PDF(Pubmed)
Abstract：
Developmental dysplasia of the hip (DDH) represents a complex spectrum of hip abnormalities, varying from mild dysplasia to severe dislocation, significantly impacting biomechanics and joint stability. This study explores the intricate pathogenesis of DDH, emphasizing its articular and periarticular anatomical anomalies and their profound implications. Factors such as breech positioning, advanced maternal age, postmaturity, and intrauterine crowding contribute to the complexity of DDH\'s etiology. The fetal development of the hip joint, crucial for understanding DDH, involves intricate processes starting from the fourth week of gestation. Any disruption during this period can lead to abnormal hip development, necessitating early detection and intervention. This is a case presentation of a four-year-old girl with bilateral DDH in detail, highlighting the clinical findings, diagnostic procedures, and physiotherapeutic management employed. A tailored physiotherapy plan was implemented, focusing on pain management, pressure sore prevention, respiratory care, and muscle strength preservation. This study highlights the need for further research in this area by illuminating the complexities of DDH. Despite difficulties and limitations in the literature, interest in researching different facets of DDH is expanding.
摘要：
发育性髋关节发育不良（DDH）代表了复杂的髋关节异常，从轻度发育不良到严重脱位，显着影响生物力学和关节稳定性。本研究探讨了DDH的复杂发病机制，强调其关节和关节周围解剖异常及其深远影响。诸如臀位等因素，高龄产妇,后期,宫内拥挤导致了DDH病因的复杂性。髋关节的胎儿发育，对于理解DDH至关重要，涉及从妊娠第四周开始的复杂过程。在此期间的任何中断都可能导致髋关节发育异常，需要早期发现和干预。这是一个四岁女孩双侧DDH的案例介绍，突出临床发现，诊断程序,以及采用理疗管理。实施了量身定制的理疗计划，专注于疼痛管理，压疮预防,呼吸护理,和肌肉力量的保存。通过阐明DDH的复杂性，本研究强调了在该领域进行进一步研究的必要性。尽管文献中存在困难和局限性，研究DDH不同方面的兴趣正在扩大。
