Смекни!
smekni.com

Дисплазия тазобедренных суставов новорожденных (стр. 5 из 5)

ijòè, ÿê³ ìàþòü ôàêòîðè ðèçèêó, àëå êë³í³÷íå îáñòåæåííÿ áåç â³äõèëåíü ïîâèíí³ ïðîõîäèòè ñîíîãðàô³÷íå îáñòåæåííÿ ó â³ö³ 4-6 òèæí³â. Íàâ³òü ïðè íàÿâíîñò³ ïàòîëîã³÷íèõ çì³í ðîçïî÷àòå ó öüîìó â³ö³ ë³êóâàííÿ ãàðàíòóº óñï³õ 1.

Âíàñë³äîê îáìåæåííÿ ðåñóðñ³â òà ³íøèõ ôàêòîð³â óëüòðàñîíîãðàô³÷íèé ñêðèí³íã âñ³õ íîâîíàðîäæåíèõ âèçíàºòüñÿ íåäîö³ëüíèì.

Òàáëèöÿ 1 Ôàêòîðè ðèçèêó ÄÊØ

Çì³íè, âèÿâëåí³ ïðè êë³í³÷íîìó îáñòåæåíí³
Íåñòàá³ëüí³ñòü
Ñ-ì ëóñêîòó
Îáìåæåííÿ ðîçâåäåííÿ
ѳìåéí³ âèïàäêè ÄÊØ
ѳäíè÷íå ïðåäëåæàííÿ ïðè íàðîäæåíí³
Âàã³íàëüí³ ïîëîãè
Êåñàð³â ðîçòèí
Äåôîðìàö³¿ ïîëîæåííÿ ( ñêëàäêè)
Êðèâîøèÿ
Äåôîðìàö³¿ ñòîï
²íø³
Äåôîðìàö³¿ êóïðèêà
Ãåíåòè÷í³ çàõâîðþâàííÿ òà ñ-ìè

ijâ÷àòêà ìàþòü á³ëüøó ÷àñòîòó ÄÊØ, í³æ õëîï÷èêè, àëå âëàñíå ñòàòü íå âèçíà÷åíà ÿê ôàêòîð ðèçèêó.

Òàáëèöÿ 2 Àëãîðèòì ñêðèí³íãó ÄÊØ.

Êë³í³÷íå îáñòåæåííÿ íîâîíàðîäæåíîãî
Áåç â³äõèëåíü Âèÿâëåí³ â³äõèëåííÿ

Ôàêòîðè ðèçèêó â³äñóòí³ ª ôàêòîðè ðèçèêó Ñòàá³ëüíèé ñ-ì ëóñêîòó Íåñòàá³ëüíèé ñóãëîá
Ñîíîãðàô³ÿ íå ïîêàçàíà Ñîíîãðàô³ÿ ó 4-6 òèæí³â Ñîíîãðàô³ÿ ó 4-6 òèæí³â Ñîíîãðàô³ÿ ó 2 òèæí³

˳òåðàòóðà

1. Aronsson DD, Goldberg MJ, Kling TF, Roy DR. Developmental dysplasia of the hip. Pediatrics1994; 94:201-208

2. Barlow TG. Early diagnosis and treatment of congenital dislocation of the hip. J Bone Joint Surg (Br)1962; 44:292-301

3. Berman L, Klenerman L. Ultrasound screening for hip abnormalities: reliminary findings in 1001 neonates. BMJ1986; 293:719-722

4. Boal DKV, Schwenrker EP. The infant hip: assessment with real-time ultrasound. Radiology1985; 157:667-672

5. Bick U, Muller-Leisse C, Troger J. Ultrasonography of the hip of preterm neonates. Pediatr Radiol1990; 20:331-333

6. Burke SW, Macey TI, Roberts JM, et al. Congenital dislocation of the hip in the American black. Clin Orthop1985; 192:120-123

7. Clarke NMR, Harcke HT, McHugh P, Lee MS, at al. Real-time ultrasound in the diagnosis of congenital dislocation and dysplasia of the hip. J Bone Surg (Br)1985; 67-B: 406-412

8. Chung SMK. Diseases of of the developing hip joint. Pediatr Clin North Am1986; 33: 1457-1473

9. Dahlstrom H, Oberg L, Friberg S. Sonography in congenital dislocation of the hip. Acta Orthop Scand1986; 57:402-406

10.Donaldson JS. Pediatric muskuloskeletal US. Syllabus: Acategorical course in diagnostic radiology. Pediatr Radiol1989; 77-88

