Early Identification and Treatment of Trochlear Knee Dysplasia

Autor: Joaquin Moya-Angeler, Cristina Jiménez-Soto, Domingo Maestre-Cano, Carlos de la Torre-Conde, Regina M. Sánchez-Jimenez, Cristina Serrano-García, Miguel Alcaraz-Saura, Juan Pedro García-Paños, César Salcedo-Cánovas, Francisco Forriol, Vicente J. León-Muñoz
Rok vydání: 2023
Předmět:
Zdroj: Journal of Personalized Medicine. 13:796
ISSN: 2075-4426
DOI: 10.3390/jpm13050796
Popis: A shallow sulcus characterizes trochlear dysplasia (TD) of the femoral trochlea, which can lead to chronic pain or instability of the patellofemoral joint. Breech presentation at birth has been identified as a risk factor for developing this condition, which an ultrasound can identify early. Early treatment could be considered at this stage, given the potential for remodelling in these skeletally immature patients. Newborns with breech presentation at birth who meet the inclusion criteria will be enrolled and randomised in equal proportions between treatment with the Pavlik harness and observation. The primary objective is to determine the difference in the means of the sulcus angle between the two treatment arms at two months. Ours is the first study protocol to evaluate an early non-invasive treatment for TD in the newborn with breech presentation at birth using a Pavlik harness. We hypothesised that trochlear dysplasia could be reverted when identified and treated early in life with a simple harness, as it is done with developmental dysplasia of the hip.
Databáze: OpenAIRE