Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description
Developmental hip dysplasia (DHD) is a common entity that affects 4 out of every 1000 live births and is a recognized cause of secondary hip osteoarthritis despite routine perinatal controls. In most patients, the early diagnosis of the pathology allows an evolution without sequelae. However, in the...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/31719 |
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I10-R327-article-31719 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
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Artículo revista |
| topic |
hip dislocation congenital delayed diagnosis hip injuries luxación congénita de la cadera diagnóstico tardío lesiones de la cadera luxação congênita de quadril diagnostico tardio lesões do quadril |
| spellingShingle |
hip dislocation congenital delayed diagnosis hip injuries luxación congénita de la cadera diagnóstico tardío lesiones de la cadera luxação congênita de quadril diagnostico tardio lesões do quadril Garcia Mansilla, Agustin Maria Diaz Dilerna, Fernando kohan fortuna figueira, surya victoria Bosio, Santiago Zanotti, Gerardo Halliburton, Carolina Puigdevall, Miguel Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| topic_facet |
hip dislocation congenital delayed diagnosis hip injuries luxación congénita de la cadera diagnóstico tardío lesiones de la cadera luxação congênita de quadril diagnostico tardio lesões do quadril |
| author |
Garcia Mansilla, Agustin Maria Diaz Dilerna, Fernando kohan fortuna figueira, surya victoria Bosio, Santiago Zanotti, Gerardo Halliburton, Carolina Puigdevall, Miguel |
| author_facet |
Garcia Mansilla, Agustin Maria Diaz Dilerna, Fernando kohan fortuna figueira, surya victoria Bosio, Santiago Zanotti, Gerardo Halliburton, Carolina Puigdevall, Miguel |
| author_sort |
Garcia Mansilla, Agustin Maria |
| title |
Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| title_short |
Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| title_full |
Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| title_fullStr |
Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| title_full_unstemmed |
Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| title_sort |
sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description |
| description |
Developmental hip dysplasia (DHD) is a common entity that affects 4 out of every 1000 live births and is a recognized cause of secondary hip osteoarthritis despite routine perinatal controls.
In most patients, the early diagnosis of the pathology allows an evolution without sequelae. However, in the basis that patients diagnosed late and with multiple surgeries are patients with open physis, ossification nuclei present and previous surgeries in the approach area, the late diagnosis represents a real challenge for the orthopedist.
We report below the case of a patient treated in our center since birth, who evolved with complications associated with late diagnosis and surgical interventions, describing rescue surgery performed at 12 years of age and finally highlighting the importance of routine perinatals and early diagnosis of DHD. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/31719 |
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I10-R327-article-317192021-11-18T12:43:09Z Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description Secuela de diagnóstico tardío y tratamiento en displasia del desarrollo de la cadera: reporte de caso y descripción de técnica quirúrgica Sequela do diagnóstico tardío e o tratamento da displasia do desenvolvimento do quadril: relato de caso e descrição da técnica cirúrgica. Garcia Mansilla, Agustin Maria Diaz Dilerna, Fernando kohan fortuna figueira, surya victoria Bosio, Santiago Zanotti, Gerardo Halliburton, Carolina Puigdevall, Miguel hip dislocation congenital delayed diagnosis hip injuries luxación congénita de la cadera diagnóstico tardío lesiones de la cadera luxação congênita de quadril diagnostico tardio lesões do quadril Developmental hip dysplasia (DHD) is a common entity that affects 4 out of every 1000 live births and is a recognized cause of secondary hip osteoarthritis despite routine perinatal controls. In most patients, the early diagnosis of the pathology allows an evolution without sequelae. However, in the basis that patients diagnosed late and with multiple surgeries are patients with open physis, ossification nuclei present and previous surgeries in the approach area, the late diagnosis represents a real challenge for the orthopedist. We report below the case of a patient treated in our center since birth, who evolved with complications associated with late diagnosis and surgical interventions, describing rescue surgery performed at 12 years of age and finally highlighting the importance of routine perinatals and early diagnosis of DHD. La displasia del desarrollo de la cadera (DDC) es una entidad frecuente que afecta a 4 de cada 1000 nacidos vivos y es una causa reconocida de artrosis de cadera secundaria a pesar de los controles perinatales de rutina. En la mayoría de los pacientes, el diagnóstico precoz de la patología permite una evolución sin secuelas. Sin embargo, el diagnóstico tardío con múltiples intervenciones representa un verdadero reto para el ortopedista, ya que se trata de pacientes con fisis abierta, nucleos de osificación presentes y cirugías previas en la zona de abordaje. Se reporta a continuación el caso de una paciente tratada en nuestro centro desde su nacimiento, que evolucionó con complicaciones asociadas al diagnóstico tardío y a las intervenciones quirúrgicas, describiendo la cirugía de salvataje realizada a los 12 años de edad y destacando finalmente la importancia de los controles perinatales de rutina y el diagnóstico precoz de la DDC. A displasia do desenvolvimento do quadril (DDQ) é uma patologia freqüente que afeta 4 em cada 1.000 nascidos vivos sendo também uma causa reconhecida de osteoartrite secundária do quadril, apesar dos controles perinatais de rotina. Na maioria dos pacientes, o diagnóstico precoce dessa patologia permite uma evolução sem sequelas. Porém, o diagnóstico tardío com várias intervenções cirúrgicas acaba sendo um verdadeiro desafio para o ortopedista pela presença da fise aberta, os núcleos de ossificação presentes e as cirurgias prévias na área de abordagem. Relatamos embaixo o caso de um paciente com tratamento no nosso centro desde o nascimento, que evoluiu com complicações associadas ao diagnóstico tardio e as intervenções cirúrgicas, descrevendo a cirurgia de resgate realizada aos 12 anos de idade e, finalmente, destacando a importância dos perinatais de rotina e do diagnóstico precoce da DDQ. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-09-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/31719 10.31053/1853.0605.v78.n3.31719 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 3 (2021); 326-329 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 3 (2021); 326-329 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 3 (2021); 326-329 1853-0605 0014-6722 10.31053/1853.0605.v78.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/31719/35257 https://revistas.unc.edu.ar/index.php/med/article/view/31719/35276 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |