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Displasia del desarrollo de la cadera

Última revisión: 25 Jun 2024
Última actualización: 20 Jul 2023

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • prueba de Ortolani positiva
  • prueba de Barlow positiva
  • abducción limitada de la cadera
Todos los datos

Otros factores de diagnóstico

  • posición anormal de la pierna o retraso para gatear o caminar
  • caminar de puntillas (especialmente con un pie)
Todos los datos

Factores de riesgo

  • sexo femenino
  • antecedentes familiares positivos
  • presentación de nalgas
  • deformidad postural
  • espacio intrauterino restringido
  • envoltura incorrecta de las extremidades inferiores
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • ultrasonido de la cadera
  • radiografía de cadera
Todos los datos

Algoritmo de tratamiento

En curso

<6 meses de edad

6-18 meses de edad

>18 meses a 6 años de edad

>6 años de edad

Colaboradores

Autores

Ishaan Swarup, MD, FAAOS, FAAP

Assistant Professor of Clinical Orthopaedic Surgery

UCSF Benioff Children’s Hospitals

University of California

San Francisco

CA

Divulgaciones

IS states he has received consulting fees from OrthoPediatrics. He is also the author of a paper cited in this topic.

Agradecimientos

Dr Ishaan Swarup would like to gratefully acknowledge Dr Scott Shipman and Dr Kathleen Moen, previous contributors to this topic.

Revisores por pares

Alex Gornitzky, MD

Assistant Professor of Pediatric Orthopaedic Surgery

University of Michigan

East Lansing

MI

Divulgaciones

AG declares that he has no competing interests.

Andreas Roposch, MD, MSc, FRCS

Consultant Orthopaedic Surgeon

Reader in Clinical Epidemiology and Surgery

UCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust

London

UK

Divulgaciones

AR declares that he has no competing interests.

Nicholas M. Clarke, ChM, FRCS

Professor

Consultant Orthopaedic Surgeon

Developmental Origins of Health and Disease (DOHaD)

School of Medicine

University of Southampton

Southampton

UK

Divulgaciones

NMC has received honoraria for visiting professorships in North America and also for lectures in respect of congenital hip dysplasia. He is also a founding member of the International Hip Dysplasia Institute, which has received charitable funding.

  • Diferenciales

    • Inmadurez acetabular
    • Deficiencia femoral focal proximal
    • Efectos residuales de artritis séptica
    Más Diferenciales
  • Guías de práctica clínica

    • Evidence-based clinical practice guideline: detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age
    • Management of developmental dysplasia of the hip in infants up to six months of age - intended for use by orthopaedic specialists
    Más Guías de práctica clínica
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