ORTHOPEDIC ASSESSMENT OF THE HIPS IN NEWBORNS AFTER INITIAL PEDIATRIC SURVEY

To analyze and follow-up patients previously selected by pediatricians at the time of birth who presented altered initial physical examination results to identify the pathological changes in their hips. A prospective cohort study was conducted involving 34 newborns (68 hips) out of a total of 1273 l...

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Bibliographic Details
Published in:	Acta ortopedica brasileira Vol. 27; no. 6; pp. 304 - 307
Main Authors:	Gonzalez, Felipe Chioro, Fontes, Felipe, Maia, Guilherme de Albuquerque Souza, Ferro, James Augusto Soares, Fortes, David Leite, Leal, Daniel Mendes
Format:	Journal Article
Language:	English
Published:	Brazil ATHA EDITORA 01-11-2019 Sociedade Brasileira de Ortopedia e Traumatologia
Subjects:	Hip Dislocation Hip Dislocation Congenital Infant newborns Original ORTHOPEDICS Infant newborns Hip Dislocation Congenital Hip Dislocation Luxação do Quadril Luxação Congênita de Quadril Recém-nascidos
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Summary:	To analyze and follow-up patients previously selected by pediatricians at the time of birth who presented altered initial physical examination results to identify the pathological changes in their hips. A prospective cohort study was conducted involving 34 newborns (68 hips) out of a total of 1273 live births; these infants were assessed within the first days of life as altered findings were noted in the initial examination by the pediatrician. The results of clinical and ultrasonographic examination performed using the GRAF method and of specific treatments were analyzed. Of the 68 hips in 34 patients, 2 hips in 2 patients required intervention using the Pavlik harness for 8 weeks; a satisfactory treatment outcome was obtained in both cases. Despite the low orthopedic workload in medical courses, it was possible to identify data consistent with the literature, both in the presentation of clinical findings and in those that required treatment, indicating that an initial evaluation of all newborns is mandatory, especially those with risk factors.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 All authors declare no potential conflict of interest related to this article. AUTHORS' CONTRIBUTIONS: Each author contributed individually and significantly to the study. FF (0000-0001-9545-685X): manuscript writing, data collection, and manuscript review; GASM (0000-0002-9043-0340) manuscript writing and comprehensive analysis of the intellectual concept; FCG (0000-0002-9324-2409)* analysis of intellectual concept; DML (0000-0001-5355-1832): manuscript writing, comprehensive analysis of the intellectual concept, and manuscript review; DLF (0000-0002-1847-4621): comprehensive analysis of the intellectual concept; JASF (0000-0002-3391-1754): comprehensive analysis of the intellectual concept, data collection, and manuscript review. *ORCID (Open Researcher and Contributor ID).
ISSN:	1413-7852 1809-4406 1809-4406
DOI:	10.1590/1413-785220192706220630