Prevalência de luxação congênita do quadril em recém natos de julho a dezembro/2009 Em Campo Grande - MS

Abstract

OBJECTIVE: to study the prevalence of congenital hip dislocation in newborn babies in the city of Campo Grande (MS). METHOD: during a six-month period, newborn babies were appraised in the Campo Grande metropolitan area maternity hospital, from July through December 2009. Ortolani tests were run in hips considered suspect during pediatric exams in the delivery room. Statistical analysis was accomplished with the use of SPSS software, version 13.0. RESULTS: orthopedic evaluation was accomplished in 69.7% of the newborn babies, out of which 0.8% (n=34) were diagnosed positive in the Ortolani test, (8.49/1000 births); Ortolani tests resulted 32.4% positive for the right side, 50.0% for the left side, and 17.6% positive for the left side and right in the newborn. The presence of congenital hip dislocation was confirmed by orthopedical and radiologic evaluation in 8.8% of the newborn babies considered positive in the Ortolani test. CONCLUSIONS: the congenital hip dislocation prevalence in Campo Grande (MS), from the July through December, 2009 was of 0.75/1,000; in this study, newborn white girls were more affected by congenital hip dislocation. Ortolani test is an accurate method for early diagnosis of congenital hip dislocation in newborn babies. Further studies should be supported in medical schools to understand the epidemic aspects of orthopedic diseases, such as congenital hip dislocation.