint Petersburg; 2000. 19 р. (In Russ.)]
- Nakamura J, Kamegaya M, Saisu T, et al. Treatment for developmental dysplasia of the hip using the Pavlik harness: long-term results. J Bone Joint Surg Br. 2007;89-B(2):230-5. doi: 10.1302/0301-620x.89b2.18057.
- Schur MD, Lee C, Arkader A, et al. Risk factors for avascular necrosis after closed reduction for developmental dysplasia of the hip. Journal of Children’s Orthopaedics. 2016;10(3):185-192. doi: 10.1007/s11832-016-0743-7.
- Малахов О.А., Кралина С.Э. Врожденный вывих бедра. – М.: Медицина, 2006. – 127 с. [Malahov OA, Kralina SE. Vrozhdennyj vyvih bedra, Moscow: Medicina; 2006. 127 p. (In Russ.)]
- Johnson AH, Aadalen RJ, Eilers VE, Winter RB. Treatment of congenital hip dislocation and dysplasia with the Pavlik harness. Clin Orthop Relat Res. 1981;155:25-9. doi: 10.1097/00003086-198103000-00004.
- Николаев А.И. Профилактика и ранее комплексное лечение детей с патологическим вывихом бедра: автореф. дис. ... канд. мед. наук. – СПб., 2005. – 16 с. [Nikolaev AI. Profilaktika i ranee kompleksnoe lechenie detei s patologicheskim vyvikhom bedra [dissertаtion]. Saint Petersburg; 2005. 16 p. (In Russ.)]
- Поздникин И.Ю., Басков В.Е., Барсуков Д.Б., Бортулев П.И. О причинах неудач консервативного лечения детей с вывихом бедра: тезисы V Евразийского конгресса травматологов-ортопедов и III Съезда травматологов-ортопедов Кыргызстана, посвященного 80-летию профессора С.К. Кожокматова «Современная травматология и ортопедия – перспективы, проблемы и пути решения». 26–28 августа 2016 года, Ыссык-Куль, Кыргызстан // Травматология и ортопедия Центральной Азии. – 2016. – № 2. – С. 116–117. [Pozdnikin IYu, Baskov VE, Barsukov D B, Bortulev PI. O prichinah neudach konservativnogo lecheniya detej s vyvihom bedra: tezisy V Evrazijskogo Kongressa travmatologov-ortopedov i III S'ezda travmatologov-ortopedov Kyrgyzstana, posvyashchennogo 80-letiyu professora Kozhokmatova SK. “Sovremennaya travmatologiya i ortopediya – perspektivy, problemy i puti resheniya”. 26-28.08.2016, Yssyk-Kul’. Travmatologiya i ortopediya Central’noj Azii. 2016;2:116-117 (In Russ.)]
- Мирзоева И.И., Никифорова Т.К. О формировании тазобедренных суставов при артрогрипозе // Вывихи бедра у детей: Сборник научных работ. – Л., 1972. – С. 115–118. [Mirzoeva II, Nikiforova TK. O formirovanii tazobedrennyh sustavov pri artrogripoze. In: Vyvihi bedra u detej: Sbornik nauchnyh rabot. Leningrad; 1972. 115–118 p. (In Russ.)]
- Батькин С.Ф., Агранович О.Е., Барсуков Д.Б. Тактика лечения вывиха бедра у больных с артрогрипозом (обзор литературы) // Ортопедия, травматология и восстановительная хирургия детского возраста. – 2014. – Т. 2. – № 2. – C. 55–62. [Bat’kin SF, Agranovich OE, Barsukov DB. Management of hip dislocation in patients with arthrogryposis (review). Pediatric Traumatology, Orthopaedics, and Reconstructive Surgery. 2014;2(2):55-62. (In Russ.)] doi: 10.17816/PTORS2255-62.
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