The natural history of developmental dysplasia of the hip: sonographic findings in infants of 1–3 months of age

2005 ◽  
Vol 14 (5) ◽  
pp. 325-330 ◽  
Author(s):  
Elisabeth A. Roovers ◽  
Magda M. Boere-Boonekamp ◽  
Adriaan K. Mostert ◽  
René M. Castelein ◽  
Gerhard A. Zielhuis ◽  
...  
Keyword(s):  
Natural History ◽  
Developmental Dysplasia ◽  
History Of ◽  
Dysplasia Of The Hip

scholarly journals The natural history of abnormal ultrasound findings in hips of infants under six months of age

2018 ◽  
Vol 12 (4) ◽  
pp. 302-307 ◽  
Author(s):  
R. Sakkers ◽  
V. Pollet
Keyword(s):  
Natural History ◽  
Developmental Dysplasia ◽  
Treatment Algorithms ◽  
Ultrasound Findings ◽  
History Of ◽  
Us Findings ◽  
A Minor ◽  
Dysplasia Of The Hip

Purpose To collect and describe data on the natural history of abnormal ultrasound (US) findings in hips of infants under six months of age to serve as a reference to the design of screening programmes and treatment algorithms in the care for children with hip dysplasia. Methods A search in PubMed of the terms “DDH” and “ultrasound” was done to find hips with abnormal US findings that were not treated. In cases of multiple periods of follow-up, the classification of every period was evaluated separately (individual hip follow-up periods). Results Data of 13 561 hips with 16 991 follow-up periods were collected and analyzed. Most quantifiable classifications and follow-up periods were according to Graf (14 876) and a minor number of the hips had follow-up periods with femoral head coverage (FHC) (2115). Normal development without treatment in the first six months was for Graf 2a between 89% and 98%, for Graf 2c between 80% and 100% and for clustered data Graf 2a to 2c between 80% and 97%. For Graf 3 hips more than 50% were reported to develop into normal hips without treatment. As for Graf 4 hips this percentage was reported below 50%. For children with an FHC less than 50%, normalization was reported between 78% and 100%. Conclusion The natural history of developmental dysplasia of the hip (DDH) shows a benign course, especially in the well-centered hips. This outcome probably contributes to the fact that all studies on US screening of hips for detection of relevant DDH in order to improve outcomes of treatment are rated as substantially underpowered.

scholarly journals Examining the Short-Term Natural History of Developmental Dysplasia of the Hip in Infancy: A Systematic Review

2021 ◽  
Author(s):  
Bryn O. Zomar ◽  
Kishore Mulpuri ◽  
Emily K. Schaeffer
Keyword(s):  
Natural History ◽  
Included Study ◽  
Developmental Dysplasia ◽  
Eligibility Criteria ◽  
Level Of Evidence ◽  
Screening Programs ◽  
Clinical Instability ◽  
Reported Study ◽  
History Of ◽  
Dysplasia Of The Hip

Abstract Background This study was an update on the AAOS clinical practice guideline’s analysis of the natural history of developmental dysplasia of the hip (DDH). The objective was to delineate the natural history of clinical instability or radiologic abnormalities of the hip in infants by identifying the proportion of cases that resolved without treatment compared to cases that progressed and/or required treatment. Methods We performed a literature search of PUBMED to identify studies which evaluated the natural history of DDH. We used the same search strategy as that utilized in the previous AAOS guidelines, updated to include articles published between September 2013 and May 2021. We assessed the quality of included articles using the Oxford Centre for Evidence-Based Medicine level of evidence and reported study demographics and outcomes using summary statistics. Results Twenty-four articles met our eligibility criteria. Most included studies were retrospective (14/24), investigated either the incidence of DDH (8/24) or assessed screening programs (7/24). The most prevalent study population followed were Graf 2A hips (7/24). Most studies were low quality with level of evidence 3 (13/24) or 4 (7/24). Sample sizes ranged from 9 to 3251. Twenty studies reported the number of cases resolved over the follow-up period with a mean rate of 84.3% (95% confidence interval 76.1, 92.6). Conclusion We found most mild-to-moderate DDH can resolve without treatment in early infancy, especially in physiologically immature (Graf 2A) hips. More high-quality evidence is needed to properly assess the natural history of DDH as only one included study was a randomized trial.

