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Hüftdysplasie

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Orthopädie und Unfallchirurgie

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Zusammenfassung

Der Beitrag widmet sich der Hüftdysplasie, einer der klassischen Diagnosen in der Orthopädie. Vor der Darstellung der diagnostischen und therapeutischen Maßnahmen werden zu Beginn Epidemiologie und Ätiologie in das Krankheitsbild einführen. Bei der Diagnostik steht die Ultraschallmethode nach Graf an vorderster Front. Andere Ultraschalltechniken und die Rolle der MRT-Untersuchung werden dargestellt, um auch bei besonderen Fällen die Diagnostik in der Praxis zu erleichtern. Die im mitteleuropäischen Sprachraum etablierte, konservative, ultraschallgesteuerte Therapie im Säuglingsalter mit dem 1996 eingeführten Hüftscreening steht im Zentrum des Beitrags. Bei Versagen der konservativen Therapie müssen operative Maßnahmen ergriffen werden. Hier werden die etablierten operativen Maßnahmen wie die offene Reposition, Azetabuloplastiken, Beckenosteotomien und Femurosteotomien mit deren Operationszugängen, Risiken und Komplikationen im Detail beschrieben.

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Literatur

  • Biedermann R, Eastwood DM (2018) Universal or selective ultrasound screening for the developmental dysplasia of the hip? A discussion of the key issue. J Child Orthop 12:296–301

    Article  CAS  Google Scholar 

  • Böhm P, Klinger HM, Küsswetter W (1999) The Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in young adults. Arch Orthop Trauma Surg 179:186–189

    Google Scholar 

  • Bos CF, Bloem JL, Obermann WR et al (1988) Magnetic resonance imaging in congenital dislocation of the hip. J Bone Joint Surg 70:174–178

    Article  CAS  Google Scholar 

  • Buchholz RW, Ogden JA (1978) Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip diseases. In: The hip: proceedings of the sixth open scientific meeting of the hip society, S 43. St. Louis, CV Mosby Co

    Google Scholar 

  • Caroll KL, Schiffern AN, Murray KA et al (2016) The occurrence of occult acetabular dysplasia in relatives of individuals with developmental dysplasia of the hip. J Ped Orthop 36:96–100

    Article  Google Scholar 

  • Clohisy JC, Carlisle JC, Beaule PE et al (2008) A systematic approach to the plain radiograph evaluation of the young adult hip. J Bone Surg 4:47–66

    Article  Google Scholar 

  • Czubak J, Kowalik K, Kawalec A, Kwiatkowska M (2018) Dega pelvic osteotomy: indications, results and complications. J Child Orthop 12:342–348

    Article  CAS  Google Scholar 

  • Douveren F van, Pruijs H, Sakkers R et al (2003) Ultrasound in the management of the position of the femoral head during spica cast after reduction of the hip dislocation in developmental dyslasia of the hip. J Bone Joint Surg 85-B:117–120

    Google Scholar 

  • Eberhardt O, Fernandez FF, Wirth T (2012) Arthroscopic reduction of the dislocated hip in infants. J Bone Joint Surg Br 94:842–847

    Article  CAS  Google Scholar 

  • Eberhardt O, Wirth T, Fernandez FF (2014) Arthroscopic reduction and acetabuloplasty for the treatment of dislocated hips in children of walking age: a preliminary report. Arch Orthop Trauma Surg 134:1587–1594

    Article  Google Scholar 

  • Eberhardt O, Wirth T, Fernandez FF (2015) Arthroscopic anatomy and obstacles preventing reduction in dislocated hips in infants. Arthroscopy 31:1052–1059

    Article  Google Scholar 

  • Eberhardt O, Zieger M, Wirth T et al (2009) Der transinguinale Ultraschall zur Bestimmung der Hüftkopfzentrierung in der Behandlung der Hüftdysplasie und Hüftluxation. Z Orthop Unfall 147:727–733

    Article  CAS  Google Scholar 

  • El-Sayed MM, Hegazy M, Abdelatif NM, ElGebeily MA, ElSobky T, Nader S (2015) Dega osteotomy for the management of developmental dysplasia of the hip in children aged 2-8 years: results of 58 consecutive osteotomies after 13-25 years of follow-up. J Child Orthop 9:191

    Article  Google Scholar 

  • Fettweis E (1990) Treatment of congenital dislocation of the hip in a squatting position, Fettweis method. Acta Orthop Belg 56:155–165

    CAS  Google Scholar 

  • Flynn JM (2011) Operative techniques in pediatric orthopaedics. Wolters Kluwer, Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Ganz R, Klaue K, Vinh TS (2004) A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. 1988. Clin Orthop Rel Res 418:3–8

