Email this article Current issues in the diagnostics of hip dysplasia in newborns in the regions of the Russian Federation
- Authors: Baskov V.E.1, Vissarionov S.V.1, Filippova M.S.2, Kenis V.M.1, Bortulev P.I.1
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Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- Issue: Vol 11, No 4 (2023)
- Pages: 439-448
- Section: Organization of trauma and orthopedic care
- URL: https://journal-vniispk.ru/turner/article/view/251903
- DOI: https://doi.org/10.17816/PTORS603050
- ID: 251903
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Abstract
BACKGROUND: Early diagnostics of hip dysplasia in newborns are important medical and social problems because untimely treatment of these children leads to severe irreversible pathological disorders of the hip joint, dysplastic coxarthrosis, and consequently disability. Anamnesis data of patients from the Department of Hip Pathology of H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery show that late diagnoses of the dysplastic pathology of the hip joint are not rare, which does not tend to decrease in number.
AIM: To identify and analyze the causes of the late diagnosis of dysplastic hip joint pathology in newborns in the Russian Federation.
MATERIALS AND METHODS: Statistical data from 64 regions of the Russian Federation were collected and analyzed to study the causes of untimely diagnosis of dysplastic hip joint pathology in newborns.
RESULTS: According to the information received, 3,456,207 children were born in 64 regions of the Russian Federation between 2019 and 2021. Of these children, 108,737 (3.1%) were diagnosed with hip dysplastic pathology of varying severity (acetabular dysplasia, subluxation, and dislocation), and 3,943 cases (3.6%) had untimely diagnosis.
CONCLUSIONS: Late diagnosis is primarily caused by the untimely appearance of patients for ultrasound screening and initial examination by an orthopedist. The secondary reason is the understaffing of medical organizations with specialists–orthopedists and specialists in Doppler ultrasound examination. To reduce the number of cases of late diagnosed or missed dysplastic hip pathologies and improve the quality of orthopedic care for children in the Russian Federation, strengthening health education must be recommended among parents and staff of medical organizations with orthopedic and ultrasound specialists.
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##article.viewOnOriginalSite##About the authors
Vladimir E. Baskov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: dr.baskov@mail.ru
ORCID iD: 0000-0003-0647-412X
SPIN-code: 1071-4570
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgSergei V. Vissarionov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
MD, PhD, Dr. Sci. (Med.), Professor, Corresponding Member of RAS
Russian Federation, Saint PetersburgMaria S. Filippova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: kalininams@bk.ru
ORCID iD: 0009-0003-0298-973X
Russian Federation, Saint Petersburg
Vladimir M. Kenis
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: kenis@mail.ru
ORCID iD: 0000-0002-7651-8485
SPIN-code: 5597-8832
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, Saint PetersburgPavel I. Bortulev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: pavel.bortulev@yandex.ru
ORCID iD: 0000-0003-4931-2817
SPIN-code: 9903-6861
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgReferences
- Marks VO. Diagnostika i lechenie vrozhdennogo vyvikha bedra u detei. Orthopedics, Traumatology. 1934;(3):3–5. (In Russ.)
- Barta O. Vrozhdennyj vyvih bedra i ego rannee konservativnoe lechenie. Budapest: izdatel’stvo AN Vengrii; 1972. (In Russ.)
- Mirzoeva II, Goncharova MN, Tihonenkov ES. Operativnoe lechenie vrozhdennogo vyvikha bedra u detei. Leningrad: Meditsina; 1976. (In Russ.)
- Kucenok YaB, Rulla EA, Mel’nik VV. Vrozhdennaya displaziya tazobedrennogo sustava. Kiev: Zdorov’ya; 1992. (In Russ.)
- Yamamuro T, Ishida K. Recent advances in the prevention, early diagnosis, and treatment of congenital dislocation of the hip in Japan. Clin Orthop. 1984;(184):34–40.
- Ishida K. Prevention of the development of a typical hip dislocation. Clin Orthop Relat Res. 1977;(126):167–169.
- Tredwell SJ, Davis L. A prospective study of congenital dislocation of the hip. J Pediatr Orthop.1989;(9):386–390.
