Developmental dysplasia of the hip in children with a psychomotor disorder. A risk factor for a poor outcome?

2016 ◽  
Vol 85 (3) ◽  
pp. 142-148
Author(s):  
Iván Pipa-Muñiz ◽  
Ma de los Llanos Rodríguez-Rodríguez ◽  
Ma Blanca Felgueroso-Juliana ◽  
Manuela Riera-Campillo ◽  
Pedro González-Herranz
Keyword(s):  
Risk Factor ◽  
Developmental Dysplasia ◽  
Poor Outcome ◽  
Dysplasia Of The Hip

scholarly journals Associations between risk factors and developmental dysplasia of the hip and ultrasonographic hip type: a retrospective case control study

2019 ◽  
Vol 13 (2) ◽  
pp. 161-166 ◽  
Author(s):  
H. Ömeroğlu ◽  
A. Akceylan ◽  
N. Köse
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Family History ◽  
Hip Dysplasia ◽  
Positive Family History ◽  
Significant Risk ◽  
Breech Presentation ◽  
Developmental Dysplasia ◽  
Type I ◽  
Dysplasia Of The Hip

Purpose We aimed to revisit the correlation between the previously defined risk factors and the occurrence of developmental dysplasia of the hip (DDH) and to assess the influence of these factors on the ultrasonographic type of hip dysplasia according to the Graf’s classification in patients with DDH. Methods Data of healthy infants (mean age 33 days) who had bilateral mature (normal) hips (Graf type I) were compared with the data of infants (mean age 105 days) who were treated by abduction brace due to unilateral or bilateral DDH (Graf type IIa- and worse hips). Results Infants with at least one risk factor had a significantly higher rate of DDH than those with no risk factors (p < 0.001). Likewise, infants with more than one risk factor had a significantly higher rate of DDH than those with only one risk factor (p = 0.008). Family history, breech presentation and swaddling were found to be the three significant risk factors related to the development of DDH. Family history, swaddling and oligohydramnios were found to be the three significant risk factors correlated with a higher rate of unstable/decentred hip(s) (Graf types D/III/IV) in patients with DDH. Conclusion The risk of DDH significantly increases in infants who have more than one risk factor for DDH. Positive family history and postnatal traditional swaddling are the two main factors both in the aetiology of DDH and in development of a more severe hip dysplasia in patients with DDH. Besides, breech presentation increases the risk of development of DDH and oligohydramnios leads to development of a more severe hip dysplasia in patients with DDH. By introducing these four variables as ‘absolute risk factors for DDH’ to the selective newborn hip screening programmes, the sensitivity and specificity of these programmes may be optimized and the risk of delayed diagnosis may be lessened. Level of Evidence Level III prognostic study

scholarly journals Developmental Dysplasia of the Hip: Open Reduction as a Risk Factor for Substantial Osteonecrosis

2010 ◽  
Vol 468 (9) ◽  
pp. 2485-2494 ◽  
Author(s):  
G. B. Firth ◽  
A. J. F. Robertson ◽  
A. Schepers ◽  
L. Fatti
Keyword(s):  
Risk Factor ◽  
Open Reduction ◽  
Developmental Dysplasia ◽  
Dysplasia Of The Hip

scholarly journals Is foot deformity associated with developmental dysplasia of the hip?

2020 ◽  
Vol 102-B (11) ◽  
pp. 1582-1586
Author(s):  
Øvind Håberg ◽  
Olav A. Foss ◽  
Østein Bjerkestrand Lian ◽  
Ketil Jarl Holen
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
General Population ◽  
Developmental Dysplasia ◽  
Foot Deformity ◽  
Breech Delivery ◽  
Increased Risk ◽  
History Of ◽  
Congenital Foot Deformity ◽  
Dysplasia Of The Hip

Aims To assess if congenital foot deformity is a risk factor for developmental dysplasia of the hip (DDH). Methods Between 1996 and 2012, 60,844 children were born in Sør-Trøndelag county in Norway. In this cohort study, children with risk factors for DDH were examined using ultrasound. The risk factors evaluated were clinical hip instability, breech delivery, a family history of DDH, a foot deformity, and some syndromes. As the aim of the study was to examine the risk for DDH and foot deformity in the general population, children with syndromes were excluded. The information has been prospectively registered and retrospectively analyzed. Results Overall, 494 children (0.8%) had DDH, and 1,132 (1.9%) a foot deformity. Of the children with a foot deformity, 49 (4.3%) also demonstrated DDH. There was a statistically significant increased association between DDH and foot deformity (p < 0.001). The risk of DDH was highest for talipes calcaneovalgus (6.1%) and club foot (3.5%), whereas metatarsus adductus (1.5%) had a marginal increased risk of DDH. Conclusion Compared with the general population, children with a congenital foot deformity had a significantly increased risk for DDH and therefore we regard foot deformity as a true risk factor for DDH. Cite this article: Bone Joint J 2020;102-B(11):1582–1586.

scholarly journals Breech Presentation in Twins as a Risk Factor for Developmental Dysplasia of the Hip

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eun Ji Oh ◽  
Jae Jung Min ◽  
Soon-Sun Kwon ◽  
Seong Been Kim ◽  
Chang Won Choi ◽  
...  
Keyword(s):  
Risk Factor ◽  
Breech Presentation ◽  
Developmental Dysplasia ◽  
Dysplasia Of The Hip

Cold Weather as a Risk Factor for Late Diagnosis and Surgery for Developmental Dysplasia of the Hip

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Wei Chun Lee ◽  
Hsuan Kai Kao ◽  
Shu Mei Wang ◽  
Wen E Yang ◽  
Chia Hsieh Chang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Developmental Dysplasia ◽  
Late Diagnosis ◽  
Cold Weather ◽  
Dysplasia Of The Hip

scholarly journals Is foot deformity associated with developmental dysplasia of the hip?

