Srpski arhiv za celokupno lekarstvo 2010 Volume 138, Issue 9-10, Pages: 609-613
https://doi.org/10.2298/SARH1010609P
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Neonatal hip dysplasia: Differental diagnosis
Pajić Miloš
Vukašinović Zoran
Šešlija Igor
Živković Zorica
Introduction. Hip dysplasia is the elementary form of the developmental
dysplasia of the hip (DDH). The diagnosis may be made by the ultrasound
examination (types II a-, II b). Objective. The aim of the authors was to
define the congenital structural neonatal hip dysplasia, and to differentiate
hip hypoplasia, hip dysplasia and teratogenic anomalies. Methods. In all the
cases, the uniform clinical and ultrasound tests were performed. All the
patients were examined in the neonatal period of life (the first six weeks).
The following clinical tests were used: Le Damany-Ortolany,
Coleman-Barlow-Palmen and Weissman-Strinović. For the ultrasound examination,
the Graph’s method was used. Results. The investigation was performed in the
period 2007- 2008. 2,878 neonates were included. The distribution of the
sonotypes, according to Graph, was as follows: Ia in 16.17%. Ib in 65.08%;
IIa+ in 18.17%, IIc in 0.28%, IId in 0.19%; IIIa in 0.009%, IIIb in 0.02%;
and IV in 0.01%. It was found that DDH was 8 times more frequent in girls;
located more frequently at the left side than bilaterally. Conclusion. Hip
sonoscreening has to be performed in all newborns in the first 72 hours. The
suggested follow-up period is six weeks: for the diagnosis - the first three
weeks, and for the prevention and treatment - all six weeks.
Keywords: hip, hypoplasia, dysplasia, ultrasonography
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