Developmental Dysplasia of Hip and Post-natal Positioning: Role of Swaddling and Baby-Wearing

Background: The role of the ‘clicky hip’ symptom as a prognostic predictor of developmental dysplasia of hip (DDH) is controversial. We aim to study the role of isolated hip clicks as a prognostic predictor of DDH. Material and methods: 235 babits with persisting or referred with clicky hip beyond six weeks of age were prospectively followed up to note the incidence of DDH. Of these 176 babies were referred for a hip click without additional risk factors. Results: 7 out of 176 cases (4 - IIa, 2 - IIb, 1 - IIc) had initial abnormal ultrasound examination based on Graf classification. However, all babies with isolated hip clicks eventually had normal hips on clinical and radiographic examination. Discussion: While screening of babies with clicky hips does help in diagnosing the odd case of DDH this is not consistently reproducible. Modifying the targeted ultrasound screening by including clicky hip as a risk factor will not reduce the incidence of missed cases. Isolated clicks in the hip joint beyond six weeks age are rarely a predictor of DDH. However when in doubt such cases should be referred to be reviewed by an orthopaedic surgeon or a radiologist experienced in hip ultrasound.

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Finding an Association Between Congenital Talipes Equinovarus (CTEV) and Developmental Dysplasia of Hip (DDH): Role of Early Ultrasonography

Global Journal of Orthopedics Research ◽

10.33552/gjor.2021.03.000560 ◽

2021 ◽

Vol 3 (2) ◽

Author(s):

Khalid Hasan

Keyword(s):

Developmental Dysplasia ◽

Congenital Talipes Equinovarus ◽

Developmental Dysplasia Of Hip ◽

Talipes Equinovarus ◽

Congenital Talipes

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Developmental Dysplasia of Hip

10.32388/twy2a3 ◽

2020 ◽

Author(s):

Keyword(s):

Developmental Dysplasia ◽

Developmental Dysplasia Of Hip

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The potential role of the Alsberg angle as a predictor of lateral growth disturbance of the capital femoral epiphysis in children with developmental dysplasia of the hip treated by closed reduction

Journal of Children s Orthopaedics ◽

10.1302/1863-2548.14.190158 ◽

2020 ◽

Vol 14 (2) ◽

pp. 106-111 ◽

Cited By ~ 1

Author(s):

Ronghua Gui ◽

Federico Canavese ◽

Shuang Liu ◽

Lianyong Li ◽

Lijun Zhang ◽

...

Keyword(s):

Closed Reduction ◽

Normal Values ◽

Developmental Dysplasia ◽

Lateral Growth ◽

Growth Disturbance ◽

Level Of Evidence ◽

Normal Children ◽

One Year ◽

Dysplasia Of The Hip

Purpose Early diagnosis and prevention of lateral growth disturbance of the capital femoral epiphysis is challenging after treatment for developmental dysplasia of the hip (DDH). The aim of the study was to evaluate the radiographic changes of the Alsberg angle (AA) in normal children and those with DDH, and to assess the role of AA as a potential predictor of lateral growth disturbance of the capital femoral epiphysis. Methods AA was measured on the anterior-posterior pelvic radiographs of 1000 normal children ranging in age from one to ten years and in 66 children (92 hips) with DDH treated by closed reduction (CR). A comparative analysis was performed. Results In the normal children, mean AA decreased linearly with age, from 76° at age one year to 65° at age ten years, irrespective of gender and laterality. In children with DDH, the average AA was 81.5°(sd 3.9°; 74° to 87°) prior to CR; it was 75.9° (sd 4.5°; 68° to 83°) in normal children of the same age (p < 0.001). Among the 42 children (64 hips) with successfully and uneventfully treated DDH, AA reached normal values between the ages of five and six years. In contrast, children with lateral growth disturbance of the proximal femur physis (24 children, 28 hips) showed significantly higher AA values in comparison with the age-matched controls. Conclusion In DDH patients with successful CR, AA could be expected to match normal values in children between the ages of five and six years. On the other hand, AA can be used as an early predictor for lateral growth disturbance of the capital femoral epiphysis. Level of Evidence Level III

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Results of surgical treatment of developmental dysplasia of hip considering child’s age

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1102058m ◽

2011 ◽

Vol 139 (1-2) ◽

pp. 58-63 ◽

Cited By ~ 1

Author(s):

Sonja Milasinovic

Keyword(s):

Surgical Treatment ◽

Human Life ◽

Functional Results ◽

Developmental Dysplasia ◽

Preoperative Treatment ◽

Locomotor System ◽

Developmental Dysplasia Of Hip ◽

Innominate Osteotomy ◽

Medical Documents ◽

Late Discovery

Introduction. Developmental dysplasia of the hip (DDH) represents one of common diseases of the locomotor system. Late discovery and inadequate healing of this defect leads to serious disability in the best years of human life. Objective. The aim of this study was to analyze the quality of functional and anatomic restitution of the diseased hip, depending on the age of the patient at the time of surgery. Methods. Our retrospective study was developed on 78 children surgically treated for DDH. The examiners were distributed in three groups according to age in which they had been operated. The data were produced on the basis of full-scale medical documents for each patient. Results. We analyzed and compared anatomic and functional results of surgeries treating DDH in the group of examiners. On examination, we got data that the most prevalent were distorted gait, inequality of the legs and positive Trendelendburg?s sign in the group of children who had been operated in the oldest age. The patients who were surgically treated in older age had worse postoperative results in aspect value angle of flexion and abduction in treated hip, higher frequency in manifesting pain and asymmetric gait. Better corrective results on aspect of dimension of the colodiaphyseal and Hilgenrainer?s angle will be obtained if DDH treatment is conducted in younger age of patients. In 94.95%, the patients were treated with Salter innominate osteotomy of pelvis with osteotomy of the femur involving its shortening and reverse rotation. Preoperative treatment with Pavliks harness was provided in 44.02% children, with abduction of Hilgenrainer?s apparatus in 2.6%, with abductions ?Niva? slips in 2.6% and preoperative extension in 28.2%. Conclusion. The surgical treatment of DDH in the observed patients done at the earlier age of growth resulted in the evidently better anatomical and functional results at postoperative observation.

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