GELİŞİMSEL KALÇA DİSPLAZİSİ TARAMASINDA ULTRASONOGRAFİNİN YERİ

Abstract

Giriş: Gelişimsel kalça displazisi (GKD) prenatal yada postnatal nedenlerle ortaya çıkan, sık rastlanılan ve yaşamın ilk dönemlerinde atlanıldığında sağlık sorunlarına yol açan önemli bir klinik tablodur. Bu çalışmanın amacı Kadın Doğum polikliniğinde doğan çocukların fizik muayenelerinde GKD
lehine bulgusu olmayan çocukların 2-8 haftalar arası yapılan Kalça USG tetkikleri incelemek ve
GKD açısından tekrar değerlendirmektir.
Metod: Ocak 2017-Temmuz 2018 tarihleri arasında İstanbul Medipol Üniversitesi Tıp Fakültesi
Kadın Doğum Anabilim Dalında doğan ve Fizik muayenelerinde GKD lehine bulgusu olmayan 1735
çocuğun 2-8 haftalar arası yapılan Kalça USG tetkikleri incelendi ve USG bulguları Graf sınıflamasına göre değerlendirildi. Graf sınıflamasına göre Tip 2A ve üzeri bozukluğa sahip bebekler kontrole
çağrılarak takip eden ortopedi ve travmatoloji uzmanı ile birlikte değerlendirildi.
Bulgular: Retrospektif olarak taranan 1735 olgular tekrar incelendiğinde 20(%1.15) olguda radyolojik olarak GKD tanısı konulmuştur. Her iki kalça eklemi değerlendirildiğinde 27 (% 0.7) GKD olgusu
ortaya çıkmıştır. 20 olgunun 15’i (%75) kız, 5’i (%25) erkekti. 19 vakanın 13’ü (%65) tek taraflı, 6
(%30) çift taraflı idi.
Tartışma: Çalışmamızda elde ettiğimiz GKD’nin görülme sıklığına ait veriler ve çalışmamızda incelenen etiyolojide etkili olduğunu düşünülen risk faktörleri literatürle benzer şekilde tespit edilmiştir.
Çalışmamızdaki veriler risk grubunda olup olmamasına bakılmaksızın tüm yenidoğanlara ilk 3 ayda
USG yapılarak GKD varlığının araştırılmasının uygun olacağı kanaatindeyiz. 

Keywords

• Gelişimsel kalça displazisi
• Yenidoğan
• USG

THE ROLE OF ULTRASONOGRAPHY IN THE EVALUATION OF DEVELOPMENTAL HIP DYSPLASIA

Abstract

Introduction: Developmental hip dysplasia (DHD) is an important clinical condition that occurs due to prenatal or postnatal causes and causes health problems in the early stages of life when it is
unrecognized. The aim of this study was to examine the physical examinations of the children born
in the Obstetrics and Gynecology outpatient clinic and to evaluate the hip USG examinations
between 2-8 weeks of age and to reevaluate them in terms of DHD.
Method: Between January 2017 and July 2018 in Istanbul Medipol University Faculty of Medicine,
Department of Obstetrics, 1735 children who did not have any findings in favor of DHD in physical
examinations were examined between 2-8 weeks. USG findings were evaluated according to the
Graf classification. According to Graf classification, babies with Type 2A and above disorder were
called for control and evaluated together with the orthopedics and traumatology specialist.
Results: When 1735 cases were reviewed retrospectively, 20(1.15%) patients were diagnosed with DHD. When two hip joints were evaluated, 27(0.7%) cases of DHD occurred. Of 20 cases, 15 (75%)
were female and 5 (25%) were male. Of the 19 cases, 13 (65%) were unilateral and 6 (30%) were
bilateral.
Discussion: The data regarding the incidence of DHD obtained in our study and the risk factors that
are considered to be effective in the etiology of our study were determined in a similar way to the
literature. We believe that it would be appropriate to investigate the presence of DHD in the first 3
months regardless of whether in the risk group or not in the first 3 months via USG.

Keywords

• Developmental hip dysplasia
• neonatal
• USG

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