scholarly journals Prevalence and epidemiological description of clubfoot at King Saud Medical City, Riyadh, Saudi Arabia

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Jameel H. Fakeeha ◽  
Abdullah E. Alessa ◽  
Musaad S. Alkhaldi ◽  
Mohammed H. Alshathri ◽  
Abdulaziz N. Althunayyan
Keyword(s):  
Saudi Arabia ◽  
Medical Center ◽  
Developmental Dysplasia ◽  
Birth Prevalence ◽  
Future Studies ◽  
Factors Associated ◽  
Medical City ◽  
Major Medical Center ◽  
History Of ◽  
Dysplasia Of The Hip

Objectives: Clubfoot is a burden affecting 150,000 newborns worldwide every year. This study looked at the prevalence of clubfoot at King Saud Medical City (KSMC) and examined the risk factors associated with clubfoot in Saudi Arabia. Methods: Data were collected through the medical system (Medisys) and the database of the orthopedic department intern at KSMC to determine the prevalence of clubfoot using the births recorded from 2015 to 2019 and reviewing their medical files. The epidemiological description of Saudi clubfoot patients was attained by collecting a sample of 100 patients from the clubfoot clinic database. Results: A total of 18,515 births at KSMC from 2015 to 2019 were evaluated. It was found that 42 patients were affected by clubfoot resulting in a birth prevalence of 2.3/1000 (0.23%) among Saudis at KSMC. Out of 100 clubfoot patients, 93% had no maternal history of chronic disease, while 31% of the cases were a product of consanguineous marriages. About 15% of the patients had an associated developmental dysplasia of the hip. Conclusion: This study estimates the prevalence of clubfoot in one major medical center in Saudi Arabia to be 2.3/1000. The findings support the data reported in the literature that males are more affected by clubfoot than females, with twice the likelihood that males will be affected by clubfoot. This study will provide an initial look at clubfoot in Saudi Arabia, which can build a base for future studies.

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 Efficacy of closed reduction for developmental dysplasia of the hip: midterm outcomes and risk factors associated with treatment failure and avascular necrosis

2020 ◽  
Author(s):  
Ge Zhang ◽  
Ming Li ◽  
Xiangyang Qu ◽  
Yujiang Cao ◽  
Xing Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Avascular Necrosis ◽  
Failure Rate ◽  
Closed Reduction ◽  
Significant Risk ◽  
Developmental Dysplasia ◽  
Secondary Outcome ◽  
Factors Associated ◽  
Related Risk ◽  
Dysplasia Of The Hip

Abstract Background: The purpose of this study was to evaluate the efficacy after closed reduction (CR) in the treatment of developmental dysplasia of the hip (DDH) and investigate risk factors associated with CR failure and avascular necrosis (AVN) occurrence in the follow-ups.Primary and secondary outcome measures: The study retrospectively included 110 patients and 138 hips with DDH diagnosis between February 2012 and November 2015 in our single tertiary medical institution and underwent closed reduction. The failure rate of CR and the underlying risk factors were evaluated. meanwhile, the incidence of AVN and the related risk factors among the successful CR cases were assessed.Results: The overall failure rate of DDH treated by CR in present study was 31.16% (43/138). Risk factors for the CR failure was older age at the time of CR (≥18.35 month), large medical interval before CR (≥35.35 millimeters), and severer dislocation of the affected hip (IDHI grade III and IV). The incidence of AVN was 8.33% (6/72) in the patients with successful CR at last follow-up. No significant risk factors had been established in present study that associated with the AVN occurrence.Conclusions: For the treatment of DDH with CR, patients with younger age might achieve better outcomes, early diagnosis and early treatment might be the key point in the DDH treatment.

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

Abstract 9740: Factors Associated With Performing Urgent Coronary Angiography in Out-of-Hospital Cardiac Arrest

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
David H Lam ◽  
Lauren M Glassmoyer ◽  
Roger B Davis ◽  
Donald E Cutlip ◽  
Michael W Donnino ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Arrest ◽  
Coronary Angiography ◽  
Medical Center ◽  
Academic Medical Center ◽  
Do Not Resuscitate ◽  
Factors Associated ◽  
Shockable Rhythm ◽  
History Of ◽  
Hospital Cardiac Arrest

Introduction: Out-of-hospital cardiac arrest (OHCA) is associated with high mortality and is most commonly caused by cardiovascular disease. Current guidelines recommend urgent coronary angiography (UCA) if ST-elevation myocardial infarction (STEMI) or high suspicion of acute myocardial infarction exist. Some have advocated for UCA in all OHCA without an obvious non-cardiac cause of arrest. The reasons for large clinical variation in performance of UCA in OHCA are not well understood. Objective: We sought to identify factors associated with performing UCA in OHCA. Methods: A retrospective chart review was conducted on 535 consecutive cardiac arrest patients who achieved return of spontaneous circulation (ROSC) and were admitted at a tertiary academic medical center from January 2008 to August 2014. Exclusion criteria included in-hospital cardiac arrests (201), outside hospital UCA (8), and lack of medical records (1). Univariable analysis followed by multivariable forward selection forcing age and gender were used to determine correlates of performing UCA, defined as within 6 hours of presentation. Results: Out of 325 resuscitated OHCA patients (mean age, 64; women, 35%), 69 were taken to UCA. Factors associated with performing UCA were history of coronary artery disease (CAD) (OR 2.76, 95% CI 1.22-6.28), initial shockable rhythm (OR 3.04, 95% CI 1.31-7.06), following commands post-ROSC (OR 2.77, 95% CI 1.06-7.25), and STEMI (OR 15.17, 95% CI 6.57-35.04). Increasing age (OR 0.97, 95% CI 0.95-0.999) and obvious non-cardiac cause of arrest (OR 0.10, 95% CI 0.03-0.37) were negatively associated. Gender, prior stroke, dementia, bystander cardiopulmonary resuscitation, hypotension, contraindication to anticoagulant, presenting from nursing home or rehabilitation, do not resuscitate order prior to admission, non-English primary language, and presenting during off-hours were not associated with the decision for UCA. Conclusions: In resuscitated out-of-hospital cardiac arrest patients, history of CAD, shockable rhythm, ability to follow commands, and STEMI were associated with performing urgent coronary angiography. Older patients and those with an obvious non-cardiac cause of arrest were less likely to receive coronary angiography.

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