The early diagnosis of developmental dysplasia of the hip

2002 ◽  
Vol 16 (1) ◽  
pp. 57-64
Author(s):  
M. Conybeare
Keyword(s):  
Early Diagnosis ◽  
Developmental Dysplasia ◽  
Dysplasia Of The Hip

scholarly journals Psycho-social impact of developmental dysplasia of the hip and of differential access to early diagnosis and treatment: A narrative study of young adults

2019 ◽  
Vol 7 ◽  
pp. 205031211983601 ◽  
Author(s):  
Tina Samantha Gambling ◽  
Andrew Long
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Early Diagnosis ◽  
Well Being ◽  
Developmental Dysplasia ◽  
The Impact ◽  
Dysplasia Of The Hip ◽  
Over Time ◽  
Differential Access

Objectives: Symptomatic developmental dysplasia of the hip can present in the young, active adult patient and can lead to severe pain and disability at a young age. The overall aim of the study was to deepen the understanding of the impact of developmental dysplasia of the hip on young adults’ quality of life and psycho-social well-being, focusing on how differential access to early diagnosis impacted the trajectory of the disease and treatment options. Methods: We conducted semi-structured interviews and gathered online stories from 97 participants. A narrative and thematic analysis was used to integrate the dataset producing a multi-dimensional view. Results: A narrative plot showing how events unfolded over time was identified for each participant. Two common plots were identified: Plot 1 focused around those participants who received a prompt diagnosis and were treated within 12 months of diagnosis (n = 22) and Plot 2 focused around those who experienced a late/delayed diagnosis (mean = 8 years; range = 12–364 months) (n = 75) and thus delayed treatment. Participants in Plot 2 became more debilitated over time and experienced chronic hip pain for a prolonged period before an accurate diagnosis and/or intervention was made. It was clear from the narratives when pain persists over time, participants’ quality of life and psycho-social well-being were affected. Conclusions: Developmental dysplasia of the hip is an under-recognised condition; more research is needed to develop a clear clinical picture that can be used to alert frontline health professionals to the potential for developmental dysplasia of the hip so that they can promptly diagnose patients and refer them to specialist centres. Patients can also experience a profound impact on their quality of life and psycho-social well-being. Patients actively seek information from support groups about all aspects of their condition. Further research is required to determine the long-term impact of developmental dysplasia of the hip to develop evidence-based information for clinicians and patients.

Developmental dysplasia of the hip

2011 ◽  
Author(s):  
Anish Sanghrajka ◽  
Deborah M Eastwood
Keyword(s):  
Femoral Head ◽  
Early Diagnosis ◽  
Surgical Approach ◽  
Developmental Dysplasia ◽  
Ultrasound Screening ◽  
Hip Instability ◽  
Appropriate Treatment ◽  
Aggressive Surgical Approach ◽  
Dysplasia Of The Hip ◽  
All Treatment

♦ Developmental dysplasia of the hip represents a spectrum of hip pathology with or without hip instability♦ Controversy continues regarding the relative roles of clinical and ultrasound screening programmes♦ Early diagnosis and prompt, appropriate treatment is important♦ All treatment methods risk compromising the vascularity of the developing femoral head♦ Residual dysplasia may require an aggressive surgical approach.

Reliability of ultrasound in the early diagnosis of developmental dysplasia of the hip

1995 ◽  
Vol 25 (3) ◽  
pp. 219-224 ◽  
Author(s):  
K. Rosendahl ◽  
A. Aslaksen ◽  
R. T. Lie ◽  
T. Markestad
Keyword(s):  
Early Diagnosis ◽  
Developmental Dysplasia ◽  
Dysplasia Of The Hip

scholarly journals Recommendations for early diagnosis of Developmental Dysplasia of the Hip (DDH): working group intersociety consensus document

2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Rino Agostiniani ◽  
Giuseppe Atti ◽  
Salvatore Bonforte ◽  
Carolina Casini ◽  
Marco Cirillo ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Diagnosis ◽  
Working Group ◽  
Primary Care Providers ◽  
Developmental Dysplasia ◽  
Care Providers ◽  
Consensus Document ◽  
Multidisciplinary Group ◽  
Paediatric Orthopaedics ◽  
Dysplasia Of The Hip

Abstract This consensus document has been prepared by a multidisciplinary group of experts (Paediatricians, Radiologists, Paediatric Orthopaedics) and it is mainly aimed at paediatricians, hospitals and primary care providers. We provide recommendations for the early diagnosis and treatment of Developmental Dysplasia of the Hip (DDH) and indications on its management.

scholarly journals The influence of health policy on early diagnosis and surgical incidence of developmental dysplasia of the hip

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0200995 ◽  
Author(s):  
Chia H. Chang ◽  
Yi-Ting Chiang ◽  
Likwang Chen ◽  
Ken N. Kuo
Keyword(s):  
Health Policy ◽  
Early Diagnosis ◽  
Developmental Dysplasia ◽  
Dysplasia Of The Hip

scholarly journals Does the gestation age of newborn babies influence the ultrasonic assessment of hip condition?

2009 ◽  
Vol 137 (7-8) ◽  
pp. 402-408 ◽  
Author(s):  
Slavica Simic ◽  
Zoran Vukasinovic ◽  
Janko Samardzic ◽  
Iris Pejcic ◽  
Marija Lukavac-Tesin ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Screening Method ◽  
Breech Presentation ◽  
Premature Baby ◽  
Developmental Dysplasia ◽  
Systematic Screening ◽  
Premature Babies ◽  
Gestation Age ◽  
Ultrasonic Assessment ◽  
Dysplasia Of The Hip

Introduction. Ultrasound represents a method of examination of hips of newborn babies capable of defining hip condition and distinguishing stable and unstable hips based on morphological elements. It is accepted in a large number of countries as a method of examination of high risk newborns, or as a method of systematic screening. Objective. The objective of this study was to investigate correlation between ultrasonically estimated hip maturity and respective gestation maturity both in premature and term-born babies, and to investigate the influence of different delivery types on hips condition. Methods. In our study 2045 patients, 1141 males and 904 females, were examined in at the Institute of Neonatology over a period of 5 years. The average age was 34.04 gestation weeks. There were significantly more premature (1698 or 83.03%) than term-born babies (347 or 16.97%). Ultrasound hip examination, as a screening method, was carried out according to Graf. It was followed by clinical examination. Results were analyzed by appropriate statistical methods (?2-test, one-way ANOVA, multifactor ANOVA). Results. The overall frequency of unstable hips was 3.2%, 1.88% in males and 4.87% in females (p<0.05). 96.8% babies had stable hips, out of which 35.21% were mature and 61.59% immature. In the study of the breech presentation, out of 183 babies, unstable hips were found in 1.58% of male cases, and in 10.23% of female cases. Conclusion. Clinical screening of developmental dysplasia of the hip is insufficient for early diagnosis and decision about the treatment of premature babies. The high frequency of unstable hip type IIc (risky) and IId (decentralized) in premature babies requires early diagnosis and therapy. Wide swaddling for prematures should be applied up to eight months of age. Gentle manipulation is necessary while nursing and conducting physiotherapy of a premature baby.

Sign in / Sign up

Export Citation Format

Share Document