목적: 발달성 고관절 이형성증(developmental dysplasia of hip, DDH) 추정 진단으로 전원 의뢰된 환아들에 대해서 전향적으로 역학 조사를 시행하였다. 대상 및 방법: 2006년 l월부터 2007년 12월까지 1...
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https://www.riss.kr/link?id=A60018084
2011
Korean
KCI등재
학술저널
501-506(6쪽)
1
0
상세조회0
다운로드국문 초록 (Abstract)
목적: 발달성 고관절 이형성증(developmental dysplasia of hip, DDH) 추정 진단으로 전원 의뢰된 환아들에 대해서 전향적으로 역학 조사를 시행하였다. 대상 및 방법: 2006년 l월부터 2007년 12월까지 1...
목적: 발달성 고관절 이형성증(developmental dysplasia of hip, DDH) 추정 진단으로 전원 의뢰된 환아들에 대해서 전향적으로 역학 조사를 시행하였다.
대상 및 방법: 2006년 l월부터 2007년 12월까지 1차 의료 기관에서 DDH 추정 진단으로 전원된 121예중, 2년의 추시가 가능했던 82예를 대상으로 하였다. 문진, 이학적 검사, 단순 방사선 촬영, 초음파 검사 등으로 확진하였고 의뢰된 총 82예와 확진된 예를 대상으로 역학 조사를 하였고 최소 2년의 추시를 시행하였다.
결과: 82예 중 56예(68.3%)에서 정상, 15예(18.29%)에서 DDH, 11예(13%)에서 기타 질환으로 진단되었다. 전체 82예에 비해 DDH로 진단된 예에서 여아의 비율, 가족력의 존재가 통계학적으로 많았으며, 둔위의 비율은 통계학적 차이가 없었다. 소아과 전문의로부터 61예, 정형외과 전문의로부터 21예가 의뢰되었고, 정형외과 전문의가 의뢰한 환아들에서 DDH 진단율이 통계학적으로 높게 나왔다(p<0.05).
결론: 1차 의료 기관에서 적용할 수 있는 이학적 검사나 방사선 소견에 대한 지침 설정 및 체계적 연수 교육 등을 통해 보다 DDH 추정 진단에 대한 확진율을 높일 수 있을 것으로 기대된다.
다국어 초록 (Multilingual Abstract)
Purpose: A prospective, epidemiological investigation was performed in the patients referred to our hospital with suspected developmental dysplasia of the hip (DDH). Materials and Methods: Of the 121 patients referred from the primary healthcare in...
Purpose: A prospective, epidemiological investigation was performed in the patients referred to our hospital with suspected developmental dysplasia of the hip (DDH).
Materials and Methods: Of the 121 patients referred from the primary healthcare institutions, with suspected DDH from January 2006 to December 2007, 82 patients who were able to be followed up for at least 2 years were enrolled in this study. Confirmation of the diagnosis was determined by patient history, physical examination, simple radiographs, and ultrasonography. Epidemiological investigation was performed in the total 82 cases which were referred from the primary healthcare institution and were confirmed as having DDH, and at least a 2-year follow up was performed in all these cases.
Results: Of the 82 cases, 56 cases (68.3%) were within normal limits (W.N.L), 15 cases (1829%) were confirmed as having DDH, and 11 cases (13%) were diagnosed with several different diseases other than DDH. Compared to the total 82 cases, the percentage of females, presence of family history was statistically higher in the cases confirmed as having DDH. However, the incidence of breech presentation was not statistically different between all cases. 61 cases were referred by pediatricians and 21 cases were referred by orthopedic surgeons to the primary healthcare institution, and the diagnostic rate of DDH was statistically higher in the cases referred by orthopedic surgeons (p>0.05).
Conclusion: The rate of confirmation of the suspected diagnosis of DDH would hopefully increase through the establishment of physical examination protocols or radiologic study and systematic training programs that could be applied in the primary healthcare institution.