- Volkov MV, Ter-Egiazarov GM, Yukina GP. Vrozhdennyi vyvikh bedra. Moscow: Meditsina; 1972. (In Russ.)
- Krasnov AI. Mnogoploskostnye deformatsii proksimal’nogo otdela bedrennoi kosti posle konservativnogo lecheniya vrozhdennogo vyvikha bedra u detei (patogenez, klinika, diagnostika, lechenie) [abstract dissertation]. Leningrad; 1990. (In Russ.)
- Tihilov RM. Khirurgicheskoe lechenie bol’nykh s degenerativno-distroficheskimi zabolevaniyami i posledstviyami travm tazobedrennogo sustava [abstract dissertation]. Saint Petersburg; 1998. (In Russ.)
- Kamosko MM. Transpozitsiya vertluzhnoi vpadiny pri nestabil’nosti tazobedrennogo sustava displasticheskogo geneza [abstract dissertation]. Saint Petersburg; 2007. (In Russ.)
- Tonnis D. Surgical treatment of congenital hip dislocation. Clin Orthop Relat Res. 1990;(258):33–40.
- Valdisseri L, Campagnaro J, Urso K. The treatment of congenital hip dislocation between the ages of 1 and 3. Chir Organi Mov. 1992;77(3):219–231.
- Weinstein S, Mubarak S, Wenger D. Developmental hip dysplasia and dislocation: part I. Instr Course Lect. 2004;53(3):523–530.
- Baskov VE. Ortopedokhirurgicheskoe lechenie detei s displasticheskim marginal’nym vyvikhom bedra [abstract dissertation]. Saint Petersburg; 2009. (In Russ.)
- Gulati V, Eseonu K, Sayani J, et al. Developmental dysplasia of the hip in the newborn: a systematic review. World J Orthop. 2013;4(2):32–41. doi: 10.5312/wjo.v4.i2.32
- De Pellegrin M, Moharamzadeh D, Fraschini G. Early diagnosis and treatment of DDH: a sonographic approach. Hip Int. 2007;17(S5):15–21.
- Tan SHS, Wu CH, Wong KL, et al. Correlations between ultrasonographic and subsequent radiographic findings of developmental dysplasia of the hips. Ultrasonography. 2019;38(4):43–51. doi: 10.14366/usg.18064
- Gokharman FD, Aydin S, Fatihoglu E, et al. Optimizing the time for developmental dysplasia of the hip screening: earlier or later? Ultrasound Q. 2019;35(2):130–135. doi: 10.1097/RUQ.0000000000000348
- Federation of Medical Specialists [Internet]. DDH (dysplastic hoypontvikkeling) in childhood at the end of June 2020 [cited 2023 Nov 8]. Available from: https://richtlijnendatabase.nl/richtlijn/ddh_dysplastische_heupontwikkeling_bij_kinderen_onder_n_jaar/startpagina_-_ddh.html
- American Institute of Ultrasound in Medicine; American College of Radiology. AIUM practice guideline for the performance of an ultrasound examination for detection and assessment of developmental dysplasia of the hip. J Ultrasound Med. 2009;28(1):114–119. doi: 10.7863/jum.2009.28.1.114
- Vukasinovic Z, Bascarevic Z. Diseases of the infant hip. Special orthopaedics. Belgrade: Banjica; 2004.
- Abakarov AA, Abakarov AA. Long-term treatment results of congenital hip disease in adolescents. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2019;7(4):87–96. (In Russ.) doi: 10.17816/PTORS7487-96
- Tikhilov RM, Mazurenko AV, Shubnyakov II. Results of hip arthroplasty using Paavillainen technique in patients with congenitally dislocated hip. Traumatology and Orthopedics of Russia. 2014;(1):5–15. (In Russ.) doi: 10.21823/2311-2905-2014-0-1-5-15
- Tikhilov RM, Shubnyakov II, Kovalenko AN, et al. Data of hip arthroplasty registry of Vreden Institute for the period 2007–2012 years. Traumatology and Orthopedics of Russia. 2013;19(3):167–190. (In Russ.) doi: 10.21823/2311-2905-2013--3-167-190
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