2020 ◽  
pp. 1-5
Author(s):  
Øyvind Håberg ◽  
Olav A. Foss ◽  
Øystein Bjerkestrand Lian ◽  
Ketil Jarl Holen
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
General Population ◽  
Developmental Dysplasia ◽  
Foot Deformity ◽  
Breech Delivery ◽  
Increased Risk ◽  
History Of ◽  
Congenital Foot Deformity ◽  
Dysplasia Of The Hip

Aims To assess if congenital foot deformity is a risk factor for developmental dysplasia of the hip (DDH). Methods Between 1996 and 2012, 60,844 children were born in Sør-Trøndelag county in Norway. In this cohort study, children with risk factors for DDH were examined using ultrasound. The risk factors evaluated were clinical hip instability, breech delivery, a family history of DDH, a foot deformity, and some syndromes. As the aim of the study was to examine the risk for DDH and foot deformity in the general population, children with syndromes were excluded. The information has been prospectively registered and retrospectively analyzed. Results Overall, 494 children (0.8%) had DDH, and 1,132 (1.9%) a foot deformity. Of the children with a foot deformity, 49 (4.3%) also demonstrated DDH. There was a statistically significant increased association between DDH and foot deformity (p < 0.001). The risk of DDH was highest for talipes calcaneovalgus (6.1%) and club foot (3.5%), whereas metatarsus adductus (1.5%) had a marginal increased risk of DDH. Conclusion Compared with the general population, children with a congenital foot deformity had a significantly increased risk for DDH and therefore we regard foot deformity as a true risk factor for DDH.

Is prematurity a risk factor for developmental dysplasia of the hip?

2015 ◽  
Vol 97-B (5) ◽  
pp. 716-720 ◽  
Author(s):  
M. M. Orak ◽  
T. Onay ◽  
S. A. Gümüştaş ◽  
T. Gürsoy ◽  
H. H. Muratlí
Keyword(s):  
Risk Factor ◽  
Developmental Dysplasia ◽  
Dysplasia Of The Hip

Evaluation of the labrum on postoperative magnetic resonance images: a predictor of acetabular development in developmental dysplasia of the hip

2021 ◽  
pp. 112070002110049
Author(s):  
Tomonori Tetsunaga ◽  
Tomoko Tetsunaga ◽  
Hirofumi Akazawa ◽  
Kazuki Yamada ◽  
Takayuki Furumatsu ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Open Reduction ◽  
Multiple Logistic Regression Analysis ◽  
Age Factors ◽  
Magnetic Resonance Images ◽  
Developmental Dysplasia ◽  
Corrective Surgery ◽  
Poor Outcome ◽  
Outcome Group ◽  
Dysplasia Of The Hip

Introduction: Residual acetabular dysplasia of the hip after open reduction can complicate the treatment of developmental dysplasia of the hip (DDH) due to the potential need for corrective surgery. This retrospective study aimed to determine the predictive factors for acetabular development using postoperative radiographs and magnetic resonance imaging (MRI). Methods: We retrospectively investigated 74 hips of patients with DDH who underwent open reduction after reaching walking age and were followed up radiologically until skeletal maturity. We evaluated the cartilaginous acetabulum and labrum using a new method that measures the cartilaginous and labral landmarks on coronal and axial MR T2*-weighted images in patients aged 5 years. The mean age at the time of surgery was 22 months and that at the final survey was 20 years. Severin classification was determined at the final follow-up. Groups with good (53 hips) and poor (21 hips) outcomes were compared using the postoperative radiographic and MRI parameters recorded at 5 years of age. Factors predicting acetabular development were identified using univariate and multiple logistic analyses. Results: There were no significant differences in the bony-acetabular index (AI) and centre-edge (CE) angle between the good and poor outcome groups. However, the poor outcome group had significantly larger cartilaginous- and labral-AIs but significantly smaller cartilaginous- and labral-CE angles than the good outcome group (both p < 0.05). Multiple logistic regression analysis showed that labral-AI and labral-CE angle were predictors of acetabular development after open reduction for DDH, and their optimal cut-offs were 4° (77% sensitivity, 76% specificity) and 37° (68% sensitivity, 85% specificity), respectively. Discussion: Normal cartilaginous acetabulum development occurs in childhood, and evaluation using only radiographs is difficult. However, labral-AI ⩾4° and labral-CE angle <37° on MRI at 5 years of age offer useful indications for corrective surgery in patients with DDH.

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