    Article  Google Scholar 

  • Gould SW, Grissom LE, Niedzielski A et al (2012) Protocol for MRI of the hips after spica cast placement. J Ped Orthop 32:504–509

    Article  Google Scholar 

  • Graf R (1984) Fundamentals of sonographic diagnosis in of infant hip dysplasia. J Pediatr Orthop 4:735–740

    Article  CAS  Google Scholar 

  • Graf R (1997) Die sonographiegesteuerte Therapie. Orthopäde 26:33–42

    CAS  Google Scholar 

  • Harcke HH (2017) Hip ultrasonography in clinical practice. Pediatr Radiol 47:1155–1159

    Article  Google Scholar 

  • Herring TM (2008) Tachdjian‘s pediatric orthopaedics fourth edition Saunders

    Google Scholar 

  • Husum HC, Hellfritzsch MB, Hardgrib N, Moller-Madsen B, Rahbek O (2018) Suggestion for new 4.4 mm pubofemoral distance cut-off value for hip instability in lateral position during DDH screening. Acta Orthop 10:1–8

    Google Scholar 

  • Joeris A, Audige K, Ziebarth K, Slongo T (2012) The locking compression paediatric hip late: technical guide and critical analysis. Int Orthop 36:2299–2306

    Article  Google Scholar 

  • Kalamchi A, MacEwen G (1980) Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg 62-A:876

    Article  Google Scholar 

  • Krieg AH, Hefti F (2016) Acetabuloplasty – The Dega and Pemberton technique. Orthopäde 45:653–658

    Article  CAS  Google Scholar 

  • Kubo H, Pilge H, Weimann-Stahlschmidt K et al (2018) Use of the Tübingen splint for the initial management of severely dysplastic and unstable hips in newborns with DDH: an alternative to Fettweis plaster and Pavlik harness. Arch Ortho Trauma Surg 138:149–153

    Article  Google Scholar 

  • Li Y, Guo Y, Li M et al (2018) Acetabular index is the best predictor of late residual acetabular dysplasia after closed reduction in developmental dysplasia of the hip. Int Orthop 42:631–640

    Article  Google Scholar 

  • Lopez-Carreno E, Carillo H, Gutierrez M (2008) Dega versus Salter osteotomy for the treatment of dysplasia of the hip. JPO B 17:213–221

    Google Scholar 

  • McCarthy JJ, MacEwen GD (2007) Hip arthroscopy for the treatment of children with hip dysplasia: a preliminary report. Orthopedics 30:262–264

    Article  Google Scholar 

  • Niethard FU (1997) Kinderorthopädie. Georg Thieme, Stuttgart/NewYork

    Google Scholar 

  • Novais EN, Hill MK, Carry PM et al (2016) Is age or surgical approach associated with osteonecrosis in patients with developmental dysplasia of the hip? A meta-analysis. Clin Orthop Rel Res 474:11666–11177

    Article  Google Scholar 

  • Oztürk H, Oztemür Z, Bulut O, Tezeren G, Bulut S (2013) Arthroscopic-assisted surgical treatment for developmental dislocation of the hip before the age of 18 months. Arch Orthop Traum Surg 133:1289–1294

    Article  Google Scholar 

  • Partenheimer A, Scheler-Hofman M, Kühl et al (2006) Populationsbasierte Studie zu Prädispositionsfaktoren und Häufigkeit der Hüftdysplasie. Ultraschall Med 7:364–376

    Article  Google Scholar 

  • Pauwels F (1973) Atlas zur Biomechanik der gesunden und kranken Hüfte. Springer, Berlin/Heidelberg/New York

    Book  Google Scholar 

  • Pavlik A (1953) A harness for treatment of congenital hip dislocation in infants. Acta Chir Orthop Traumatol Czech 20:93–100

    CAS  Google Scholar 

  • Pospischill R, Weninger J, Ganger R et al (2012) Does open reduction of the developmental dislocated hip increase the risk of osteonecrosis? Clin Orthop Rel Res 470:250–260

    Article  Google Scholar 

  • Rutz E, Brunner R (2010) The pediatric LCP hip plate for fixation of proximal femoral osteotomy in cerebral palsy and severe osteoporosis. J Ped Orthop 30:726–731

    Article  Google Scholar 

  • Salter RB (1966) Role of innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip in the older child. J Bone Joint Surg Am 48:1413–1439

    Article  CAS  Google Scholar 

  • Schröder-Printzen (1995) mit Bundesausschuß der Ärzte und Krankenkassen Einführung eines sonographischen Screening der Säuglingshüfte. Dtsch Ärztebl 92:2605–2606

