Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia

Ayanoğlu, Tacettin; Ataoğlu, Muhammet Baybars; Tokgöz, Nil; Ersöz, Elif; Atalar, Hakan; Turanli, Sacit

doi:10.1016/j.aott.2019.07.002

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Kronenig et al and Pottie et al reported that the healthcare team should be aware of cultural differences and expectations during healthcare (1,12). Ethnic differences, geographic location and having a family history, and swaddling were risk factors for DDH (13)(14)(15). DDH was included in the national screening program country.…”

Section: Discussionmentioning

confidence: 99%

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Orhan

Kaptan

Çetin

et al. 2023

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: The number of immigrant children admitted to public sector healthcare facilities is increasing. However, comparatively few studies investigated its effects on health systems, especially in the orthopedics discipline. This research investigates if there is a significant difference in admission to orthopedics and traumatology outpatient clinics (O&T) between immigrants and local children. Materials and Methods: Immigrant (IP) and local patients (LP) under 18 admitted to the O&T of a tertiary hospital between 2019-2021 were included in this retrospective study. Demographic data of patients, number of admission in a year, place of admission, the reason for admission, treatment method, radiological imaging, and diagnoses (soft tissue trauma (STT), developmental hip dysplasia (DDH), etc.) were evaluated for both groups. Results: 1009 patients were included (n=481 LP, n=528 IP). The number of admissions was higher in IP between 1 and 2 years (p=0.02). The consultations of IP from the emergency department and other departments were statistically higher than those of LP (p<0.001). Fracture/complications and STT are the most common diagnoses in local and immigrant groups. The third most common diagnosis was DDH in LP and general examination in IP. Examinations with MRI and no radiological imaging were more frequent in IP than in LP. Conclusions: It is noteworthy that the number of admissions to O&T and consultations from other services is higher in IP than the LP. Increasing physicians' awareness of cultural differences and expectations and providing health education to immigrant families through professional translators in their preferred language can diminish the load on healthcare.

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Section: Discussionmentioning

confidence: 99%

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Orhan

Kaptan

Çetin

et al. 2023

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…Although the AWh was deeper in patients aged >18 months (mean 1.3 cm) than in those aged 12–18 months (mean 1.2 cm) before CR, the improvement in AWh was greater in the latter group (mean improvement 1.4 vs. 1.3 cm). The majority of authors measured acetabular width by a line connecting the superolateral and inferomedial edges of the acetabulum ( 26 , 27 ). However, the inferomedial edge is not easily identified in radiographs from younger children.…”

Section: Discussionmentioning

confidence: 99%

Predictors of residual hip dysplasia in 12–18-month-old vs. over 18-month-old DDH patients after closed reduction and the reliability of one residual hip dysplasia criterion: a retrospective cohort study

Dai¹,

Huang²,

Pei³

2023

Transl Pediatr

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Background The diagnostic and prediction criteria of residual hip dysplasia (RHD) remains controversial. There were no studies that focused on the risk factors of RHD after closed reduction (CR) in children with developmental dislocation of the hips (DDH) over 12 months of age. In this study, we assessed the percentage of RHD in DDH patients aged 12 to 18 months vs. that in DDH patients aged over 18 months after CR and determine the predictors of RHD. Meanwhile, we tested the reliability of our RHD criteria compared with Harcke standard. Methods Patients over 12 months of age who underwent successful CR from October 2011 to November 2017 and followed up for at least 2 years were enrolled. Gender, affected side, age at CR and follow-up time were recorded. Acetabular index (AI), horizontal acetabular width (AWh), center-to-edge angle (CEA), and femoral head coverage (FHC) were measured. The cases were divided into two groups according to whether older than 18 months. RHD was determined according to our criteria. Results A total of 82 patients (107 hips) were included, including 69 females (84.1%), 13 males (15.9%), 25 patients (30.5%) with bilateral DDH, 33 patients (40.2%) with left side, 24 patients (29.3%) with right side, 40 patients (49 hips) with age 12–18 months, and 42 patients (58 hips) with age >18 months. At a mean follow-up of 47.8 [24–92] months, the percentage of RHD was higher in patients >18 months of age (58.6%) than patients 12–18 months of age (40.8%), but the difference was not statistically significant. Binary logistic regression analysis showed that pre-AI, pre-AWh, and improvement in AI and AWh (P=0.025, 0.016, 0.001, 0.003, respectively) had significant difference. The sensitivity and specialty of our RHD criteria were 81.82% and 82.69%, respectively. Conclusions For patients with DDH over 18 months, CR is still a choice. We documented four predictors of RHD, suggesting that we should focus on the developmental potential of an individual’s acetabulum. Our RHD criteria may be one of the reliable and useful tools in clinical practice to help determine whether to perform continuous observation or surgery, but further research is needed due to limited sample size and follow-up time.

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The Association Between BMP-2, UQCC1 and CX3CR1 Polymorphisms and the Risk of Developmental Dysplasia of the Hip

Gümüş

Temiz

Sarıkaya

et al. 2020

IJOO

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Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia

Cited by 3 publications

References 14 publications

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Predictors of residual hip dysplasia in 12–18-month-old vs. over 18-month-old DDH patients after closed reduction and the reliability of one residual hip dysplasia criterion: a retrospective cohort study

The Association Between BMP-2, UQCC1 and CX3CR1 Polymorphisms and the Risk of Developmental Dysplasia of the Hip

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