Ilir Smailaj1, Dritan Ulqinaku2, Mustafa Abdumllah1, Rrahman Shala1, Xheladin Kryeziu1, Afrim Avdaj1
1Regional Hospital Prizren, Kosova;
2Institute of Public Health, Tirana, Albania.
Aim: To reflect the outcome and usefulness of ultrasound examination in newborns and infants until 6th month of age for early detection of developmental disorders of the coxofemoral joint.
Methodology: This is a descriptive study conducted in the out patient orthopedic ward of Prizren, Kosova, from January 2011 to December 2012 screening 1993 newborns and infants. Ultrasound examination was performed with Simens 5 and 7.5 Hz sound for the bilateral coxofemoral joints, using the method and technique described by Graf.
Results: The majority of infants 1688 (87.3%) were healthy whereas 245 (12.7%) manifested developmental dysplasia of the hip. 171 (69.8%) infants were girls and 75 (30.5%) boys. Most of them were aged 0 to 45 days 154 (62%) followed by age 45 to 90 days 66 (26.8%, 90 to 180 days 16 (6.5%) and over 180 days 2 (0.8%). The most frequent stage was type II 143 (7.4%) followed by type III 42 (4.2%) and type IV 61 (3.1%). The incidence of hip dysplasia was 1.6% in both hips, 6.8% for the left and 5.9% for the right coxofemoral joint.
Conclusion: Our results obtained from ultrasound examinations of infants and newborns demonstrated the usefulness of this method in the early detection of developmental disorders of the coxofemoral joint.
Keywords: developmental disorder of hip, early detection, screening, ultrasound.