Clicky hip alone is not a true risk factor for developmental dysplasia of the hip

2017 ◽  
Vol 99-B (11) ◽  
pp. 1533-1536 ◽  
Author(s):  
K. Nie ◽  
S. Rymaruk ◽  
R. W. Paton
2019 ◽  
Vol 13 (2) ◽  
pp. 161-166 ◽  
Author(s):  
H. Ömeroğlu ◽  
A. Akceylan ◽  
N. Köse

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


2010 ◽  
Vol 468 (9) ◽  
pp. 2485-2494 ◽  
Author(s):  
G. B. Firth ◽  
A. J. F. Robertson ◽  
A. Schepers ◽  
L. Fatti

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

2020 ◽  
Vol 102-B (11) ◽  
pp. 1582-1586
Author(s):  
Øvind Håberg ◽  
Olav A. Foss ◽  
Østein Bjerkestrand Lian ◽  
Ketil Jarl Holen

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.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eun Ji Oh ◽  
Jae Jung Min ◽  
Soon-Sun Kwon ◽  
Seong Been Kim ◽  
Chang Won Choi ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Wei Chun Lee ◽  
Hsuan Kai Kao ◽  
Shu Mei Wang ◽  
Wen E Yang ◽  
Chia Hsieh Chang ◽  
...  

Author(s):  
Øyvind Håberg ◽  
Olav A. Foss ◽  
Øystein Bjerkestrand Lian ◽  
Ketil Jarl Holen

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.


2015 ◽  
Vol 97-B (5) ◽  
pp. 716-720 ◽  
Author(s):  
M. M. Orak ◽  
T. Onay ◽  
S. A. Gümüştaş ◽  
T. Gürsoy ◽  
H. H. Muratlí

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