Screening for developmental dysplasia of the hip: current practices in Ireland

O’Grady, Michael J.; Mujtaba, Ghulam; Hanaghan, J.; Gallagher, D. J.

doi:10.1007/s11845-009-0339-z

Cited by 8 publications

(4 citation statements)

References 13 publications

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“…However, according to the literature, there was not even one risk factor in up to 73 -95 % of DDH cases. Also, most children with risk factors do not develop DDH, and the disease can be observed only in 1 -10% of cases [27][28][29][30]. In contrast to these results in our study, 97.11 % of DDH had at least one statistically signi cant risk factor.…”

Section: Discussioncontrasting

confidence: 99%

Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool

Pulik

Poszka²,

Romaniuk

et al. 2022

Preprint

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Introduction: Developmental dysplasia of the hip (DDH) is one of the most common musculoskeletal conditions in children. Not treated DDH leads to disability, gait abnormalities, limb shortening and chronic pain. Our study aims to determine the impact of multiple risk factors on the occurrence of DDH and develop an interactive risk assessment tool.Materials and Methods: We conducted a retrospective cohort study in the Outpatient Clinic for Children of University Hospital. The Graf classification system was used for ultrasonographic universal screening. In total, 3102 infants met the eligibility criteria (n =6204 hip joints). Results: The incidence of DDH was 4.45%. In multivariate analysis, risk factors for DDH were weight (OR = 2.17 (1.41-3.32)), week of delivery (OR = 1.18 (1.00-1.37)), gender (OR = 8.16 (4.86-13.71)), breech delivery presentation (OR = 5.92 (3.37-10.40)), symptoms of DDH (25.28 (8.77-72.83)) and positive family history in siblings (5.74 (2.68-12.31)). Multivariate logistic regression predictive model was used to construct the interactive risk calculator.Conclusion: We confirmed well-known DDH risk factors in the studied population. Our results support the recent hypothesis that preterm infants (37 < week) have lower rate of DDH. The DDH risk calculator was built but needs external validation in prospective study before being used in a clinical setting.Level of Evidence: Retrospective cohort study: Level III

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Section: Discussioncontrasting

confidence: 99%

Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool

Pulik

Poszka²,

Romaniuk

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…of cases [27][28][29][30]. In contrast to these results in our study, 96.83% of DDH had at least one statistically signi cant risk factor.…”

Section: Discussioncontrasting

confidence: 96%

Impact of Multiple Factors on the Incidence of Developmental Dysplasia of the Hip

Pulik

Romaniuk

Sibilska

et al. 2021

Preprint

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Introduction: Developmental dysplasia of the hip (DDH) is one of the most common musculoskeletal conditions in children. Not treated DDH leads to disability, gait abnormalities, limb shortening and chronic pain. Our study aims to determine the impact of multiple risk factors on the occurrence of DDH and develop an interactive risk assessment tool.Methods: We conducted a retrospective cohort study in the Outpatient Clinic for Children of University Hospital. The Graf classification system was used for ultrasonographic universal screening. In total, 4881 infants met the eligibility criteria (n = 9762 hip joints). Hypothesis testing was performed with χ² test and logistic regression.Results: The incidence of DDH was 4.57%. We have proven risk factors of DDH: female gender (OR=7.11), breech position (OR=3.65), Caesarean section (OR=1.43), positive family history in parent (OR=1.92) or sibling (OR=3.84). Preterm delivery decreased the risk (OR=0.17). Logistic regression was used to construct the interactive risk calculator.Conclusion: The DDH risk calculator was built but needs external validation in prospective study before being used in a clinical setting. We confirmed well-known DDH risk factors in the studied population. Our results support the recent hypothesis that preterm infants (37 < week) have lower rate of DDH.Level of Evidence:Retrospective cohort study: Level III

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“…1. Countries with clinical screening without sonography (such as Ireland, New Zealand, Northern Ireland, UK) report open reduction rates of between 0.78 and 1.30 per 1,000 live births [44][45][46][47] and represent the baseline for comparison and possible improvements. 2.…”

Section: Historical Backgroundmentioning

confidence: 99%

Developmental dysplasia of the hip: Impact of sonographic newborn hip screening on the outcome of early treated decentered hip joints—a single center retrospective comparative cohort study based on Graf's method of hip ultrasonography

Tschauner¹,

Fürntrath²,

Saba

et al. 2011

Journal of Children's Orthopaedics

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Compared to the era before the institution of a sonographic hip screening programme according to the Graf-method in Austria in 1992, ultrasound screening based-treatment of decentered hip joints has become safer, shorter and simpler: "safer" means lower rate of AVN, "shorter" means less treatment time due to earlier onset and "simpler" means that the devices are now less invasive and highly standardized.

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Screening for developmental dysplasia of the hip: current practices in Ireland

Abstract: The most effective interventions, selective ultrasound and examination by an experienced clinician are not widely practiced. There is a need for the development of national guidelines based on available resources.

Cited by 8 publications

References 13 publications

Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool

Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool

Impact of Multiple Factors on the Incidence of Developmental Dysplasia of the Hip

Developmental dysplasia of the hip: Impact of sonographic newborn hip screening on the outcome of early treated decentered hip joints—a single center retrospective comparative cohort study based on Graf's method of hip ultrasonography

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