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Revista Habanera de Ciencias Médicas

On-line version ISSN 1729-519X

Abstract

BETZABE OROPEZA-SORIA, Erika; AURORA CORNEJO-LOPEZ, Jenny  and  TEOFILO CAMACHO-CONCHUCOS, Herminio. Hip dysplasia and dislocation in children with congenital disorders treated at a national rehabilitation institute. Rev haban cienc méd [online]. 2023, vol.22, n.1  Epub Dec 01, 2023. ISSN 1729-519X.

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.

Keywords : hip dislocation, developmental dysplasia of the hip, spinal dysraphism; torticollis, arthrogryposis, foot deformities.

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