אורתופדיה-פיזיותרפיה

Ultrasonography Can Reduce Abduction Splinting in Infants with Developmental Hip Dysplasia

Use of ultrasonography among infants with clinical hip instability reduces rates of abduction splinting, and is not associated with an increase in abnormal hip development or higher rates of surgical treatment by the age of two.

 These results, from a multi-centre, randomised, controlled trial, should be used for a major study of abduction splinting, and should influence treatment decisions in infants who show borderline abnormalities on ultrasonographs, but have hips that are clinically stable, declare Dr. Diana Elbourne, from London School of Hygiene and Tropical Medicine, and fellow clinicians in the UK Collaborative Hip Trial Group, based in London, United Kingdom.

 They point out that dysplasia of the hip (DDH) includes part or complete displacement of the femoral head from the acetabulum, and acetabular dysplasia with or without displacement. Normal growth and development of the hip might be impaired as a consequence, and lead to gait abnormalities and premature degenerative changes in the hip joint.

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