Correspondencia entre diagnóstico clínico y radiológico en la displasia de cadera en lactantes. Riobamba, 2019-2020.

ABSTRACT This research was carried out at Hospital General IESS Riobamba in the pediatric outpatient area, with the aim of identifying the correspondence between the clinical and radiological diagnosis of Developmental Dysplasia of the Hip (DDH) in infants, in addition to defining the clinical and r...

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Autor Principal: Michelle Nicole, Maldonado Brito (author)
Formato: bachelorThesis
Idioma:spa
Publicado: 2021
Subjects:
Acceso en liña:http://dspace.unach.edu.ec/handle/51000/7848
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Summary:ABSTRACT This research was carried out at Hospital General IESS Riobamba in the pediatric outpatient area, with the aim of identifying the correspondence between the clinical and radiological diagnosis of Developmental Dysplasia of the Hip (DDH) in infants, in addition to defining the clinical and radiological findings that make up the diagnosis of it. This was a retrospective and cross-sectional study that collected data from the AS400 system medical records of patients who were diagnosed with DDH from January 2019 to December 2020, the study population was 110 patients who complied with the criteria, the statistical support program SPSS version 25 was used. We observed that there is a higher prevalence of DDH in female infants with 70.9%, in those who were born by means of eutocic delivery with 52.7%, concerning to gestational age; there are infants who were born at term with 89.1% and it occurred mainly in younger infants (from 29 days to 11 months 30 days old) with a prevalence of 98.2%. Regarding the association of variables, those that are statistically significant are: the one between the increase in the acetabular index and the delivery route with 59.1% representing normal delivery (p = 0.008), the association between the presence of asymmetrical buttock creases and gender that showed a prevalence of the female sex of 86.7% (p = 0.046). In means of the association between asymmetrical buttock creases and gestational age, full-term infants were the ones with the highest prevalence with 78.6% (p = 0.039). In conclusion, after making the correspondence between the clinical and radiological signs of DDH it shows that, even though a patient does not have clinical data related to DDH, a radiological examination should be performed to confirm the absence of this pathology, since there are very few patients presenting clinical as well as radiological signs. Key words: Developmental dysplasia of the hip, infants, clinical signs, radiological signs. Reviewed by: Danilo Yèpez Oviedo English professor UNACH 0601574692