What Is the Optimal Strategy To Screen for Hip Dysplasia?

Schwend, Richard M.

doi:10.1542/gr.22-4-37

AAP Grand Rounds

2009

DOI: 10.1542/gr.22-4-37

|View full text |Cite

What Is the Optimal Strategy To Screen for Hip Dysplasia?

Richard M. Schwend¹

Abstract: AAP CME Activities is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest.All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners tha… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2016

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Incidence of Hip Dysplasia Associated With Bladder Exstrophy

Mundy

Kushare²,

Jayanthi³

et al. 2016

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: Exstrophy of the bladder is a rare congenital defect seen in 2.15 children out of every 100,000 live births, with the most severe variant, cloacal exstrophy (CE), only occurring in 1 in 200,000. Developmental dysplasia of the hip (DDH) describes a spectrum of disease ranging from mild hip instability to frank dislocation. Underlying malformations, such as myelomeningocele and arthrogryposis, are often associated with the most severe variant of hip dysplasia, teratologic hip dislocation. The varying degrees of severity in DDH have been encountered in classic bladder exstrophy (CBE) patients, but the exact incidence is unknown. We sought to determine the incidence of DDH in CBE and CE patients. Methods: We performed a retrospective review of all children with CBE or CE presenting to a single pediatric center between 1994 and 2014. Each chart was reviewed for correct diagnosis of CBE or CE, patient age and demographics, associated medical conditions, pertinent surgeries performed, and the age at operation. Patient imaging was reviewed to determine whether bilateral hip imaging was available. Results: In a 20-year retrospective review, we identified 66 patients who were diagnosed with either CBE or CE and had available hip imaging (38 males and 28 females). Of these, 11 patients were found to have radiographic evidence of DDH, for an incidence of 16.7% (11/66). Five of these patients had CE, whereas 6 presented with CBE. The first radiographic evidence of DDH was noted at a mean age of 5.75 years (range, birth to 22 y). Conclusions: We advocate the use of routine hip screening ultrasound in all infants born with either CBE or CE. Early identification of DDH in these patients may allow additional treatment options to coincide with frequently used osteotomy and orthopaedic interventions. Level of Evidence: Level III—retrospective study.

show abstract

Incidence of Hip Dysplasia Associated With Bladder Exstrophy

Mundy

Kushare²,

Jayanthi³

et al. 2016

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

What Is the Optimal Strategy To Screen for Hip Dysplasia?

Cited by 1 publication

References 6 publications

Incidence of Hip Dysplasia Associated With Bladder Exstrophy

Incidence of Hip Dysplasia Associated With Bladder Exstrophy

Contact Info

Product

Resources

About