PDF(Pubmed)
Abstract：
UNASSIGNED: Late diagnosed Developmental Dysplasia of the Hip (DDH) is the detection of DDH after 3 months of age and is associated with significantly poorer outcomes than when diagnosed and managed early. Late diagnosed DDH has lower rates of success with bracing, higher rates of surgery and higher rates of complications, including avascular necrosis of the femoral head and early osteoarthritis of the hip. We describe two cases of late-diagnosed DDH which demonstrated changes in femoroacetabular joint morphology on radiographic interpretation after a 6-month trial period of manual therapy.
UNASSIGNED: Two cases (13 and 30 months of age) with late-diagnosed DDH presented to a private chiropractic clinic for conservative, non-bracing management. One case had unilateral DDH and the other bilateral DDH. A trial of manual therapy was utilized over a 6-month period. Both cases demonstrated changes to femoroacetabular morphology as well as improvements in gross motor activity and lower extremity muscle tone.
UNASSIGNED: Manual therapy, as an adjunct or alternative to static bracing, may be of benefit in individuals with late-diagnosed DDH not responding to bracing, and prior to more invasive interventions. Additional cases of manual therapy-based management of this condition are required to inform the design of future trials to investigate this hypothesis.
UNASSIGNED: Two cases (13 and 30 months of age) with late-diagnosed DDH presented to a private chiropractic clinic for conservative, non-bracing management. One case had unilateral DDH and the other bilateral DDH. A trial of manual therapy was utilized over a 6-month period. Both cases demonstrated changes to femoroacetabular morphology as well as improvements in gross motor activity and lower extremity muscle tone.
UNASSIGNED: Manual therapy, as an adjunct or alternative to static bracing, may be of benefit in individuals with late-diagnosed DDH not responding to bracing, and prior to more invasive interventions. Additional cases of manual therapy-based management of this condition are required to inform the design of future trials to investigate this hypothesis.
摘要：
未经证实：晚期诊断的发育性髋关节发育不良（DDH）是指3个月后发现的DDH，与早期诊断和治疗相比，其预后明显较差。晚期诊断的DDH支架成功率较低，更高的手术率和更高的并发症率，包括股骨头缺血性坏死和髋关节早期骨关节炎。我们描述了两例晚期诊断为DDH的病例，经过6个月的手动治疗试验后，放射学解释显示股骨髋臼关节形态发生变化。
未经证实：2例（13个月和30个月大）晚期诊断为DDH的患者因保守而被私人脊椎指压治疗诊所就诊，非支撑管理。一例为单侧DDH，另一例为双侧DDH。在6个月的时间内使用了手动治疗的试验。两种情况均显示股骨髋臼形态的变化以及粗大运动活动和下肢肌张力的改善。
未经评估：手动治疗，作为静态支撑的辅助或替代，对于晚期诊断为DDH但对支撑无反应的个体可能有益，在更具侵入性的干预之前。需要对这种情况进行基于手动治疗的其他病例，以告知未来试验的设计以研究这一假设。
未经证实：2例（13个月和30个月大）晚期诊断为DDH的患者因保守而被私人脊椎指压治疗诊所就诊，
未经评估：手动治疗，
