IDENTIFICATION AND TREATMENT OF HIP INSTABILITY IN DOWN SYNDROME: A SCOPING REVIEW
Notice bibliographique
Résumé
Hip instability is associated with Down syndrome (DS). The goal of this review was to examine the existing literature on hip instability in patients with DS as part of an effort to develop future hip surveillance guidelines similar to those established for people with cerebral palsy. A scoping review following PRISMA guidelines identified English-language, peer reviewed publications concerning hip instability or dysplasia in people with DS, including epidemiology, diagnosis and imaging, physical examination, other hip pathologies, surgical and nonsurgical interventions, from gestation to adulthood. PubMed/MEDLINE, EMBASE, Web of Science, and Cochrane databases were queried with professional librarian assistance. Two independent reviewers screened abstracts and full texts. Discrepancies were resolved by group consensus. Studies were grouped by stage in life and content domains of epidemiology, morphology, diagnosis, and treatment. Validated critical appraisal tools were used. Eight-hundred and seventy-six articles were screened, and 54 full text articles with case series, cross sectional, and case control designs met criteria. Twenty-six articles describe pelvic morphology in people with DS including increased iliac indices, acetabular retroversion, and global acetabular insufficiency compared to peers. Joint laxity and altered hip kinetics during gait are noted in school age children and adults with DS. Slipped capital femoral epiphysis (SCFE) and Perthes disease in patients with DS appeared to have worse outcomes than peers without DS. Large studies identified 28% of adults with DS with hip abnormalities. Sixteen articles reported on surgical interventions and outcomes among school age, adolescents, and adults with DS treated for hip instability and dysplasia with good outcomes. Periacetabular Ganz osteotomy and total hip arthroplasty procedures appeared to provide good outcomes for skeletally mature people with DS, but with higher complication rates than in people without DS. A scoping review of the literature demonstrates that the risk of hip pathology among people with DS is increased, independent of life stage. In light of this, early and regular radiographic and physical examination may be warranted. There are a limited number of studies regarding nonoperative management of hip instability associated with DS. This review revealed mixed surgical outcomes and a variety of procedures for treatment of hip instability in DS. Consensus building among experts will be necessary to develop guidelines for hip surveillance and management for people with DS.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,003 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».