Incidence of Late-Diagnosed Hip Dislocation After Universal Clinical Screening in Sweden

Wenger, Daniel; Düppe, Henrik; Nilsson, Jan‐Åke; Tiderius, Carl Johan

doi:10.1001/jamanetworkopen.2019.14779

Cited by 26 publications

(42 citation statements)

References 55 publications

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“…A long tradition of clinical screening for developmental dysplasia of the hip (DDH) in neonates (Wenger et al 2019) may have led to the misconception that adult hip dysplasia is not a concern in Sweden. Adult hip dysplasia and DDH have pathoanatomic similarities, but the link between them, if there is one, is not clearly understood.…”

Section: Discussionmentioning

confidence: 99%

Hip dysplasia is not uncommon but frequently overlooked: a cross-sectional study based on radiographic examination of 1,870 adults

Leide

Bohman²,

Wenger

et al. 2021

Acta Orthopaedica

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Section: Discussionmentioning

confidence: 99%

Hip dysplasia is not uncommon but frequently overlooked: a cross-sectional study based on radiographic examination of 1,870 adults

Leide

Bohman²,

Wenger

et al. 2021

Acta Orthopaedica

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“…The concordance rate frequency (identical pathology in twins) was 33-41% for identical twins (monozygotic) and 3-8% for dizygotic twins [20]. Since there is more knowledge available about this topic, various countries have reported improvement in DDH incidence over the years [12,21].…”

Section: Epidemiologymentioning

confidence: 99%

Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects

Harsanyi¹,

Zamborský²,

Krajčíová³

et al. 2020

Medicina

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As one of the most frequent skeletal anomalies, developmental dysplasia of the hip (DDH) is characterized by a considerable range of pathology, from minor laxity of ligaments in the hip joint to complete luxation. Multifactorial etiology, of which the candidate genes have been studied the most, poses a challenge in understanding this disorder. Candidate gene association studies (CGASs) along with genome-wide association studies (GWASs) and genome-wide linkage analyses (GWLAs) have found numerous genes and loci with susceptible DDH association. Studies put major importance on candidate genes associated with the formation of connective tissue (COL1A1), osteogenesis (PAPPA2, GDF5), chondrogenesis (UQCC1, ASPN) and cell growth, proliferation and differentiation (TGFB1). Recent studies show that epigenetic factors, such as DNA methylation affect gene expression and therefore could play an important role in DDH pathogenesis. This paper reviews all existing risk factors affecting DDH incidence, along with candidate genes associated with genetic or epigenetic etiology of DDH in various studies.

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“…1 Clinical screening for DDH is done through the Ortolani reduction test and the Barlow test in newborns, while infants present other clinical signs. 2 In infants, DDH should be suspected when limb length discrepancy, limited hip abduction (the most important sign after 3 months) and/or the Galeazzi sign are present. 1,2,3 This screening is typically done at routine consultations.…”

mentioning

confidence: 99%

“…2 In infants, DDH should be suspected when limb length discrepancy, limited hip abduction (the most important sign after 3 months) and/or the Galeazzi sign are present. 1,2,3 This screening is typically done at routine consultations. Children with positive findings and/or known risk factors require further investigation and referral to an Orthopedics consultation.…”

mentioning

confidence: 99%

Are Emergency Department Visits Missed Opportunities for Secondary Diagnosis?

Costa

Lopes

2022

Pediatric Oncall

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A 3-month-old girl, with a history of breech presentation, was brought to the Emergency Department (ED) after she fell from her father's lap. The fall caused traction of her left lower limb and resulted in pain and decreased mobility. At the ED she was observed by two specialties: pediatrics and orthopedics. Her lower left limb was flexed and in abduction, with normal passive movement and limited active movement. There was no limited abduction of the hip and the Ortolani reduction test was negative. Limb length discrepancy was absent. A hip radiograph was performed. There were no radiological signs of fracture or subluxation of the left hip. The child was admitted and remained in the observation room (OR) for 24 hours for close monitoring and pain relief. She was then discharged and referred to an Orthopedics consultation for follow up.

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Incidence of Late-Diagnosed Hip Dislocation After Universal Clinical Screening in Sweden

Abstract: This nested case-control study investigates the incidence and risk factors of late-diagnosed hip dislocation among Swedish children undergoing clinical screening for hip instability as neonates.

Cited by 26 publications

References 55 publications

Hip dysplasia is not uncommon but frequently overlooked: a cross-sectional study based on radiographic examination of 1,870 adults

Hip dysplasia is not uncommon but frequently overlooked: a cross-sectional study based on radiographic examination of 1,870 adults

Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects

Are Emergency Department Visits Missed Opportunities for Secondary Diagnosis?

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