{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:48:12Z","timestamp":1761709692848,"version":"3.41.2"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: avaliar rec\u00e9m-nascidos com suspeita de instabilidade do quadril, encaminhados por pediatras a um servi\u00e7o ortop\u00e9dico terci\u00e1rio.  M\u00e9todos: rec\u00e9m-nascidos de uma maternidade p\u00fablica universit\u00e1ria, com suspeita de instabilidade ou fatores de risco para displasia do quadril, eram encaminhados ao Departamento de Ortopedia e Anestesiologia, Ribeir\u00e3o Preto\/SP, onde eram avaliados clinicamente e atrav\u00e9s de exames ultrassonogr\u00e1ficos dos quadris. Constatada a displasia, iniciava-se o tratamento, e em casos em que havia apenas imaturidade do quadril e exame cl\u00ednico normal, procedia-se \u00e0 observa\u00e7\u00e3o e re-exame clinico e ultrassonogr\u00e1fico com dois ou tr\u00eas meses de vida.  Resultados: foram examinados 448 rec\u00e9m-nascidos, com predomin\u00e2ncia feminina e m\u00e9dia de idade na primeira avalia\u00e7\u00e3o de 27 dias. A principal causa do encaminhamento foi apresenta\u00e7\u00e3o p\u00e9lvica. Em 8% havia sinal de Ortolani positivo e em 12,5% estalido no quadril. No exame ortop\u00e9dico, 405 (90,5%) pacientes eram normais, 8,5% apresentavam estalido no quadril e 1,1% apresentavam teste de Ortolani positivo. \u00c0 ultrassonografia, 368 (89,5%) apresentavam imaturidade, 26 (6,3%) tinham displasia moderada e em 17 (4,1%) pacientes os quadris eram francamente displ\u00e1sicos. Todos os casos com sinal de Ortolani positivo apresentavam quadro ultrassonogr\u00e1fico de displasia.  Conclus\u00e3o: houve excesso de diagn\u00f3stico de instabilidade do quadril na avalia\u00e7\u00e3o do pediatra, o que, no entanto, permitiu ao paciente uma segunda avalia\u00e7\u00e3o, em ambiente mais especializado e com mais recursos tecnol\u00f3gicos.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192284","type":"journal-article","created":{"date-parts":[[2020,1,31]],"date-time":"2020-01-31T09:26:54Z","timestamp":1580462814000},"source":"Crossref","is-referenced-by-count":2,"title":["Avalia\u00e7\u00e3o ortop\u00e9dica e ultrassonogr\u00e1fica da estabilidade dos quadris de rec\u00e9m-nascidos encaminhados por pediatras, com suspeita de Displasia T\u00edpica do Desenvolvimento."],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9362-0131","authenticated-orcid":false,"given":"M\u00e1rio Augusto Ferreira","family":"Cruz","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1999-7352","authenticated-orcid":false,"given":"Jos\u00e9 Batista","family":"Volpon","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jpeds.2016.10.017","article-title":"Relative risk and incidence for developmental dysplasia of the hip","volume":"181","author":"Pollet V","year":"2017","journal-title":"J Pediatr"},{"key":"ref2","series-title":"Tema oficial do II Congresso da Sociedade Brasileira de Ortopedia e Traumatologia, 1937","volume-title":"O problema da luxa\u00e7\u00e3o cong\u00eanita do quadril no Brasil.","author":"Puech R","year":"1937"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1542\/peds.105.4.e57","article-title":"Developmental dysplasia of the hip practice guideline: technical report. 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