发育性髋关节发育不良的早期筛查及保守治疗现状

Current status of early screening and conservative management of developmental dysplasia of the hip

发育性髋关节发育不良(developmental dysplasia of the hip,DDH)是小儿最常见的髋关节疾病。早期筛查是发育性髋关节发育不良诊治的重要环节,在日益成熟的筛查体系下,通过体格检查、超声检查及X线检查等方法可尽早明确诊断,为早期治疗提供条件。保守治疗适用于1.5岁以内的DDH患儿,包括佩戴髋关节外展支具和闭合复位。本文将围绕发育性髋关节发育不良的早期筛查和保守治疗的近期研究成果进行综述。

Developmental dysplasia of the hip(DDH)is the most common congenital musculoskeletal abnormality of hip joint.Within the increasingly well-established screening system,more accurate and sensitive methods of physical examination,ultrasonography and radiography provide a possible early diagnosis.It is of vital importance for a prompt management of DDH.Conservative measures of abduction braces and closed reduction are recommended for children aged under 1.5 years.This review has summarized recent advances of screening and conservative treatment of DDH.