참고문헌 (Reference)
1 "World Health Organization International Classification of Diseases (ICD)"
2 Szöke N, "Ultrasound examination in the diagnosis of congenital hip dysplasia of newborns" 8 : 12-16, 1988
3 Szöke N, "Ultrasound examination in the diagnosis of congenital hip dysplasia of newborns" 8 : 12-16, 1988
4 Adams SB Jr, "Torticollis in an infant caused by hereditary muscle aplasia" 32 : 556-558, 2003
5 Baronciani D, "Screening for developmental dysplasia of the hip: from theory to practice. Collaborative Group DDH Project" 99 : E5-, 1997
6 Hill LM, "Prevalence of breech presentation by gestational age" 7 : 92-93, 1990
7 Kokavec M, "Present status of screening and prevention of developmental dysplasia of the hip in the Slovak Republic" 12 : 106-108, 2003
8 Boere-Boonekamp MM, "Positional preference: prevalence in infants and follow-up after two years" 107 : 339-343, 2001
9 Choi IH, "Pediatric orthopaedics. 3rd ed" Koonja 340-350, 2009
10 Tomà P, "Paediatric hip--ultrasound screening for developmental dysplasia of the hip: a review" 14 : 45-55, 2001
1 "World Health Organization International Classification of Diseases (ICD)"
2 Szöke N, "Ultrasound examination in the diagnosis of congenital hip dysplasia of newborns" 8 : 12-16, 1988
3 Szöke N, "Ultrasound examination in the diagnosis of congenital hip dysplasia of newborns" 8 : 12-16, 1988
4 Adams SB Jr, "Torticollis in an infant caused by hereditary muscle aplasia" 32 : 556-558, 2003
5 Baronciani D, "Screening for developmental dysplasia of the hip: from theory to practice. Collaborative Group DDH Project" 99 : E5-, 1997
6 Hill LM, "Prevalence of breech presentation by gestational age" 7 : 92-93, 1990
7 Kokavec M, "Present status of screening and prevention of developmental dysplasia of the hip in the Slovak Republic" 12 : 106-108, 2003
8 Boere-Boonekamp MM, "Positional preference: prevalence in infants and follow-up after two years" 107 : 339-343, 2001
9 Choi IH, "Pediatric orthopaedics. 3rd ed" Koonja 340-350, 2009
10 Tomà P, "Paediatric hip--ultrasound screening for developmental dysplasia of the hip: a review" 14 : 45-55, 2001
11 Pauer M, "Hip screening of newborn infants. Type classifi cation, therapy and follow-up" 126 : 260-265, 1988
12 Boere-Boonekamp MM, "Haasnoot-Smallegange ME. Positional preference in infants:prevalence, prevention and care" 5 : 92-97, 2005
13 Graf R, "Guide to sonography of the infant hip" George Th ieme Verlag 24-62, 1987
14 Barlow TG, "Early diagnosis and treatment of congenital dislocation of the hip" 44 : 292-301, 1962
15 Weinstein SL, "Developmental hip dysplasia, dislocation, in Lovell and Winter’s Pediatric Orthopaedics. 4th ed" Lippincott-Raven 903-943, 1996
16 Kowalczyk B, "Developmental dysplasia of the hip: the problems in the diagnosis process in our own experience" 9 : 395-406, 2005
17 Bialik V, "Developmental dysplasia of the hip: a new approach to incidence" 103 : 93-99, 1999
18 Ortolani M, "Congenital hip dysplasia in the light of early and very early diagnosis" (119) : 6-10, 1976
19 Tachdjian MO, "Congenital dysplasia of the hip, In Pediatric Orthopedics. Vol 1, 2nd ed" WB Saunders 297-526, 1990
20 Klisic PJ, "Congenital dislocation of the hip--a misleading term: brief report" 71 : 136-, 1989
21 Patel H, "Canadian Task Force on Preventive Health Care. Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns" 164 : 1669-1677, 2001
22 Wynne-Davies R, "Acetabular dysplasia and familial joint laxity:two etiological factors in congenital dislocation of the hip. A review of 589 patients and their families" 52 : 704-716, 1970
Spondylodiscitis with Epidural Abscess Caused by Klebsiella pneumoniae
소아 전방 십자인대 견열 골절에서 생체 흡수성 봉합 나사못을 이용한 관절경적 고정 방법
경부 방사통으로 수술이 예정된 환자에서 실시한 신경근 차단술의 유용성
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2026 | 평가예정 | 재인증평가 신청대상 (재인증) | |
2020-04-14 | 학회명변경 | 영문명 : 미등록 -> The Korean Orthopaedic Association | |
2020-01-01 | 평가 | 등재학술지 유지 (재인증) | |
2017-01-01 | 평가 | 등재학술지 유지 (계속평가) | |
2014-01-14 | 학술지명변경 | 외국어명 : 미등록 -> Journal of the Korean Orthopaedic Association | |
2013-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2010-01-01 | 평가 | 등재 1차 FAIL (등재유지) | |
2008-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2005-05-30 | 학술지등록 | 한글명 : 대한정형외과학회지외국어명 : 미등록 | |
2005-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
2004-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
2002-07-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.06 | 0.06 | 0.08 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.08 | 0.08 | 0.24 | 0.01 |