摘要
Developmental Dysplasia of the Hip (DDH) describes a wide range of anatomic abnormalities of the growing hips which might result in permanent abnormal gait. Therefore, early detection and management is crucial to improve the outcome and minimise the risk of osteoarthritis in later life. Hip ultrasound is used to evaluate DDH based on Graf classification. Graf score is a widely used ultrasound grading score to evaluate DDH in infants. There is conflicting evidence regarding the management of the developmentally immature Graf type IIa hip. Some physicians adopt watchful waiting for natural maturation of hips while other early treatment. This article will provide an evidence-based review on the management modalities of the Graf type IIa hip.
Developmental Dysplasia of the Hip (DDH) describes a wide range of anatomic abnormalities of the growing hips which might result in permanent abnormal gait. Therefore, early detection and management is crucial to improve the outcome and minimise the risk of osteoarthritis in later life. Hip ultrasound is used to evaluate DDH based on Graf classification. Graf score is a widely used ultrasound grading score to evaluate DDH in infants. There is conflicting evidence regarding the management of the developmentally immature Graf type IIa hip. Some physicians adopt watchful waiting for natural maturation of hips while other early treatment. This article will provide an evidence-based review on the management modalities of the Graf type IIa hip.
作者
Ali Ahmed Raba
Qais Gasibat
Ali Ahmed Raba;Qais Gasibat(UCD School of Medicine and Medical Sciences, Dublin, Ireland;Neonatology Department, Coombe Women and Infants University Hospital, Dublin, Ireland;School of Medicine, Misurata University, Misurata, Libya;Department of Sport Studies, Faculty of Educational Studies, Universiti Putra Malaysia (UPM), Kuala Lumpur, Malaysia;Department of Physiotherapy, Faculty of Medicine, Universiti Sultan Zainal Abidin, (UniSZA), Kuala Terengganu, Malaysia;Department of Physiotherapy, Faculty of Medical Technology, National Board for Technical and Vocational Education, Misurata, Libya)
