Characterization of patients with a diagnosis of hip dysplasia younger than 1 year treated at the regional hospital of Sogamoso

Background: Hip dysplasia includes a wide spectrum of alterations where the acetabulum and proximal femur are not in their normal anatomical position. This manuscript aims to characterize patients with a diagnosis of developmental dysplasia of the hips treated at a hospital in Boyacá. Methodology: Observational, descriptive, retrospective and cross-sectional study. Pediatric patients with CDD (Developmental Dysplasia of the Hip) treated between 2015 and 2016 were included. Results: A higher proportion was found in the female sex with 66.88% (103 patients), with birth between 37 and 40 weeks of gestation determined by date of last maternal menstruation, an estimated weight of 2500 to 4000 grams in 71.43%, 75.32% were first-time mothers, 85.71% presented breech presentation. It was identified that 1.3% (2 patients) had a diagnosis of Down syndrome, 3.3% (5 patients) with congenital torticollis, and 2% of metatarsus adductus (3 patients), genu recurvatum was found in 3.1% of patients. cases (6 patients). Conclusion: We can conclude in this way that there are multiple factors that are associated with the presence or not of this pathology, starting with a genetic background, going through a history related to pregnancy and finally, it is important to take into account that this pathology may be the indicative of other orthopedic diseases or genetic alterations.

背景：髋关节发育不良涵盖了一系列解剖位置异常，其中髋臼和股骨近端未能维持其正常的解剖位置。本研究旨在描述在博亚卡医院接受治疗的诊断为发育性髋关节发育不良的病例。研究方法：采用观察性、描述性、回顾性和横断面研究方法。纳入2015年至2016年间接受治疗的发育性髋关节发育不良（CDD）的儿科患者。结果：女性患者比例较高，达到66.88%（103例患者），妊娠周期为37至40周，根据末次月经日期估算体重在2500至4000克之间者占71.43%，75.32%为初产妇，85.71%呈现臀位。发现1.3%（2例患者）患有唐氏综合症，3.3%（5例患者）患有先天性斜颈，2%（3例患者）患有马蹄内翻足，3.1%（6例患者）出现膝反张。结论：据此，我们可以得出结论，存在多种与该病理状态的有无相关的因素，从遗传背景开始，贯穿与妊娠相关的病史，最终，重要的是要考虑到该病理状态可能是其他骨科疾病或遗传变异的指示。