    Google Scholar 

  • Suzuki S (1993) Ultrasound and Pavlik harness in CDH. J Bone Joint Surg 75B:483–487

    Article  Google Scholar 

  • Terjesen T, Bredland T, Berg V (1989) Ultrasound for hip assessment in the newborns. J Bone Joint Surg 71:767–773

    Article  CAS  Google Scholar 

  • Thallinger C, Pospischill R, Ganger R et al (2014) Long-term results of a nationwide general ultrasound screening system for developmental disorders oft he hip: the Austrian hip screening program. J Child Orthop 8:3–10

    Article  Google Scholar 

  • Toft F, Anliker E, Beck M (2015) Is labral hypothrophy correlated with increased acetabular depth? J Hip Pres Surg 2:175–183

    Article  Google Scholar 

  • Tolo VT, Skaggs DL (2008) Master techniques in orthopaedic surgery. Pediatrics. Lippincott Williams and Wilkin, Philadelphia

    Google Scholar 

  • Tönnis D (1984) Die angeborene Hüftdysplasie und Hüftluxation im Kindes- und Erwachsenenalter. Springer, Berlin

    Book  Google Scholar 

  • Tschauner C (2007) Die biomechanische Koxarthrose de jungen Erwachsenen – Prävention und gelenkerhaltende Therapieoptionen. Teil 1 Pathophysiologie und Diagnostik. Z Orthop Unfall 145:369–390

    Article  Google Scholar 

  • Tschauner C, Fürnath F, Saba Y, Berghold A, Radl R (2011) Development dysplasia of the hip: impact of sonographic newborn hip screening on the outcome of early treated decentered hip joints – a single center retrospective comparative cohort study based on Graf‘s method of the ultrasonography. J Child Orthop 5:415–424

    Article  Google Scholar 

  • Tschauner C, Matthiessen HD, Graf R (2018) Methodische Eckpunkte der Hüftsonographie nach Graf. State of the Art 2018. OUP 1:10.13

    Google Scholar 

  • Von Kries R, Ihme N, Oberle D et al (2003) Effect of ultrasound screening on the rate of first operative procedures for developmental dysplasia in Germany. Lancet 362:1883–1887

    Article  Google Scholar 

  • Wakabayashi K, Wada I, Horiuchi O, Mizutani J, Tsuchiya D, Otsuka T (2011) MRI findings in residual hip dysplasia. J Ped Orthop 31:381–387

    Article  Google Scholar 

  • Walbron P, Müller F, Mainard-Simard LA, Journeau P (2018) Bone maturation of MRI residual developmental dysplasia of the hip with discrepancy between osseus and cartilagineous acetabular index. J Ped Orthop 10

    Google Scholar 

  • Westhoff B, Wild A, Seller K, Krauspe R (2003) Magnetic resonance imaging after reduction for congenital dislocation of the hip. Arch Orthop Trauma Surg 123:289–292

    Article  CAS  Google Scholar 

  • Wirth T, Haake M, Hahn-Rinne R et al (1998) Magnetic resonance imaging in diagnostics and therapy control of patients with congenital dysplasia and dislocation of the hip. Z Orthop 136:210–214

    Article  CAS  Google Scholar 

  • Wirth T, Stratmann L, Hinrichs F (2004) Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening. J Bone Joint Surg 86:585–589

    Article  CAS  Google Scholar 

  • Wirtz CD, Stöckle U (2018) Expertise Orthopädie und Unfallchirurgie Hüfte. Georg Thieme, Stuttgart

    Book  Google Scholar 

  • Woodacre T, Ball T, Cox P (2016) Epidemiology of develpmental dysplasia of the hip within the UK: refining the risk factors. J Child Orthop 10:633–642

    Article  Google Scholar 

  • Xu HF, Yan YB, Xu C, Li TQ, Zhao TF, Liu N, Huang LY, Zhang CL, Lei W (2016) Effects of arthroscopic-assisted surgery on irreducible developmental dislocation of hip by mid-term follow-up: An observational study. Medecine (Baltimore) 95:e460

    Google Scholar 

  • Zajonz D, Stroble S, Wojan M et al (2016) Pavlik-Bandage zur Therapie der kongenitalen Hüftdysplasie Typ D, III und IV. Orthopäde 45:72–80

    Article  CAS  Google Scholar 

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Correspondence to Oliver Eberhardt .

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Eberhardt, O. (2022). Hüftdysplasie. In: Engelhardt, M., Raschke, M. (eds) Orthopädie und Unfallchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54673-0_119-1

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  • DOI: https://doi.org/10.1007/978-3-642-54673-0_119-1

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