The reality of sonography of the infant hip in Brazil: results and recommendations

Author:

Motta Giovanna Galvão Braga1ORCID,Rodrigues Natasha Vogel Majewski2ORCID,Braga Susana Reis3ORCID,Duarte Márcio Luís4ORCID,Grangeiro Patricia Moreno5ORCID,de Lourenço Alexandre Francisco6ORCID

Affiliation:

1. Instituto Brasileiro de Apoio a Saúde da Criança com DDQ - Reinhard Graf, São Paulo-SP 04080-917, Brazil; Department of Evidence-Based Health, Escola Paulista de Medicina da Universidade Federal de São Paulo, São Paulo-SP 04024-002, Brazil

2. Instituto Brasileiro de Apoio a Saúde da Criança com DDQ - Reinhard Graf, São Paulo-SP 04080-917, Brazil; Department of Pediatric Orthopedics, Hospital do Servidor Público Municipal, São Paulo-SP 01532-000, Brazil

3. Instituto Brasileiro de Apoio a Saúde da Criança com DDQ - Reinhard Graf, São Paulo-SP 04080-917, Brazil; Department of Orthopedics, Santa Casa de Misericórdia de São Paulo, São Paulo-SP 01221-020, Brazil

4. Instituto Brasileiro de Apoio a Saúde da Criança com DDQ - Reinhard Graf, São Paulo-SP 04080-917, Brazil; Department of Radiology, Universidade de Ribeirão Preto Campus Guarujá, São Paulo-SP 11440-003, Brazil

5. Instituto Brasileiro de Apoio a Saúde da Criança com DDQ - Reinhard Graf, São Paulo-SP 04080-917, Brazil; Department of Pediatric Orthopedics, Hospital das Clínicas da Universidade de São Paulo, São Paulo-SP 05403-010, Brazil

6. Instituto Brasileiro de Apoio a Saúde da Criança com DDQ - Reinhard Graf, São Paulo-SP 04080-917, Brazil; Department of Pediatric Orthopedics, Escola Paulista de Medicina da Universidade Federal de São Paulo, São Paulo-SP 04023-062, Brazil

Abstract

Since 1980, when Professor Reinhard Graf developed a novel technique, sonography of the infant hip has played a prominent role in the early diagnosis of developmental dysplasia of the hip (DDH). Brazil is a vast country, and disparities exist among regions and between the public and private health systems. In addition, healthcare professionals often have limited knowledge of DDH, and patients need to be referred to larger urban centers for definitive diagnosis and appropriate treatment. These reasons, and more, may hinder the early diagnosis of DDH. Following the successful implementation of similar neonatal screening programs for other conditions in Brazil, developing a screening program for DDH in Brazil is imperative. Such a program should consider training professionals to use Graf’s technique as a diagnostic procedure. It is recommended that more studies be conducted in every region of the country to provide a broader understanding of the current role of sonography in the screening and diagnosis of DDH in infants in Brazil.

Publisher

Open Exploration Publishing

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