Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- teste de Ortolani positivo
- teste de Barlow positivo
- abdução limitada do quadril
Outros fatores diagnósticos
- posicionamento anormal da perna ou engatinhar/andar tardio
- marcha digitígrada (principalmente unilateral)
Fatores de risco
- sexo feminino
- história familiar positiva
- apresentação de nádegas
- deformidade postural
- espaço intrauterino restrito
- enrolamento incorreto dos membros inferiores
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- ultrassonografia dos quadris
- radiografia do quadril
Algoritmo de tratamento
<6 meses de idade
6-18 meses de idade
>18 meses a 6 anos de idade
>6 anos de idade
Colaboradores
Autores
Kathleen Moen, MD
Pediatric Specialty Care
Swedish Medical Group
Seattle
WA
Declarações
KM declares that she has no competing interests.
Agradecimentos
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
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
Declarações
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
Declarações
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
Declarações
BN declares that he has no competing interests.
Diagnósticos diferenciais
- Imaturidade do acetábulo
- Deficiência focal femoral proximal
- Efeitos residuais da artrite séptica
Mais Diagnósticos diferenciaisDiretrizes
- 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
Mais DiretrizesConectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal