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Der Orthopäde

, Volume 48, Issue 6, pp 508–514 | Cite as

Hüftdysplasie – Neues und Bewährtes

  • Oliver EberhardtEmail author
  • T. Wirth
Leitthema

Zusammenfassung

Hintergrund

Die Hüftdysplasie ist eine der häufigsten Erkrankungen in der Kinderorthopädie. Die Behandlung hat sich mit Einführung der Sonographie wesentlich verändert. Die Diagnose und die Therapie haben sich in das frühe Säuglingsalter vorverlagert. Damit befinden wir uns seit mehr als 20 Jahren in einer Zeit, in der die Hüftdysplasiebehandlung durch die Sonographie bestimmt wird. Eine große Menge an neuen Publikationen ist hinzugekommen. Bildgebende Verfahren wie die Magnetresonanztomographie zeigen neue Aspekte auf. Mit der Arthroskopie ist ein neues operatives Verfahren hinzugekommen. Dennoch spielen viele – vor allem in der operativen Therapie – bewährte Techniken weiterhin eine große Rolle.

Aktuelle Therapie

In dieser Arbeit werden neue und bewährte diagnostische Verfahren sowie konservative und operative therapeutische Maßnahmen dargestellt. Dabei muss berücksichtigt werden, dass bei der Vielzahl der Literatur nicht alle Aspekte im Detail beleuchtet werden können. Die Arbeit orientiert sich vor allem an der durch ein Hüftscreening im deutschsprachigen Raum etablierten Behandlung. Aber internationale diagnostische und therapeutische Sichtweisen sollen einbezogen werden.

Schlüsselwörter

Azetabuloplastik Arthroskopie Kinder Hüftluxation Sonographie 

Abkürzungen

AC

Azetabulum

CE-Winkel

Zentrumeckwinkel

DDH

„Developmental dysplasia of the hip“

DGOT

Deutsche Gesellschaft für Orthopädie und Traumatologie

LCP

„Locking compression plate“

MRT

Magnetresonanztomographie

Hip dysplasia—new and proven methods

Abstract

Background

Hip dysplasia is one of the most common disorders in paediatric orthopedics. With the development of ultrasound techniques treatment has changed, and earlier diagnosis and treatment is possible. So, for more than 20 years diagnosis and treatment has been focused on ultrasound. Many papers reporting new diagnostic techniques like MRI have been published. Arthroscopic reduction is a new surgical procedure. However, established surgical procedures continue to play an important role in the treatment.

Current treatment

This paper presents new and established diagnostic techniques, conservative and surgical treatment options. Unfortunately, due to the great number of publications, not all aspects could be taken into account. In particular, we describe the diagnostic and treatment standards in German-speaking countries based on ultrasound hip screening. However, also international aspects of diagnostic and treatment options have been included.

Keywords

Acetabuloplasty Arthroscopy Children Hip dislocation Ultrasound imaging 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

O. Eberhardt und T. Wirth geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Orthopädische KlinikKlinikum Stuttgart – Olgahospital/FrauenklinikStuttgartDeutschland

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