AbdulhaevaSh.R., Mirzoeva Z.A., Nazirova N.K., ShodievaSh.K., Sharipov I.G.
EARLY DETECTION OF DYSPLASIA OF THE HIP JOINTS OF CHILDREN IN THE PRACTICE OF FAMILY DOCTORS
Department of Family Medicine of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”
Aim.Early detection and implementation of adequate therapeutic measures CHD in newborns and children under one year through screening methods by family doctor on the basis of the City Health Center №1 of Dushanbe.
Materials and methods. During the monitoring period, 156 newborns were examined, of which 75 boys (48%) and girls – 81 (52%). During preventive examinations family doctor used screening methods to identify CHD. Methods: clinical, statistical – identification of congenital hip dysplasia in children.
Results. Screening established pathology in 38% of newborns. At girls pathology HD determined 4 times more often than at boys that is, girls accounted 80% (47), boys – 20% (12). Hemilesion encountered 2,3 times more often bilateral, accordingly 69% (41) and 31% (18). Thus the injury of the left hip joint was determined at 1.7 times more often than the right hip joint and accordingly was 63% (26) and 37% (15). The combination of positive methods detected in 83%, and usually limitations determined by a combination of breeding and asymmetry of skin folds. Test subjects with known positive techniques were consulted by an orthopedist, and then diagnosis of CHD has been confirmed in 87% of children. This again confirms relatively high sensitivity and specificity of application of these methods for early diagnosis of hip joint pathology in children in the first year of life in the practice of family doctor.
Conclusion. Thus, the use of special screening methods allowed family doctor in primary patronage of newborns and their dynamic observation to detect abnormalities of the hip joints, that has been confirmed after orthopedic examination in 87% of children. Early diagnosis through the application of simple methods of clinical diagnosis, which do not require extra costs, determines the effectiveness of timely initiated an adequate medical treatment and in the future prevention of complications and disability.