{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:09:46Z","timestamp":1767182986731,"version":"3.28.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>H\u00fcftreifungsst\u00f6rungen stellen in Mitteleuropa die h\u00e4ufigste muskuloskelettale Erkrankung im Neugeborenalter dar. Der Begriff H\u00fcftreifungsst\u00f6rung umfasst dabei sowohl dysplastische als auch\n      luxierte Gelenke. Bei einem dysplastischen Gelenk kommt es aufgrund von Scherkr\u00e4ften zu einer Wachstumsst\u00f6rung im Bereich der H\u00fcftpfanne. Bei einem Fortbestehen der Wachstumsst\u00f6rung im Bereich\n      der H\u00fcftpfanne verdr\u00e4ngt der H\u00fcftkopf den knorpelig pr\u00e4formierten Anteil der Gelenkpfanne erst nach kranial und luxiert schlussendlich nach dorsal in die Fossa glutealis. Der H\u00fcftkopf verliert\n      bei der Luxation zunehmend den Kontakt zur Pfanne. Wir sprechen dementsprechend heute von einer Developmental Dislocation of the Hip und nicht mehr von einer Congenital Dislocation of the Hip.\n      Die verschiedenen Stadien der H\u00fcftreifungsst\u00f6rung lassen sich anhand einer Ultraschalluntersuchung des S\u00e4uglingsh\u00fcftgelenks nach Graf ab dem 1. Lebenstag exakt klassifizieren. Die\n      H\u00fcftultraschalluntersuchung nach Graf ist daher seit 1996 in Deutschland fester Bestandstandteil der Kinderrichtlinie. Alle Neugeborenen m\u00fcssen im Rahmen der 3. Vorsorgeuntersuchung U3\n      idealerweise im Alter von 4\u20135 (maximal 8) Wochen einer H\u00fcftultraschalluntersuchung nach Graf unterzogen werden. Bei Neugeborenen mit anamnestischen oder klinischen Risikofaktoren muss dar\u00fcber\n      hinaus bereits bei der 2. Vorsorgeuntersuchung U2 in der 1. Lebenswoche neben einer klinischen Untersuchung der H\u00fcftgelenke auch eine Ultraschalluntersuchung erfolgen. Basierend auf dieser\n      Fr\u00fchestdiagnostik sollte bei pathologischen Befunden m\u00f6glichst innerhalb 1 Woche eine dem Befund entsprechende Therapie eingeleitet werden. Luxierte Gelenke werden reponiert. Nach\n      Wiederherstellen des Kontakts von H\u00fcftkopf und Pfanne ist es zwingend erforderlich, dass der Kopf sicher in der Pfanne gehalten wird. Nach dieser Phase der Retention schlie\u00dft sich bei luxierten\n      Gelenken die f\u00fcr dysplastische Gelenke als Therapie ausreichende Nachreifungsphase an. Um eine H\u00fcftkopfnekrose als Fr\u00fchkomplikation oder eine erneute H\u00fcftreifungsst\u00f6rung im weiteren Wachstum zu\n      vermeiden, wird der H\u00fcftkopf sowohl w\u00e4hrend der Retentionsphase als auch w\u00e4hrend der Nachreifungsphase tief in die Pfanne eingestellt. Dies gelingt bei Sicherstellung einer H\u00fcftflexion von\n      100\u2013110\u00b0 bei gleichzeitiger H\u00fcftabduktion von 50\u00b0 bis maximal 60\u00b0.<\/jats:p>","DOI":"10.1055\/a-1838-5525","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T23:07:13Z","timestamp":1658876833000},"page":"43-51","source":"Crossref","is-referenced-by-count":3,"title":["S2k-Leitlinie H\u00fcftdysplasie Teil S\u00e4ugling"],"prefix":"10.1055","volume":"162","author":[{"given":"Tamara","family":"Seidl","sequence":"additional","affiliation":[{"name":"Vereinigung f\u00fcr Kinderorthop\u00e4die, Klinik f\u00fcr Unfallchirurgie, Orthop\u00e4die und Wirbels\u00e4ulenchirurgie, Klinikum Herford, Herford, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Falk","family":"Thielemann","sequence":"additional","affiliation":[{"name":"Vereinigung f\u00fcr Kinderorthop\u00e4die, Universit\u00e4tsCentrum f\u00fcr Orthop\u00e4die, Unfall- & Plastische Chirurgie, Universit\u00e4tsklinikum Carl Gustav Carus Dresden, Dresden, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anke","family":"Gerhardt","sequence":"additional","affiliation":[{"name":"Berufsverband f\u00fcr Orthop\u00e4die und Unfallchirurgie e.V., Ortho-Zentrum Karlsruhe Orthop\u00e4dische Gemeinschaftspraxis am Ludwigsplatz, Karlsruhe, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartmut","family":"Gaulrapp","sequence":"additional","affiliation":[{"name":"Berufsverband f\u00fcr Orthop\u00e4die und Unfallchirurgie e.V., Facharztpraxis f\u00fcr Orthop\u00e4die und Kinderorthop\u00e4die M\u00fcnchen-Schwabing, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Zierl","sequence":"additional","affiliation":[{"name":"Gesellschaft fu\u0308r P\u00e4diatrische Radiologie e.V., Radiologisches Institut \u2013 Olgahospital, Klinikum Stuttgart, Stuttgart, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silke","family":"Buchholz","sequence":"additional","affiliation":[{"name":"H\u00fcftdysplasie \u2013 Initiative, Hamburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antje","family":"Naumann","sequence":"additional","affiliation":[{"name":"H\u00fcftdysplasie \u2013 Initiative, Gotha, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bettina","family":"Winter","sequence":"additional","affiliation":[{"name":"H\u00fcftdysplasie \u2013 Initiative, Xanten, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Rodens","sequence":"additional","affiliation":[{"name":"Deutsche Gesellschaft f\u00fcr Kinder- und Jugendmedizin e.V., Bundesverband der Kinder- und Jugend\u00e4rzte e.V., Kinderarztpraxis Klaus Rodens und Arnim Schaer, Langenau, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,7,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s00132-008-1238-0","article-title":"Nat\u00fcrlicher Verlauf von H\u00fcftreifungsst\u00f6rungen und H\u00fcftdysplasie. 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