{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T09:31:52Z","timestamp":1744709512315,"version":"3.37.3"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Descrever o per\ufb01l dos pacientes com displasia do desenvolvimento do quadril (DDQ), diagnosticados por meio de exame f\u00edsico e ultrassonogr\u00e1\ufb01co, com a implanta\u00e7\u00e3o do protocolo de aten\u00e7\u00e3o e rastreio de DDQ.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo transversal que incluiu os portadores de DDQ nascidos de janeiro de 2014 a dezembro de 2016, na cidade de Pelotas, Sul do Brasil, que considerou os fatores etnia, sexo, peso ao nascer, posi\u00e7\u00e3o fetal, lado de ocorr\u00eancia, idade gestacional, idade materna e hist\u00f3rico familiar. Os dados de prontu\u00e1rio foram comparados com as caracter\u00edsticas da popula\u00e7\u00e3o geral por meio do Sistema de Informa\u00e7\u00e3o sobre Nascidos Vivos (Sinasc).<\/jats:p><jats:p>\n          Resultados\u2003Foram identi\ufb01cados 33 portadores de DDQ, a maioria do sexo feminino, que mostrou uma probabilidade quatro vezes maior de apresentar a patologia (p\u2009&lt;\u20090,001), e o lado mais acometido foi o esquerdo. Os rec\u00e9m-nascidos com apresenta\u00e7\u00e3o p\u00e9lvica tiveram uma probabilidade 15 vezes maior de ter DDQ (p\u2009&lt;\u20090,001). N\u00e3o foi encontrada associa\u00e7\u00e3o estatisticamente signi\ufb01cativa com os seguintes fatores avaliados: peso ao nascer, idade gestacional, etnia e idade materna. Um total de 21 rec\u00e9m-nascidos necessitaram de tratamento imediato do quadril; a ecogra\ufb01a demonstrou classi\ufb01ca\u00e7\u00e3o IIb ou maior, pelo m\u00e9todo de Graf, ou a radiogra\ufb01a mostrou luxa\u00e7\u00e3o nos portadores de DDQ com mais de seis meses de idade.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003O rastreio de DDQ \u00e9 essencial em todos os rec\u00e9m-nascidos, e o exame f\u00edsico, quando alterado, deve ser complementado com o ultrassonogr\u00e1\ufb01co para evitar o diagn\u00f3stico tardio da doen\u00e7a.<\/jats:p>","DOI":"10.1016\/j.rbo.2018.02.005","type":"journal-article","created":{"date-parts":[[2018,4,3]],"date-time":"2018-04-03T21:20:01Z","timestamp":1522790401000},"page":"497-502","source":"Crossref","is-referenced-by-count":4,"title":["Per\ufb01l dos pacientes diagnosticados com displasia do desenvolvimento do quadril"],"prefix":"10.1055","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7660-9547","authenticated-orcid":false,"given":"Renan de Oliveira","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Cat\u00f3lica de Pelotas, Pelotas, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine Pinto","family":"Albernaz","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade Cat\u00f3lica de Pelotas, Pelotas, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,10,9]]},"reference":[{"issue":"2","key":"10.1016\/j.rbo.2018.02.005_bib0155","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/S0102-36162010000200002","article-title":"Displasia do desenvolvimento do quadril: atualiza\u00e7\u00e3o","volume":"45","author":"Guarniero","year":"2010","journal-title":"Rev Bras Ortop."},{"issue":"2","key":"10.1016\/j.rbo.2018.02.005_bib0160","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s11832-014-0561-8","article-title":"Use of ultrasonography in developmental dysplasia of the hip","volume":"8","author":"Omero\u011flu","year":"2014","journal-title":"J Child Orthop."},{"issue":"9","key":"10.1016\/j.rbo.2018.02.005_bib0165","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1007\/s00431-017-2959-z","article-title":"Diagnosing developmental dysplasia of the hip using the Graf ultrasound method: risk and protective factor analysis in 11,820 universally screened newborns","volume":"176","author":"Schams","year":"2017","journal-title":"Eur J Pediatr."},{"key":"10.1016\/j.rbo.2018.02.005_bib0170","series-title":"Proped\u00eautica ortop\u00e9dica e traumatol\u00f3gica.","first-page":"381","article-title":"Proped\u00eautica ortop\u00e9dica do quadril pedi\u00e1trico","author":"Ishida","year":"2013"},{"issue":"4","key":"10.1016\/j.rbo.2018.02.005_bib0175","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/s11832-014-0599-7","article-title":"The costs of late detection of developmental dysplasia of the hip","volume":"8","author":"Woodacre","year":"2014","journal-title":"J Child Orthop."},{"issue":"7","key":"10.1016\/j.rbo.2018.02.005_bib0180","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.2106\/JBJS.H.00122","article-title":"To screen or not to screen? 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