Prevalence of Hip Ultrasound Abnormalities in Newborns With a Hip Click

2020 ◽  
Vol 59 (8) ◽  
pp. 773-777
Author(s):  
John T. Gaffney ◽  
John Spellman
Keyword(s):  
Family History ◽  
Confidence Interval ◽  
Physical Examination ◽  
Prospective Studies ◽  
Hip Dysplasia ◽  
Developmental Dysplasia ◽  
Inclusion Criteria ◽  
History Of ◽  
Hip Ultrasound ◽  
Dysplasia Of The Hip

A hip click on examination of the newborn hip is believed to be the result of a ligament or myofascial structure and thought to be benign. Some studies suggest a link between hip clicks and developmental dysplasia of the hip. The purpose of our study is to estimate the prevalence of ultrasound hip abnormalities in newborns with a hip click and an otherwise normal physical examination. Results. Ninety patients meeting inclusion criteria of a hip click with an otherwise normal physical examination underwent diagnostic ultrasound with a 17.8% prevalence of hip abnormalities found (95% confidence interval ±7.9% [range of 9.9% to 25.7%]). Our study had 64 (71%) females and 26 (29%) males. The prevalence of hip pathology for females was 18.8% (12 of 64 patients) and for males was 15.4% (4 of 26 patients). Thirty-three patients were found to have bilateral hip clicks on presentation, with 21.2% (7 of 33) of those patients found to have hip pathology on ultrasound (3 of the 7 had pathology of both hips). Six patients had a family history of hip dysplasia and 1 of these patients (16.7%) had pathology on ultrasound. The average age to hip sonography was 6.6 weeks. Conclusions. In all, 17.8% of newborns with a hip click were found to have hip abnormalities on ultrasound. The prevalence of hip pathology, on ultrasound, suggests that additional larger, prospective studies are needed to clarify the association between a hip click and abnormal ultrasound found at 6 weeks of age or greater.

What follow-up is required for children with a family history of developmental dysplasia of the hip?

2007 ◽  
Vol 16 (6) ◽  
pp. 399-402 ◽  
Author(s):  
Donald Osarumwense ◽  
David Popple ◽  
Irene F. Kershaw ◽  
Christopher J. Kershaw ◽  
Andrew J. Furlong
Keyword(s):  
Family History ◽  
Developmental Dysplasia ◽  
History Of ◽  
Dysplasia Of The Hip

scholarly journals Etiology of the bifid (double) femoral head, with prior history of developmental dysplasia of the hip

2013 ◽  
Vol 02 (05) ◽  
pp. 318-321
Author(s):  
Leonard P. Seimon ◽  
Christine Kohler-Ekstrand ◽  
Howard D. Dorfman
Keyword(s):  
Femoral Head ◽  
Developmental Dysplasia ◽  
Prior History ◽  
History Of ◽  
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 Pseudoaneurysm Accompanied by Crowe Type IV Developmental Dysplasia of the Hip: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Hirotake Yo ◽  
Hirotsugu Ohashi ◽  
Fumiaki Inori ◽  
Yoshiaki Okajima ◽  
Yoshio Matsui ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Anticoagulation Therapy ◽  
Developmental Dysplasia ◽  
Chief Complaint ◽  
Contributing Factors ◽  
Type Iv ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
History Of ◽  
Dysplasia Of The Hip

We report the case of a 72-year-old woman whose pseudoaneurysm was difficult to diagnose and treat. The patient had a history of congenital dislocated hip and was undergoing anticoagulation therapy with warfarin due to the mitral valve replacement. Her chief complaint was pain and enlargement of the left buttock, and the laboratory tests revealed severe anemia. However, her elderly depression confused her chief complaint, and she was transferred to a psychiatric hospital. Two months after the onset of the symptoms, she was finally diagnosed with a pseudoaneurysm by contrast-enhanced CT and angiography. IDC coils were used for embolization. A plain CT showed hemostasis as well as a reduced hematoma at 2 months after the embolization. The possible contributing factors for the pseudoaneurysm included bleeding due to warfarin combined with an intramuscular hematoma accompanied by Crowe type IV developmental dysplasia of the hip that led to an arterial rupture by impingement between pelvis and femoral head. Since the warfarin treatment could not be halted due to the valve replacement, embolization was chosen for her treatment, and the treatment outcome was favorable.

scholarly journals Is secondary radiological follow-up of infants with a family history of developmental dysplasia of the hip necessary?

2006 ◽  
Vol 88-B (9) ◽  
pp. 1224-1227 ◽  
Author(s):  
B. R. B. Arumilli ◽  
P. Koneru ◽  
N. K. Garg ◽  
R. Davies ◽  
S. Saville ◽  
...  
Keyword(s):  
Family History ◽  
Developmental Dysplasia ◽  
History Of ◽  
Dysplasia Of The Hip
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