{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T22:32:43Z","timestamp":1766788363058,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2021,10,28]],"date-time":"2021-10-28T00:00:00Z","timestamp":1635379200000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar a preval\u00eancia de displasia de desenvolvimento de quadril (DDQ), ou seja, quadris de tipo de Graf IIc ou maior, em amostra da popula\u00e7\u00e3o de rec\u00e9m-nascidos de 0 a 3 dias de vida, e correlacionar os achados com os principais fatores de risco descritos na literatura.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo observacional, transversal e prospectivo em amostra de rec\u00e9m-nascidos, em um hospital maternidade em S\u00e3o Paulo, para avaliar a preval\u00eancia da DDQ diagnosticada pelo m\u00e9todo de Graf e verificar sua correla\u00e7\u00e3o com os fatores de risco.<\/jats:p><jats:p>\n          Resultados\u2003Um total de 678 rec\u00e9m-nascidos foram submetidos a ultrassonografia de quadril (1.356 quadris). A preval\u00eancia de DDQ (quadris tipo IIc, D, IIIa, IIIb, e IV de Graf) foi de 5,46%. A an\u00e1lise de regress\u00e3o log\u00edstica mostrou raz\u00f5es de chances (RCs) com signific\u00e2ncia estat\u00edstica para os par\u00e2metros etnia branca (RC\u2009=\u20092.561; intervalo de confian\u00e7a de 95% [IC95%]: 1,07 a 6,11), multiparidade (RC\u2009=\u20093,50; IC95%: 1,62 a 7,38), sexo feminino (RC\u2009=\u20094,95; IC95%: 1,86 a 13,13), e apresenta\u00e7\u00e3o p\u00e9lvica (RC\u2009=\u20092,03; IC95%: 1,01 a 4,11).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A preval\u00eancia de DDQ na amostra foi de 5,45% usando a ultrassonografia como m\u00e9todo de diagn\u00f3stico. Este resultado \u00e9 diferente do dos estudos que avaliam a preval\u00eancia exclusivamente do exame f\u00edsico (manobra de Ortolani). Os principais fatores de risco associados ao maior risco de DDQ foram rec\u00e9m-nascidos do sexo feminino, com apresenta\u00e7\u00e3o p\u00e9lvica, primog\u00eanitos, e de etnia branca.<\/jats:p>","DOI":"10.1055\/s-0041-1736407","type":"journal-article","created":{"date-parts":[[2021,10,28]],"date-time":"2021-10-28T22:41:27Z","timestamp":1635460887000},"page":"664-670","source":"Crossref","is-referenced-by-count":6,"title":["Preval\u00eancia de displasia do desenvolvimento do quadril em uma maternidade de S\u00e3o Paulo, Brasil"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5735-4895","authenticated-orcid":false,"given":"Giovanna Galv\u00e3o Braga","family":"Motta","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Departamento de Sa\u00fade Baseada em Evid\u00eancias, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"},{"name":"Centro de Aperfei\u00e7oamento e Pesquisa em Ultrassonografia Prof. Dr. Giovanni Guido Cerri (DASA), Departamento de Ultrassonografia S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2007-1415","authenticated-orcid":false,"given":"Alessandra Rodrigues Silva","family":"Chiovatto","sequence":"additional","affiliation":[{"name":"Centro de Aperfei\u00e7oamento e Pesquisa em Ultrassonografia Prof. Dr. Giovanni Guido Cerri (DASA), Departamento de Ultrassonografia S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7051-5710","authenticated-orcid":false,"given":"Eduardo Davino","family":"Chiovatto","sequence":"additional","affiliation":[{"name":"Centro de Aperfei\u00e7oamento e Pesquisa em Ultrassonografia Prof. Dr. Giovanni Guido Cerri (DASA), Departamento de Ultrassonografia S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7874-9332","authenticated-orcid":false,"given":"M\u00e1rcio Lu\u00eds","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Departamento de Sa\u00fade Baseada em Evid\u00eancias, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4434-7335","authenticated-orcid":false,"given":"Natasha Vogel Majewski","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Hospital do Servidor P\u00fablico Municipal, Departamento de Ortopedia pedi\u00e1trica, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6426-5636","authenticated-orcid":false,"given":"Wagner","family":"Iared","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Departamento de Sa\u00fade Baseada em Evid\u00eancias, S\u00e3o Paulo, S\u00e3o Paulo, Brasil"},{"name":"Centro de Aperfei\u00e7oamento e Pesquisa em Ultrassonografia Prof. Dr. Giovanni Guido Cerri (DASA), Departamento de Ultrassonografia S\u00e3o Paulo, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,10,28]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"359","DOI":"10.5694\/mja18.00154","article-title":"Developmental dysplasia of the hip: addressing evidence gaps with a multicentre prospective international study","volume":"208","author":"E K Schaeffer","year":"2018","journal-title":"Med J Aust"},{"issue":"05","key":"ref2","first-page":"125","article-title":"Sinal de Ortolani: resultado do exame ortop\u00e9dico em 9171 rec\u00e9m-nascidos na Associa\u00e7\u00e3o Maternidade de S\u00e3o Paulo","volume":"23","author":"R Guarniero","year":"1988","journal-title":"Rev Bras Ortop"},{"issue":"203","key":"ref3","first-page":"276","article-title":"Missed or developmental dislocation of the hip","author":"F W Ilfeld","year":"1986","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"61","author":"E von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"ref5","volume-title":"Lovell and Winter's Pediatric orthopaedics","author":"R T Morrissy","year":"1996","edition":"4th ed."},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"215","DOI":"10.5301\/hipint.5000514","article-title":"Hip sonography: background; 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