Displasia do desenvolvimento do quadril: série de casos no Rio Grande do Norte

Abstract

Developmental dysplasia of the hip (DDH) represents a spectrum of anatomical abnormalities of the hip. The objective of this manuscript is to report the atypical presentation pattern of developmental dysplasia of the hip present in a family group in Rio Grande do Norte and to emphasize the importance of early diagnosis performed through the Ortolani and Barlow maneuvers. Both orthopedic clinical tests are essential in screening for changes in the hip joint in the newborn and should preferably be performed from birth to approximately three months of age. In addition, requesting complementary ultrasound of the hip could be indicated. Pediatric patients with developmental hip dysplasia treated at the Children’s Rehabilitation Center were atypical clinical cases because they had male predominance in a family group in Rio Grande do Norte/RN, Brazil. It is concluded that this report emphasizes the need for early and adequate clinical evaluation by the physician for all newborns, regardless of gender, as well as the creation of a protocol which meets the suspicion parameters for requesting an ultrasound of the hip joint in newborns in order to diagnose and treat this condition early, thus reducing the need for surgical treatment and its complications.