PROGNOSTIC VALUE OF BIRTH TRAUMA OF THE CERVICAL SPINE IN THE GENESIS OF DYSPLASTIC PROCESSES OF THE HIP JOINTS: A COMPREHENSIVE DIAGNOSTIC APPROACH

Developmental dysplasia of the hip (DDH) remains one of the most prevalent musculoskeletal disorders in early childhood, often leading to long-term functional impairment if not diagnosed and managed promptly. While traditional risk factors such as breech presentation and genetic predisposition are well established, the potential role of cervical spine birth trauma in the pathogenesis of hip joint dysplasia remains insufficiently explored. This study aims to evaluate the prognostic significance of cervical spine birth trauma in the development of dysplastic changes in the hip joints and to substantiate a comprehensive diagnostic approach integrating clinical, neurological, and imaging assessments. A multidisciplinary evaluation was conducted, including neonatal history analysis, physical examination, ultrasound diagnostics, and, where indicated, radiographic and neurofunctional studies. The findings suggest a potential association between cervical spine injury during birth and altered neuromuscular regulation, which may contribute to abnormal hip joint development. Early identification of such risk factors allows for more precise stratification of patients and optimization of screening protocols. The proposed integrated diagnostic model enhances early detection and may improve clinical outcomes by enabling timely intervention strategies.