Developmental Dysplasia of the Hip: Do the Responsible for Screening Know What to Do?

Souza, Bruno Gonçalves Schröder e; Melo, Tiago Evangelista de; Resende, Thiago Mattos; Silva, Rafaela Clara Resende da; Cruz, Soraya Amanda; Oliveira, Valdeci Manoel de

doi:10.1590/1413-785220162406165319

Cited by 11 publications

(14 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Healthcare providers play an important role in educating members of society; therefore, enhancing and upgrading their knowledge and awareness will be directly beneficial to improve the awareness among expecting mothers. Melo TE et al [ 25 ] also assessed the professionals involved in diagnosing DDH on their knowledge about the condition and found that 50% of these professionals had not examined any DDH case in the last year. As for self-assessed knowledge measured on a scale of 0–10, the average score was 4.25.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perception and Awareness about Developmental Dysplasia of the Hip in Children among Pregnant Ladies in the Aseer Region, Southwestern Saudi Arabia

et al. 2021

View full text Add to dashboard Cite

Background: Developmental dysplasia of the hip (DDH) is classified as a group of malformations, varying from abnormal acetabulum (dysplasia) and mild subluxation of the femoral head to fixed displacement (congenital dislocation). This study aimed to assess the knowledge level and its determinants regarding DDH in children among pregnant females in the Aseer region of southwestern Saudi Arabia. Methods: A descriptive cross-sectional study was conducted targeting all pregnant females in the Aseer region between 1 February 2021 and 1 May 2021. A pre-structured online questionnaire was constructed by the researchers to obtain the participating females’ bio-demographic data (including age, education status, and obstetric history) and awareness regarding DDH. The last section asked for their source of information regarding DDH. Results: A total of 253 pregnant females (aged between 18 and 45 years; mean age = 30.5 ± 10.2 years) fulfilling the inclusion criteria completed the study questionnaire. About 5% of the females reported having a child with DDH, and 166 (65.6%) pregnant females knew about DDH. Additionally, 110 (43.5%) females reported that they know about how DDH is treated, and 99 (39.1%) knew about DDH complications. The most commonly reported source of information was relatives and friends (44.3%), followed by social media (11.9%) and study and work (7.1%). Conclusions: Pregnant females in the Aseer region have poor knowledge and awareness about DDH and its causes, treatment modalities, and complications. Higher knowledge was associated with either high parity or having a child with DDH.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Nearly 74% of the participants did not know that the time of birth is the ideal moment for diagnosis; only 17% reported the ideal time as after the first month. Regarding neglected severe DDH, 45.3% of the participants failed to recognize its natural history [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Perception and Awareness about Developmental Dysplasia of the Hip in Children among Pregnant Ladies in the Aseer Region, Southwestern Saudi Arabia

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Physical examination generally has poor sensitivity and specificity, especially when it is conducted by poorly trained physicians. 2,[5][6][7] The diagnosis of early DDH using plain films taken at the age of 5 months is done by inspecting classic lines and angles that are helpful in evaluating the immature hip. Among these landmarks, an angle formed between a horizontal line that connects both triradiate cartilages (Hilgenreiner's line) and a second line parallel to the acetabular roof is measured.…”

Section: Introductionmentioning

confidence: 99%

“…Physical examination generally has poor sensitivity and specificity, especially when it is conducted by poorly trained physicians. 2 , 5–7 …”

