Screening of Newborns and Infants for Developmental Dysplasia of the Hip: A Systematic Review

Pandey, Ritesh Arvind; Johari, Ashok

doi:10.1007/s43465-021-00409-2

Cited by 14 publications

(9 citation statements)

References 55 publications

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“…[ 11 ] Additionally, accessibility to trained radiologists is still a problem for most health institutions in low-income countries. [ 13 , 14 ] Therefore, pelvic radiographs might be used to screen for the hip developmental dysplasia in selected cases.…”

Section: Introductionmentioning

confidence: 99%

Acetabular index and acetabular depth ratio in newborns and infants aged 6 months or less with the healthy development of hips: A retrospective cross-sectional study

Sarı¹,

Karakuş

Gültekin³

et al. 2023

Medicine

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Radiographic assessment of the hip may render critical in the diagnosis of developmental dysplasia of the hip (DDH) in newborns and infants aged ≤6 months. There is no complete dataset on the acetabular index (AI) and acetabular depth ratio (ADR) values in this age group. The objective of this study was to assess the AI and ADR values in newborns and infants aged ≤6 months with healthy development. A retrospective analysis was performed on pelvic radiographs of newborns and infants (≤6 months) between August 2020 and September 2021. There were 3000 children with pelvic radiographic imaging. Normal sonographic findings and radiographs without any structural deformity of the hip were inclusion criteria. A total of 1132 newborns and infants (2264 hips) were analyzed. Measurements of AI and ADR (ischium and pubic bone as landmarks for acetabular depth ratio A [ADR-A] and acetabular depth ratio B [ADR-B]) were performed. Correlation and intraclass correlation coefficient (ICC) values were calculated. Left-sided AI values were significantly higher than the right-sided AI values, except in infants aged 4 to ≤5 months ( P < .05). ADR-B values differed significantly between male and female newborns and infants both in terms of the side of the hip measured and age ( P < .05). AI values were fairly correlated with age (r = −0.286 for left and r = −0.254 for right) in the negative direction and with ADR-A (r = 0.449 and r = 0.469 for left and right) and ADR-B (r = 0.545 and r = 0.592 for left and right) in the positive direction. Inter-observer ICC was 0.845 to 0.989 (excellent) for AI, 0.534 and 0.904 (moderate to excellent) for ADR-A, and −0.014 and 0.774 (slightly good to good) for ADR-B. Intra-observer ICC was 0.811 to 0.996 (excellent) for AI, 0.575 to 0.98 (moderate to excellent) for ADR-A, and 0.023 to 0.954 (slightly good to excellent) for ADR-B. This study features the first complete data set of AI and ADR measurements, which are essential for pelvic radiographic imaging of hip dysplasia, in newborns and infants aged ≤6 months.

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Section: Introductionmentioning

confidence: 99%

Acetabular index and acetabular depth ratio in newborns and infants aged 6 months or less with the healthy development of hips: A retrospective cross-sectional study

Sarı¹,

Karakuş

Gültekin³

et al. 2023

Medicine

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“…The earlier DDH is detected, the simpler and more effective treatment is implicated ( 3 ). As a general role, closed reduction and immobilization is the selected treatment for DDH detected below the age of 18 months.…”

Section: Introductionmentioning

confidence: 99%

Geographical Distribution of Developmental Dysplasia of the Hip: A Brief Epidemiological Study of Iran

Ghaznavi¹,

Mohammadpour²,

Noori³

et al. 2023

MJIRI

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Background:Local epidemiological data are necessary to identify the disease hot spots and running screening programs. In this study, we evaluated the demographic characteristics of developmental dysplasia of the hip (DDH) in a tertiary referral hospital in Iran.Methods: In a retrospective study, the medical profiles of 137 DDH children, who were referred to our university hospital between 2014 and 2020, were reviewed for characteristics such as gender, place of birth, age at the diagnosis, gestational age (term or preterm), twin or single birth, mother's age, pregnancy number, breech presentation, associated deformity, family history of DDH, et cetera. Results:The study population included 24 (17.5%) boys and 113 (82.5%) girls with a mean age of 2.3 ± 2 years. In the majority of cases (54.2%), it was the firstborn. Twin delivery was seen in only 5 (4.1%) cases. The associated deformity was noticed in 17 (12.4%) patients. Clubfoot was the most commonly associated deformity that was seen in 6 of 17 (35.3%) patients. A family history of DDH was recorded in 12 (8.8%) patients. The breech presentation was recorded in 19 (13.9%) patients. The mean age of the mother at the delivery was 27.2 ± 6.1 years. Tehran, Lorestan, Kurdistan, and Khuzestan provinces had the most referrals.Conclusion: DDH is associated with the female sex, positive family history, breech presentation at delivery, clubfoot deformity, and geographic district. These associations could be used for identifying the disease hot spots and running screening programs for earlier detection and better management of DDH.

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“…Based on these discoveries, surgeons should use US as the first line of imaging to assist a reduction procedure in order to treat DDH. For surgeons who do not have direct access to US, a standard hip radiograph might be useful as an alternative confirmatory test, and US could be performed in an equivocal case [1,8].…”

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confidence: 99%

CORR Insights®: Is Hip Medial Ultrasound More Accurate Than Radiography for Determining the Status of Hip Reduction in Children Treated With a Spica Cast? A Retrospective Diagnostic Accuracy Study

Limpaphayom

2022

Clin Orthop Relat Res

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Screening of Newborns and Infants for Developmental Dysplasia of the Hip: A Systematic Review

Cited by 14 publications

References 55 publications

Acetabular index and acetabular depth ratio in newborns and infants aged 6 months or less with the healthy development of hips: A retrospective cross-sectional study

Acetabular index and acetabular depth ratio in newborns and infants aged 6 months or less with the healthy development of hips: A retrospective cross-sectional study

Geographical Distribution of Developmental Dysplasia of the Hip: A Brief Epidemiological Study of Iran

CORR Insights®: Is Hip Medial Ultrasound More Accurate Than Radiography for Determining the Status of Hip Reduction in Children Treated With a Spica Cast? A Retrospective Diagnostic Accuracy Study

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