Early diagnosis of congenital hip dislocation

Diagnosis can be considered "early'.' when established befare the age of six months for the following reasons:1) Beca use congenital thigh displacements constitute progressive lesions and consequently can be treated in the early stages. 2) Because the younger the patient, th...

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Bibliographic Details
Main Author: Grosso, Eduardo (author)
Other Authors: Curbelo, Eduardo (author)
Format: article
Language:Spanish
Published: 1973
Subjects:
Online Access:https://revista.scu.org.uy/index.php/cir_urug/article/view/2492
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Summary:Diagnosis can be considered "early'.' when established befare the age of six months for the following reasons:1) Beca use congenital thigh displacements constitute progressive lesions and consequently can be treated in the early stages. 2) Because the younger the patient, the faster thegrowth potential. 3) Beca use thus it is possible to start treatment befare the child begins to walk. Diagnosis is established through clinic and radiology. Clinic alerts us, X-rays confirm it. Clinic alerts us through good anamenesis -family history with respect to thigh or other displasias, personal history, breech deliveries, difficulty in separating muscles- andcorrect examination which also evidences other malformations and limitation of muscle abduction or Ortolani's sign. Radiology is of limited value during the first twomonths. Roof obliquity or methaphyseal separation may be caused by physiological factors or defects in technique. When faced with the slightest clinical suspicion a radiological study should be performed between the ages of 2 to 6 months. Clinics and radiology enable us to establish an early diagnosis and start an early treatment.