Populationsbasierte Studie zu Prädispositionsfaktoren und Häufigkeit der Hüftgelenksdysplasie

Partenheimer, A.; Scheler-Hofmann, M.; Lange, J.; Kühl, Reinhard; Follak, N.; Ebner, A.; Fusch, Christoph; Stenger, R. D.; Merk, H.; Haas, Johannes-Peter

doi:10.1055/s-2005-858940

Cited by 15 publications

(14 citation statements)

References 21 publications

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“…In Germany, the incidence of ultrasonographic (> Graf IIa) neonatal hip instability in 3739 newborns was 136 in 317 breech children and 64 in nonbreech children [242]. In another German study; however, there was no correlation between intrauterine presentation and sonographic hip instability [215]. …”

Section: Resultsmentioning

confidence: 99%

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The Epidemiology and Demographics of Hip Dysplasia

2011

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The etiology of developmental dysplasia of the hip (DDH) is unknown. There are many insights, however, from epidemiologic/demographic information. A systematic medical literature review regarding DDH was performed. There is a predominance of left-sided (64.0%) and unilateral disease (63.4%). The incidence per 1000 live births ranges from 0.06 in Africans in Africa to 76.1 in Native Americans. There is significant variability in incidence within each racial group by geographic location. The incidence of clinical neonatal hip instability at birth ranges from 0.4 in Africans to 61.7 in Polish Caucasians. Predictors of DDH are breech presentation, positive family history, and gender (female). Children born premature, with low birth weights, or to multifetal pregnancies are somewhat protected from DDH. Certain HLA A, B, and D types demonstrate an increase in DDH. Chromosome 17q21 is strongly associated with DDH. Ligamentous laxity and abnormalities in collagen metabolism, estrogen metabolism, and pregnancy-associated pelvic instability are well-described associations with DDH. Many studies demonstrate an increase of DDH in the winter, both in the northern and southern hemispheres. Swaddling is strongly associated with DDH. Amniocentesis, premature labor, and massive radiation exposure may increase the risk of DDH. Associated conditions are congenital muscular torticollis and congenital foot deformities. The opposite hip is frequently abnormal when using rigorous radiographic assessments. The role of acetabular dysplasia and adult hip osteoarthritis is complex. Archeological studies demonstrate that the epidemiology of DDH may be changing.

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Section: Resultsmentioning

confidence: 99%

“…An association between DDH and familial primary acetabular dysplasia [256] also exists; radiographs of the mothers of DDH children who did not have any known preexisting DDH demonstrated acetabular dysplasia in 8.65% [252]. One negative study exists regarding the association between ultrasonographic DDH and family history [215]. …”

Section: Resultsmentioning

confidence: 99%

The Epidemiology and Demographics of Hip Dysplasia

2011

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“…Developmental dysplasia of the hip (DDH) is one of the most common congenital malformations with a regionally varying incidence of 1.5–4.9% [1–5]. The diagnostic standard for DDH is ultrasound imaging using the Graf classification [6–8].…”

Section: Introductionmentioning

confidence: 99%

“…Many hospitals deviate from this by performing the hip ultrasound at 3–10 days of life as part of the routine examination (U2) given at this time. Schilt et al screened nearly 15,000 babies immediately after birth over 15 years and showed that earlier treatment may lead to a shorter duration [1, 2]. Preterm infants are generally screened at a corrected age of more than 36 weeks [9].…”

Section: Introductionmentioning

confidence: 99%

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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)

Lange

Ittermann

et al. 2017

BMC Pediatr

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BackgroundSome etiological factors involved in developmental dysplasia of the hip (DDH) occur in the last trimester of pregnancy, which could result in a decreased incidence of DDH in preterm infants. The aim of this study was to compare the incidence of DDH between preterm and term infants.MethodsUltrasound of the hip joint was performed in 2,534 term infants and 376 preterm infants within the population-based Survey of Neonates in Pomerania (SNiP) study.ResultsA total of 42 (1.66%) term infants had DDH (Graf type II c, 0.8%; type D, 0.3% left and 0.4% right; type III a, 0.2% left). Eighteen infants had bilateral findings. Hip dysplasia occurred more frequently in female neonates (32/1,182 vs. 10/1,302, p < 0.023; 95% CI 0.012–0.022, χ 2 test). A familial disposition for DDH was found in 169 (6.7%) term infants and 181 (7.1%) infants in the overall population. In preterm infants, dysplasia of the hip was found in only three late preterm infants with gestational age between 36 and 37 weeks (n = 97) and not in preterm infants <36 weeks gestational age (n = 279). Regression analysis revealed a narrowly significant association between gestational week of birth and DDH (relative risk = 1.17; 95% confidence interval 0.99–1.37; p = 0.065).ConclusionOur study suggests that preterm infants <36 weeks gestational age have a decreased risk of DDH.

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Hüftdysplasie

Eberhardt¹

2022

Orthopädie Und Unfallchirurgie

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Populationsbasierte Studie zu Prädispositionsfaktoren und Häufigkeit der Hüftgelenksdysplasie

Cited by 15 publications

References 21 publications

The Epidemiology and Demographics of Hip Dysplasia

The Epidemiology and Demographics of Hip Dysplasia

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

Hüftdysplasie

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