Demographic Differences in Adolescent-diagnosed and Adult-diagnosed Acetabular Dysplasia Compared With Infantile Developmental Dysplasia of the Hip

Lee, Cara Beth; Mata-Fink, Ana; Millis, Michael B.; Kim, Young-Jo

doi:10.1097/bpo.0b013e3182745456

Cited by 56 publications

(51 citation statements)

References 18 publications

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“…This latitudinal difference has also been noted in children with Perthes' disease [58]. Within DDH there are two different types, the typical infantile DDH and the late onset adolescent/adult acetabular dysplasia [59]. The older group, when compared to the infantile group, demonstrated a lower female predominance (88.0 versus 98.0%) with more bilateral involvement (61.2% versus 45.1%).…”

Section: Discussionmentioning

confidence: 68%

The Demographics of Canine Hip Dysplasia in the United States and Canada

Loder

Todhunter

2017

Journal of Veterinary Medicine

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Canine hip dysplasia (CHD) is a common problem in veterinary medicine. We report the demographics of CHD using the entire hip dysplasia registry from the Orthopedic Foundation for Animals, analyzing differences by breed, sex, laterality, seasonal variation in birth, and latitude. There were 921,046 unique records. Each dog was classified using the American Kennel Club (AKC) and Fédération Cynologique Internationale (FCI) systems. Statistical analysis was performed with bivariate and logistic regression procedures. The overall CHD prevalence was 15.56%. The OR for CHD was higher in females (1.05), those born in spring (1.14) and winter (1.13), and those in more southern latitudes (OR 2.12). Within AKC groups, working dogs had the highest risk of CHD (OR 1.882) with hounds being the reference group. Within FCI groups, the pinscher/molossoid group had the highest risk of CHD (OR 4.168) with sighthounds being the reference group. The similarities between CHD and DDH are striking. Within DDH there are two different types, the typical infantile DDH and the late onset adolescent/adult acetabular dysplasia, with different demographics; the demographics of CHD are more similar to the later onset DDH group. Comparative studies of both disorders should lead to a better understanding of both CHD and DDH.

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Section: Discussionmentioning

confidence: 68%

The Demographics of Canine Hip Dysplasia in the United States and Canada

Loder

Todhunter

2017

Journal of Veterinary Medicine

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“…Engesaeter et al [18] also reported that, unexpectedly, only 8 % of those who underwent THR due to dysplasia were reported to have had unstable hips at birth. Lee et al [19] concluded that in 209 of 311 patients who underwent periacetabular osteotomy, acetabular dysplasia had not been diagnosed before adolescence.…”

Section: Discussionmentioning

confidence: 99%

“…Breech position, family history, female gender, oligohydramnios, congenital anomalies, and primiparity were considered to be risk factors. Evidence, however, is valid for positive family history only in first-degree family members [19]. …”

Section: Discussionmentioning

confidence: 99%

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program

Thallinger

Pospischill

Rudolf

et al. 2014

Journal of Children's Orthopaedics

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BackgroundDiagnosis and early treatment of developmental dysplasia of the hip (DDH) continue to be issues of discussion. In 1992, a nationwide general ultrasound screening program using Graf technique was introduced to detect DDH in Austria. We investigated the effects of this program on the rates of operative and conservative interventions and the influence of the program on the number of hospital admissions for the treatment of DDH.MethodsAll cases of DDH documented in Austrian hospitals from 1992 to 2008 were included in this retrospective study. The database of the Austrian Ministry of Health was used to extract documented diagnoses and treatments.ResultsSince the introduction of the screening program, the number of patients who require pelvic surgery to treat DDH has decreased by 46 % and the number of open reductions is as low as 0.16 per 1,000 live births. Hospital admissions for the treatment of DDH decreased from 9.5 to 3.6 per 1,000 live births. All noted results gained statistical significance.ConclusionCompared with routine clinically based screening programs, our results confirm low numbers of open reductions and pelvic surgeries. We, therefore, advocate a standardized nationwide general ultrasound screening program to reduce the rates of operative interventions and hospital admissions associated with the treatment of DDH.Level of evidenceLevel III, diagnostic

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“…More than 75% of patients with FAI can have bilateral deformity [2,4] and 61% to 84% of patients with acetabular dysplasia have signs of dysplasia in the contralateral hip [11,13]. Inclusion of bilateral hips in any population study may therefore overestimate the prevalence of the deformity of interest.…”

Section: Where Do We Need To Go?mentioning

confidence: 96%

CORR Insights®: The 2015 Frank Stinchfield Award: Radiographic Abnormalities Common in Senior Athletes With Well-functioning Hips but Not Associated With Osteoarthritis

Pun

2016

Clinical Orthopaedics &Amp; Related Research

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Demographic Differences in Adolescent-diagnosed and Adult-diagnosed Acetabular Dysplasia Compared With Infantile Developmental Dysplasia of the Hip

Cited by 56 publications

References 18 publications

The Demographics of Canine Hip Dysplasia in the United States and Canada

The Demographics of Canine Hip Dysplasia in the United States and Canada

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program

CORR Insights®: The 2015 Frank Stinchfield Award: Radiographic Abnormalities Common in Senior Athletes With Well-functioning Hips but Not Associated With Osteoarthritis

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