Razvojni poremećaj kuka: prevencija i konzervativno liječenje djeteta u dobi od prvog do šestog mjeseca. (Croatian)

Developmental dysplasia of the hip: prevention and conservative treatment in children aged 1-6 months. (English)

Secondary prevention of developmental dysplasia of the hip is aimed at early diagnosis through application of the most effective screening methods, and initiating optimal treatment as soon as possible. Applying either selective or universal screening depends on the incidence and costs of screening in the healthcare system of each individual country. The aim of conservative treatment of developmental dysplasia of the hip is geared towards obtaining and maintaining concentric reduction of the hip joint, stopping pathophysiological processes, guiding growth in a normal morphological-anatomic direction, and preventing treatment complications, i.e. avascular necrosis of the femoral head. Early treatment of developmental dysplasia of the hip prevents adolescent hip arthrosis and early disability. Different types of orthoses are used in conservative treatment; their function is to maintain stable reduction of the hip joint in the standard protected position. Physical therapy is important for obtaining normal mobility of the hip when there is limited hip motion, particularly in the presence of unilateral adductor contracture, which would prevent stable retention upon concentric reduction of the hip. [ABSTRACT FROM AUTHOR]

Sekundarna prevencija razvojnog poremećaja kuka usmjerena je na rano otkrivanje i primjenu najučinkovitijih terapijskih i preventivnih postupaka. Primjena selektivnog ili neselektivnog probira ovisi o incidenciji razvojnog poremećaja kuka i povezana je s troškovima zdravstvenog sustava pojedine države. Cilj konzervativnog liječenja razvojnog poremećaja kuka je postići i zadržati koncentričnu redukciju, usmjeriti rast i razvoj zgloba kuka prema normalnim morfološko-anatomskim odnosima i izbjeći komplikacije tijekom liječenja, posebice avaskularnu nekrozu. Ranim liječenjem razvojnog poremećaja kuka sprječava se adolscentna koksartroza i rani invaliditet. U liječenju se primjenjuju različite vrste ortoza čija je funkcija zadržavanje koncentrične redukcije kuka u poštednoj poziciji. Fizikalna terapija je važna za dobivanje normalne pokretljivosti kuka kod aduktorne kontrakture, simetrične ili asimetrične, koja otežava stabilnu retenciju nakon koncentrične redukcije kuka. [ABSTRACT FROM AUTHOR]

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