Hip dysplasia and dislocation in children with congenital disorders treated at a national rehabilitation institute
Keywords:
hip dislocation, developmental dysplasia of the hip, spinal dysraphism, torticollis, arthrogryposis, foot deformities.Abstract
Introduction: Congenital musculoskeletal disorders often present hip malformations that affect gait and functional activities, therefore the importance of detecting them in a timely manner.
Objective: To determine the presence of dysplasia and hip dislocation in children with congenital disorders who attend a national rehabilitation institute.
Material and Methods: An observational, descriptive, retrospective and cross-sectional study was conducted using 150 medical records of children from 0 to 2 years of age with congenital disorders with musculoskeletal involvement.
Results: The patients had a median age of 11 months and 64% were female. The most frequent alteration was congenital deformity of the hip (52%), followed by spina bifida, congenital deformity of the ECOM, multiple arthrogryposis, and congenital deformity of the feet (23.3%, 6.7%, 5.3% and 4%, respectively). In addition, 17.3% of patients with congenital abnormalities had dislocation, 56.7% had dysplasia and 72.7% had either of the two. In patients with congenital hip deformity, 100% had dysplasia and/or dislocation. In patients with spina bifida, 54.3% had at least one of them. Moreover, 75% of patients with arthrogryposis multiplex and 33.3% of those with congenital deformities of the feet presented dysplasia and/or dislocation.
Conclusions: Dysplasia and/or dislocation of the hip are common in children with a diagnosis of congenital hip deformity, spina bifida, congenital arthrogryposis multiplex, and congenital foot deformities.
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