Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- prueba de Ortolani positiva
- prueba de Barlow positiva
- abducción limitada de la cadera
Otros factores de diagnóstico
- posición anormal de la pierna o retraso para gatear o caminar
- caminar de puntillas (especialmente con un pie)
Factores de riesgo
- sexo femenino
- antecedentes familiares positivos
- presentación de nalgas
- deformidad postural
- espacio intrauterino restringido
- envoltura incorrecta de las extremidades inferiores
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- ultrasonido de la cadera
- radiografía de cadera
Algoritmo de tratamiento
<6 meses de edad
6-18 meses de edad
>18 meses a 6 años de edad
>6 años de edad
Colaboradores
Autores
Kathleen Moen, MD
Pediatric Specialty Care
Swedish Medical Group
Seattle
WA
Divulgaciones
KM declares that she has no competing interests.
Agradecimientos
Dr Kathleen Moen would like to gratefully acknowledge Dr Scott Shipman, a previous contributor to this topic. SS is an author of a reference cited in this topic.
Revisores por pares
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.
Blaise Nemeth, MD
Assistant Professor (CHS)
Departments of Orthopedics and Pediatrics
University of Wisconsin School of Medicine and Public Health
Madison
WI
Divulgaciones
BN declares that he has no competing interests.
Diferenciales
- Inmadurez acetabular
- Deficiencia femoral focal proximal
- Efectos residuales de artritis séptica
Más DiferencialesGuías 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
- ACR Appropriateness Criteria: developmental dysplasia of the hip - child
Más Guías de práctica clínicaInicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad