Population-based study of the incidence of congenital hip dysplasia in preterm infants from the Survey of Neonates in Pomerania (SNiP)

Lange, Anja; Lange, J.; Ittermann, Till; Napp, Matthias; Krüger, Paul-Christian; Bahlmann, Hagen; Kasch, Richard; Heckmann, Matthias

doi:10.1186/s12887-017-0829-5

Cited by 29 publications

(37 citation statements)

References 15 publications

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“…[3] This complex developmental disorder is the result of genetic and nongenetic risk factors. [6,16–17] The latter factors include the female gender of the child. [25–28] Regarding ultrasound examination of the right hips, in the present study we obtained for stage IA a higher frequency with statistical significance for males (90.2%), comparing with females (84.6%), with a P value of .03.…”

Section: Discussionmentioning

confidence: 99%

“…[1–5] DDH is an important cause of disability in both children and adults if is not treated in time. [6–9] Anatomical abnormalities of the dysplastic hip can lead to biomechanical changes of the dysplastic hip joint, the shortening of the length of the inferior limb on the affected side, pain, and joint dysfunction. The correct and early diagnosis of this pathology has become a major objective in pediatrics, currently relying on medical history, clinical and imaging examinations—radiological or ultrasound examination.…”

Section: Introductionmentioning

confidence: 99%

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Musculoskeletal ultrasound: a useful tool for diagnosis of hip developmental dysplasia

Mureșan¹,

Mărginean²,

Voidăzan

et al. 2019

Medicine

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Developmental dysplasia of the hip (DDH) is one of the most common congenital abnormalities of the musculoskeletal apparatus in newborns. The aim of this study was to analyze the contribution of ultrasonography in the detection of DDH in newborns and infants, identifying the regional incidence of this pathology in the central area of Romania, emphasizing the risk factors that underlie DDH etiopathogenicity.This article represents a retrospective study of 847 newborns and infants examined in the Imagistic Department of a medical center from the central area of Romania, between January 1 and December 31, 2016. The ultrasound examinations were performed for the bilateral coxofemoral joints, using the method and technique described by Graf. For subjects born in the same medical center, data regarding mother's age, birth weights, and type of delivery (natural vs. caesarian section) were statistically analyzed.In our study group, the frequency of ultrasound diagnosis obtained from the examinations of right and left hips showed that the most frequent stage was type IA, and the rarest stage was III. The IA stage of right coxofemoral joints (87.3%) was higher than in the left coxofemoral joints (87.2%). The incidence of hip dysplasia (type III) diagnosed with ultrasound examinations in subjects from the central area of Romania was 0.2% (0.1% in both hips and 0.1% for the left coxofemoral joint).The musculoskeletal ultrasound examination is effective in early detection of hip dysplasia. The implementation of national and regional programs that promote indications, risk factors, and the screening age for DDH in both rural and urban areas could be a step forward in the early diagnosis of hip dysplasia for newborns and infants. The low incidence of DDH from our study group is not able to identify the role of advanced age of the mother, high birth weight of the newborn, or caesarean section as risk factors involved in the etiology of hip dysplasia. The implementation of national and regional programs that promote the musculoskeletal ultrasound as a screening imagistic investigation for DDH, in both rural and urban areas, could be a step forward in the early diagnosis of hip dysplasia for newborns and infants.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Musculoskeletal ultrasound: a useful tool for diagnosis of hip developmental dysplasia

Mureșan¹,

Mărginean²,

Voidăzan

et al. 2019

Medicine

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“…Congenital hip dislocation was found to be a common defect (65 per 10,000 births), and also showed a considerable increasing trend (18.5% increase per year). Prevalences of congenital hip dislocation vary by country from 1.5 to 4.9% [ 50 ]. Its causes have been suggested to be breech presentation, oligohydramnios, skeletal malformations due to teratogenic agents, and neuromuscular disease [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in the Prevalences of Selected Birth Defects in Korea (2008–2014)

Lamichhane

Kim

et al. 2018

IJERPH

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Little information is available on the prevalences of birth defects in Korea. The aims of this study were to estimate recent prevalences of selected birth defects and to analyze the prevalence trends of these defects during the period from 2008 to 2014. Prevalences were calculated for 69 major birth defects using health insurance claim data obtained from the Korea National Health Insurance Service (NHIS). Prevalence rate ratios were calculated using Poisson regression to analyze trends over the 7-year study period. The overall prevalence of a major birth defect was 446.3 per 10,000 births (95% CI: 444.0–448.6); 470.9 per 10,000 births (95% CI: 467.6–474.2) for males and 420.2 per 10,000 births (95% CI: 417–423.4) for females. The prevalence rates of the most common birth defects over the study period were; septal defect (138.2 per 10,000; 95% CI: 136.9–139.5), congenital hip dislocation (652 per 10,000; 95% CI: 64.1–65.9), and ventricular septal defect (62.62 per 10,000; 95% CI: 61.7–63.5). During the study period, a significant increase in the prevalence of a major birth defect was observed with a prevalence rate ratio (PRR) of 1.091. The strongest trend was observed for renal dysplasia, which had a PRR of 1.275 (95% CI: 1.211–1.343), and upward trends were observed for urogenital anomalies, such as, renal agenesis (PRR 1.102, 95% CI: 1.067–1.138), undescended testis (PRR 1.082, 95% CI: 1.072–1.093) and hypospadias (PRR 1.067, 95% CI: 1.044–1.090). This study shows an overall increase in the prevalences of birth defects, including hypospadias and undescended testis, which are known to be associated with endocrine factors. In the future, standardized birth defect registries should be established to enable these trends to be monitored.

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“…Developmental dysplasia of the hip (DDH) is a congenital, developmental deformation, or misalignment of the hip joint, which is affected by genetic, environmental, and mechanical factors. The definition encompasses a broad range of presentations, from mild acetabular dysplasia, deficient coverage of the femoral head; that the incidence of DDH in newborns ranges from 1 to 7% across several distinct populations results from differing genetic predisposition and cultural practices (1)(2)(3)(4). Developmental dysplasia of the hip is one of the most common limb deformities in children and a frequent cause of secondary osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

The Global Research Trends and Hotspots on Developmental Dysplasia of the Hip: A Bibliometric and Visualized Study

Wang

Tong

et al. 2021

Front. Surg.

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Background: Developmental dysplasia of the hip (DDH) is a common musculoskeletal disorder in newborns and also one of the most common causes of hip arthritis in women. Many topics concerning DDH still remain controversial, and the global research trend in this field has not been well-studied yet. The aim of the present study was to illustrate the overall knowledge structure, development trends, and research hotspots of DDH.Methods: The publications related to DDH from 1998 to 2020 were identified from the Web of Science Core Collection (WOSCC). Three bibliometric tools were used to conduct visualization and knowledge maps. Annual trends of publications, contributions of countries, institutions, authors, funding agencies and journals, and clustering of keywords were analyzed.Results: A total of 2,691 publications were included. The annual number of DDH publications showed an increasing trend worldwide. The United States has made the greatest contribution, with the largest number of publications and the highest H-index. The most prolific institutions were Shanghai Jiao Tong University, Children's Hospital of Philadelphia, and Shriners Hospital for Children. Professors Tönnis D, Harris WH, Crowe JF, Graf R, and Salter RB have made great achievements in this field. However, the collaboration between international institutions or researchers was relatively low and mainly conducted in European and American countries. All the keywords could be divided into five clusters: hip osteoarthritis study, hip replacement study, hip ultrasound study, osteotomy surgery study, and etiology study. A trend of balanced and diversified development existed in these clusters. Keywords with the ongoing bursts, including clinical outcome, risk factor, femoroacetabular impingement, predictor, arthroscopy, morphology, and anteversion may continue to be the research hotspots in the near future.Conclusions: There will be an increasing number of publications on DDH research, and the United States stay ahead in this field. International collaboration needs to be further strengthened. The information can provide helpful references for researchers to explore hot issues or target a specific field of DDH.

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Population-based study of the incidence of congenital hip dysplasia in preterm infants from the Survey of Neonates in Pomerania (SNiP)

Cited by 29 publications

References 15 publications

Musculoskeletal ultrasound: a useful tool for diagnosis of hip developmental dysplasia

Musculoskeletal ultrasound: a useful tool for diagnosis of hip developmental dysplasia

Trends in the Prevalences of Selected Birth Defects in Korea (2008–2014)

The Global Research Trends and Hotspots on Developmental Dysplasia of the Hip: A Bibliometric and Visualized Study

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