The echocardiographic value in early detection of congenital dislocation of hip

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Congenital dislocation of hip, occupies a place of prime importance between limb malformations, both by the frequency with which meets, but especially by the serious handicap that may occur.

When not detected and treated early adulthood resulting osteoarthritis.


1. Overview
2. Defining hip dysplasia
3. The importance of this problem
4. Factors that predispose to this condition
5. The role of early diagnosis

Defining hip dysplasia

Dislocation, is changing the usual relationship between skeletal elements that form the hip joint (femoral head leaves the cotyloid cavity in whole or in part).

This is a condition that is distinguished in infant or child who has start walking and when it occurs from birth, rather it is a birth defect, occurring most likely in the fourth month of fetal life.

The importance of this problem

Luxanta dysplasia was reported with a frequency of 1 per 1,000 births being affected especially feminine, and because of this high frequency, in other countries, ultrasound is used as a method of screening all newborns, accompanied by exploring the advantages of ultrasound, compared with other diagnostic methods: is painless, noninvasive, safe and can be repeated whenever necessary without affecting any child’s health at any age.

Two thirds of dysplastic hips evolve spontaneously towards healing, but there is one third that in the absence of early diagnosis and therapy will progress to dislocation.

Factors that predispose to this condition

Among the conditions favoring the occurrence of dislocation, the most important in practical terms are:

- in newborn – the sudden shift in position of flexion, which legs had in the womb, the position of extension, especially the classic sharp wrapped the child
- later add upright and walking

The role of early diagnosis

So, talking about hip dysplasia luxante, the main objective is the diagnosis as soon as possible considering that this condition, untreated can have a fatal evolution.

Treatment, as it is applied earlier in the early stages of dysplasia, the more is:

- more effective (in most cases leads to total recovery)
- less traumatic, more conservative (formed during the dislocation, undiagnosed and untreated early, leaving a series of sequels for life)

All these findings converge to a single idea, namely, the need and importance of early detection of this disease and how quickly treatment is instituted for a full recovery of the balance.



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