11.Engesaeter LB, Wilson DJ, Nag D, et al. Ultrasound and congenital dislocation of the hip: The importance of dynamic assessment. J Bone Joint Surg (Br)1990; 72: 197-201

12.Graf R. The diagnosis of congenital hip-joint dislocation by the ultrasonic compound treatment. Arch Orthop Trauma Surg1980; 97:117-133

13.Graf R. The ultrasonic image of acetabular rim in infants. Arch Orthop Trauma Surg1981; 99:35-41

14.Graf R. Sonographie der Sauglingshufte: ein Kompendium. 3rd. Enke, Stuttgart, 1989 pp 20,90-91,98-99

15.Harcke HT, Grissom LE. Sonographic Evaluation of the Infant Hip. Seminars in Ultrasound, CT and MRI 1986; 7: 331-338

16.Harcke HT, Grissom LE, Finkelstein MS. Evaluation of the Musculosceletal System with Sonography. AJR1988; 150:1253-1261

17.Harcke HT, Grissom LE. Performing Dynamic Sonography of the Infant Hip. AJR1990; 155:837-844.

18.Harcke HT. Screening Newborns for Developmental Dysplasia of the Hip: The Roule of Sonography. AJR1994; 162: 395-397

19.Harcke HT. The role ou ultrasound in diagnosis and management of developmental dysplasia of the hip. Pediatr Radiol1995; 25: 225-227

20.Hayden CK, Swischuk LE. Pediatric Ultrasonography. Williams & Wilkins, Baltimore, 2nd Ed., 1992, pp. 426- 429

21.Hensinger RN. Congenital dislocation of the hip: treatment in infancy to walking age. Orthop Clin North Am1987; 18:597-616

22.Millis MB, Share JC. Use of Ultrasonography in Dysplasia of the Immature Hip. Clinical Orthopaedics and Related Research. 1992; 274: 160-170

23.Novick GS, Ghelman B, Schneider M. Sonography of neonatal and infant hip. AJR 1983; 141:639-645

24.Novic GS. Sonography in pediatric hip disorders. Radiol Clin North Am 1988; 26:29-53

25.Ortolani M. The classic: Congenital hip dysplasia in the light of early and very early diagnosis. Clin Orthop1976; 119:6-10

26.Pratt WB, Freiberger RN, Arnold WD. Untreated congenital hip dysplasia in Navajo. Clin Orthop1982; 162:69-7727. Renshaw TS. Pediatric Orthopedics. Philadelphia: WB Saunders, 1986

27.Renshaw TS. Pediatric Orthopedics. Philadelphia: WB Saunders, 1986

28.Rosendahl K, Aslaksen A, Lie RT, Markestad T. Reliability of ultrasound in the early diagnosis of developmental dysplasia of the hip. Pediatr Radiol1995; 25:219-224

29.Saies AD, Foster BK, Lequesne GW. The value of a new ultrasound stress test in assessment and treatment of clinically detected hip instability. J Pediatr Orthop1988; 8:436-441

30.Szoke N, Kuhl L, Heinrichs J. Ultrasound examination in the diagnosis of congenital hip dysplasia in newborns. J Pediatr Orthop1988; 8:12-16

31.Teele RL, Share JC. Ultrasonography of infants and children. Philadelphia: WB Saunders,1991, pp. 123-136

32.Tonnis D, Storch K, Ulbrich H. Results of newborn screening for CDH with and without sonography and correlation of risk factors. J Pediatr Orthop1990; 10:145-152

33.Yamamuro T, Ishida K. Recent advances in prevention, early diagnosis, and treatment of congenital dislocation of the hip in Japan. Clin Orthop1984; 184:34-40

34.Zieger M, Hilpert S, Schulz RD. Ultrasound of the infant hip. Part 1. Basic principles. Pediatr Radiol1986; 16: 483-487

35.Zieger M. Ultrasound of the infant hip. Part 2. Validity of the method. Pediatr Radiol1986; 16: 488-492

36.Zieger M, Schulz RD. Ultrasound of the infant hip. Part 3:Clinical application. Pediatr Radiol1987; 17: 226-232

37.Zieger M, Hilpert S. Ultrasound of the infant hip. Part 4: Normal development in the newborn and preterm neonate. Pediatr Radiol1987; 17: 470-473