Current Evidence about Developmental Dysplasia of the Hip in Pregnancy

Simionescu, Anca Angela; Cîrstoiu, Monica Mihaela; Cîrstoiu, Cătălin; Stănescu, Ana Maria Alexandra; Creţu, Bogdan

doi:10.3390/medicina57070655

Cited by 10 publications

(15 citation statements)

References 84 publications

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“…Based on the information presented in Table 2 , it appears that the majority of children diagnosed with DDH had a normal nature of pregnancy. This finding is consistent with the results of other studies, which have also found that the incidence of DDH is not significantly associated with the nature of pregnancy [ 18 ]. The incidence of DDH is not significantly associated with the nature of pregnancy because the development of the hip joint occurs during fetal life and is influenced by factors that are largely independent of the mother’s pregnancy.…”

Section: Discussionsupporting

confidence: 93%

Prevalence of Breech Presentation and Other Gestational/Delivery Characteristics Among Patients Born With Developmental Dysplasia of the Hip

Khabiah,

M. Al Hunaif,

Al Mudawi

et al. 2023

Cureus

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IntroductionDevelopmental dysplasia of the hip (DDH) is the most common congenital disability in newborns. The condition can range from a slight laxity in the hip joint to secondary femoral head injury, early osteoarthritis (OA), and mobility issues. There are several risk factors for DDH, including positive family history, female sex, breech presentation, and the presence of clubfoot. Early detection and treatment are crucial to avoid long-term hip dysplasia and arthritis, which can cause difficulty in walking and discomfort. Breech presentation, in particular, is a significant risk factor for DDH, with spontaneous vaginal birth increasing the risk of hip pathology and instability compared to elective Caesarean section. However, whether breech presentation continues to be a risk factor for DDH in preterm children is unknown. Objective and methodsThis study aimed to investigate the prevalence of breech presentation and other gestational/delivery characteristics among newborns diagnosed with DDH. This retrospective study was conducted at Abha Maternity and Children Hospital, Abha, Saudi Arabia, over a period of six months. Data were collected from medical records of DDH cases diagnosed between 2016 and 2023. Data analysis was performed using Microsoft Excel (Microsoft Corporation, Redmond, Washington, United States) and IBM SPSS Statistics for Windows, Version 22 (Released 2013; IBM Corp., Armonk, New York, United States). Descriptive statistics and statistical tests were used to analyze the data. ResultsMost of the diagnosed children were female (86.7%), and bilateral hip dislocation (40%) was the most common presentation. X-ray was the most common diagnostic tool (48.3%), and operative management was the most common management strategy (73.3%). A positive family history of DDH was reported in more than one-third of cases. The study also analyzed the association between complications during pregnancy and various factors such as mode of delivery, presentation at delivery, gestational age at delivery, and associated maternal diseases. The difference in complication rates between women who delivered via Csection and those who delivered vaginally was insignificant (p = 0.14). Similarly, the difference in complication rates between women with breech and cephalic presentation was not statistically significant (p = 0.094). The difference in complication rates between women who delivered preterm, at term, or postterm was also not statistically significant (p = 0.578). Furthermore, the association between complications during pregnancy and pregnancy-associated maternal diseases was not statistically significant (p = 1.00). ConclusionDDH is a significant health issue in newborns, leading to long-term mobility problems and discomfort. Positive family history of DDH is a significant risk factor. Breech presentation was not significantly associated with DDH in preterm children, and no significant associations were found between complications during pregnancy and various factors. Early detection and treatment of DDH are crucia...

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Section: Discussionsupporting

confidence: 93%

Prevalence of Breech Presentation and Other Gestational/Delivery Characteristics Among Patients Born With Developmental Dysplasia of the Hip

Khabiah,

M. Al Hunaif,

Al Mudawi

et al. 2023

Cureus

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“…The major drawback of Bernese osteotomy is technical difficulty because of a steep learning curve [ 15 ]. Steel osteotomy sometimes produces normal vaginal difficulty, but current literature shows it does not affect much in pregnancy and childbirth [ 16 ]. In our case, the patient was a male child.…”

Section: Discussionmentioning

confidence: 99%

Sequelae of Septic Arthritis of Hip in a Child Presenting with Acetabular Defect and Hip Dislocation: A Rare Case Report and Literature Review on Successful Treatment with Steel Osteotomy

Rana¹,

Nayak²,

Nayak³

et al. 2023

Cureus

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Septic arthritis of the hip in late childhood leads to different sequelae. These cases are often missed and lead to various disabilities like hip subluxation, limb length discrepancy, and limping. The primary goal is always to reproduce a concentrically reduced stable hip. We are presenting a 13-year child with sequelae of septic arthritis of the hip with dislocation. The child had septic arthritis of the hip two years back. The patient had a superolateral acetabular defect and was treated with triple innominate steel osteotomy. The osteotomy increased the acetabular head coverage and gave a stable congruent hip to the child. Late childhood septic arthritis cases can produce acetabular defects without involving the femoral head leading to dislocation. Such cases can be effectively treated with triple innominate pelvic osteotomy, giving good head coverage with stable congruent hips.

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“…Lower back pain is common, reported in 50% to 75% of patients, with 21% of patients reporting lower back pain as severe 15,16 . Sacroiliac joint pain is more common in women with a narrow ischial tuberosity diameter 19 . Pregnancy-related posterior pelvic pain often presents with ipsilateral buttock pain, stabbing in nature, which can refer to the thigh or knee and which is aggravated with axial loading of the femoral head on the posterior acetabulum 15 .…”

Section: The Native Hip In Pregnancymentioning

confidence: 99%

Pregnancy, Hip Pain, and Total Hip Replacement

García

Prosser

Bucher

2023

Journal of Bone and Joint Surgery

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➤ Young women who are 15 to 45 years of age and undergo total hip replacements are at increased risk for revision compared with women >75 years of age.➤ Among women of childbearing age with a total hip replacement, 12% to 17% will later have at least 1 pregnancy.➤ Young women who undergo total hip replacement do not have an increased risk of pregnancy complications.➤ Of the 60% of women who experienced pain with a total hip replacement during pregnancy, 21% had persisting pain, and 4% reported the pain as severe.➤ Women who have a total hip replacement and later experience pregnancy and childbirth have no increased risk of pregnancy complications or increased revision rates; there was no effect of the mode of delivery on revision rates or complications including fracture, dislocation, or loosening, according to the limited studies available.

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Current Evidence about Developmental Dysplasia of the Hip in Pregnancy

Cited by 10 publications

References 84 publications

Prevalence of Breech Presentation and Other Gestational/Delivery Characteristics Among Patients Born With Developmental Dysplasia of the Hip

Prevalence of Breech Presentation and Other Gestational/Delivery Characteristics Among Patients Born With Developmental Dysplasia of the Hip

Sequelae of Septic Arthritis of Hip in a Child Presenting with Acetabular Defect and Hip Dislocation: A Rare Case Report and Literature Review on Successful Treatment with Steel Osteotomy

Pregnancy, Hip Pain, and Total Hip Replacement

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