Section: Introductionmentioning

confidence: 99%

<p>Inter-Gender Pelvic Shape Variations as a Cause of DDH Overdiagnosis</p>

Abdalla¹,

Abdelrahman²,

Aleshawi³

et al. 2020

TCRM

View full text Add to dashboard Cite

Objective Developmental dysplasia of the hip (DDH) is an abnormal relationship between the acetabulum and the head of the femur. Plain x-ray of both hips at the age of 3 months is still in use in some countries. On plain films, classic lines and angles are evaluated to meet current guidelines for positive DDH. Among these is the acetabular angle (AA), which most did not exceed 30° in normal pelvis regardless of gender. A flat promontory gives the impression of a high AA angle, whereas a sharp promontory gives the impression of a low AA angle. Materials and Methods All anteroposterior (AP) pelvic digital x-ray studies performed to rule out DDH were collected from the PACS systems. A novel angle was measured between a line parallel to the lateral aspect of the region of the inferior iliac spines and a line that extends along the acetabular roof to quantify the roundness of the iliac promontory. We called the former line the Miral line and the formed angle the iliac promontory angle. Results We show that the promontory shape is significantly different between genders, and therefore it is mistaken to generalize an upper AA limit for males and females. In addition, we show that the current guideline of the upper limit of AA did not predict the incidence of DDH. Conclusion We suggest that the current practice is introducing a high rate of false positive, especially among females, and the current guidelines on AA should be reviewed and assigned separately for males and females. This is more important for countries that did not utilize the ultrasonographic assessment for DDH.

show abstract

“…Rev Col Bras Cir 46(6):e20192284Also, these same professionals should be aware that hip dysplasia manifests differently according to age. In fact, Ortolani's sign, researched in the first 48 hours of life to be more sensitive, disappears around two months, to be replaced by limitation of hip abduction (Hart's sign), gluteal fold asymmetry (Peter-Bade's sign) and shortening (Galeazzi's sign).However, in severe cases of teratogenic dislocation, these signs are already present in the newborn.When ambulation is initiated, gluteus insufficiency (Trendelenburg) gait may arise.In Brazil, Souza et al18 concluded that knowledge of DDH among health professionals who perform screening in the newborn is poor, as 81.1% of them (students, residents, pediatricians and orthopedists) have never made a diagnosis of DDH. In this sense, the use of mannequins can be very useful for training students and health personnel, since the condition is uncommon and even orthopedists may have no experience with any case.…”

mentioning

confidence: 99%

Avaliação ortopédica e ultrassonográfica da estabilidade dos quadris de recém-nascidos encaminhados por pediatras, com suspeita de Displasia Típica do Desenvolvimento.

Cruz

Volpon

2019

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO Objetivo: avaliar recém-nascidos com suspeita de instabilidade do quadril, encaminhados por pediatras a um serviço ortopédico terciário. Métodos: recém-nascidos de uma maternidade pública universitária, com suspeita de instabilidade ou fatores de risco para displasia do quadril, eram encaminhados ao Departamento de Ortopedia e Anestesiologia, Ribeirão Preto/SP, onde eram avaliados clinicamente e através de exames ultrassonográficos dos quadris. Constatada a displasia, iniciava-se o tratamento, e em casos em que havia apenas imaturidade do quadril e exame clínico normal, procedia-se à observação e re-exame clinico e ultrassonográfico com dois ou três meses de vida. Resultados: foram examinados 448 recém-nascidos, com predominância feminina e média de idade na primeira avaliação de 27 dias. A principal causa do encaminhamento foi apresentação pélvica. Em 8% havia sinal de Ortolani positivo e em 12,5% estalido no quadril. No exame ortopédico, 405 (90,5%) pacientes eram normais, 8,5% apresentavam estalido no quadril e 1,1% apresentavam teste de Ortolani positivo. À ultrassonografia, 368 (89,5%) apresentavam imaturidade, 26 (6,3%) tinham displasia moderada e em 17 (4,1%) pacientes os quadris eram francamente displásicos. Todos os casos com sinal de Ortolani positivo apresentavam quadro ultrassonográfico de displasia. Conclusão: houve excesso de diagnóstico de instabilidade do quadril na avaliação do pediatra, o que, no entanto, permitiu ao paciente uma segunda avaliação, em ambiente mais especializado e com mais recursos tecnológicos.

show abstract

Developmental Dysplasia of the Hip: Do the Responsible for Screening Know What to Do?

Cited by 11 publications

References 15 publications

Perception and Awareness about Developmental Dysplasia of the Hip in Children among Pregnant Ladies in the Aseer Region, Southwestern Saudi Arabia

Perception and Awareness about Developmental Dysplasia of the Hip in Children among Pregnant Ladies in the Aseer Region, Southwestern Saudi Arabia

<p>Inter-Gender Pelvic Shape Variations as a Cause of DDH Overdiagnosis</p>

Avaliação ortopédica e ultrassonográfica da estabilidade dos quadris de recém-nascidos encaminhados por pediatras, com suspeita de Displasia Típica do Desenvolvimento.

Contact Info

Product

Resources

About