Recommendations for early diagnosis of Developmental Dysplasia of the Hip (DDH): working group intersociety consensus do
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(2020) 46:150
REVIEW
Open Access
Recommendations for early diagnosis of Developmental Dysplasia of the Hip (DDH): working group intersociety consensus document Rino Agostiniani1* , Giuseppe Atti2, Salvatore Bonforte3, Carolina Casini4, Marco Cirillo5, Maurizio De Pellegrin6, Daniela Di Bello7, Francesco Esposito8, Ambra Galla2, Giorgio Marrè Brunenghi9, Nicola Romeo10, Paolo Tomà5 and Norberto Vezzali11
Abstract This consensus document has been prepared by a multidisciplinary group of experts (Paediatricians, Radiologists, Paediatric Orthopaedics) and it is mainly aimed at paediatricians, hospitals and primary care providers. We provide recommendations for the early diagnosis and treatment of Developmental Dysplasia of the Hip (DDH) and indications on its management. Keywords: Developmental dysplasia of the hip, Intersociety consensus, Early diagnosis, Hip osteoarthritis
Introduction Developmental Dysplasia of the Hip (DDH) is the most common congenital disease of the musculoskeletal system in newborns. The disease ranges from a simple flattening of the acetabular cavity to the complete dislocation of the femoral head. If untreated, DDH can cause early hip osteoarthritis and, in the most severe forms, the presence of a limp with severe functional limitations, since walking age. An early diagnosis, which is essential for an early treatment, is the fundamental prerequisite in order to achieve the best treatment results and to reduce the possibility * Correspondence: [email protected] On behalf of the Scientific societies: Società Italiana di Pediatria (SIP) Referente Giuseppe Atti Società Italiana di Ortopedia e Traumatologia Pediatrica (SITOP) Referente Maurizio De Pellegrin Società Italiana di Radiologia Medica, Sezione Pediatrica (SIRM) Referente Paolo Tomà 1 Department of Pediatrics and Neonatology, ASL Toscana Centro, Florence, Italy Full list of author information is available at the end of the article
of hip osteoarthritis in young adults. The treatment effectiveness is maximized when it begins early, within the first month or, if possible, the first days of life. Paediatricians, radiologists, paediatric orthopedics worked together to design and write this document. The aim is to provide recommendations for early diagnosis and treatment of hip developmental dysplasia (DDH) and indications on its management.
Methods Methodology used
The document has been prepared according to the following steps: 1) identification of a multidisciplinary group of experts (Paediatricians, Radiologists, Paediatric Orthopaedics) with all the skills required to draft the document; 2) formulation, by the group of experts, of the most relevant scientific questions, with particular attention to the areas of major interest
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, pro
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