Results of a universal ultrasonographic hip screening program at a single institution

Güler, Olcay; Şeker, Ali; Mutlu, Serhat; Çerci, Mehmet Halis; Kömür, Baran; Mahiroğulları, Mahir

doi:10.3944/aott.2016.15.0024

Cited by 12 publications

(24 citation statements)

References 24 publications

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“…According to this definition, we had only 20 (0.2%) children with treatment (surgery or brace). Studies from Turkey have revealed a wide range of 0.5-28.1% depending on screening method, definition and population [11, 12].…”

Section: Discussionmentioning

confidence: 99%

Risk Factor Assessment and a Ten-Year Experience of DDH Screening in a Well-Child Population

Kural

Karapinar

Yılmazbaş

et al. 2019

BioMed Research International

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Aim. Risk based screening for developmental dysplasia of the hip (DDH) with ultrasound is common. However, risk factors vary from one country to the other since data are insufficient to give clear recommendations. We aimed to evaluate the risk factors for developmental dysplasia of the hip (DDH). Methods. In this retrospective case-control study, the health records of all children, who were followed up between 2004 and 2014 at a well-child unit, were investigated for the diagnosis of DDH in Turkey. Of 9758 children, 57 children were found to have abnormal ultrasonographic findings (according to Graf classification) and these constituted the case group. As the control group, healthy 228 children who matched the case children in birth months were selected. Two groups were compared for the risk factors. Results. A total of 19516 hips of 9758 children were examined for DDH. 97 hips of 57 children were found to have abnormal ultrasonographic findings. When the two groups were compared, breech presentation, multiple pregnancy, and torticollis were identified as risk factors. The female sex was also found to have a significantly high prevalence among the children in the case group. Limited hip abduction, positive Ortolani, and Barlow signs were important clinical findings in the case group. Conclusion. According to our findings, breech presentation, female sex, torticollis, and multiple pregnancy were found to be the risk factors of this disorder. Infants with these risk factors should be investigated carefully for DDH.

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Section: Discussionmentioning

confidence: 99%

Risk Factor Assessment and a Ten-Year Experience of DDH Screening in a Well-Child Population

Kural

Karapinar

Yılmazbaş

et al. 2019

BioMed Research International

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“…[16,17] In the literature, it is estimated that the incidence of DDH is between 1.5 and 20/1000 newborns, being 4 to 8 times more frequent in females than males. [18–21]…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal ultrasound: a useful tool for diagnosis of hip developmental dysplasia

Mureșan¹,

Mărginean²,

Voidăzan

et al. 2019

Medicine

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Developmental dysplasia of the hip (DDH) is one of the most common congenital abnormalities of the musculoskeletal apparatus in newborns. The aim of this study was to analyze the contribution of ultrasonography in the detection of DDH in newborns and infants, identifying the regional incidence of this pathology in the central area of Romania, emphasizing the risk factors that underlie DDH etiopathogenicity.This article represents a retrospective study of 847 newborns and infants examined in the Imagistic Department of a medical center from the central area of Romania, between January 1 and December 31, 2016. The ultrasound examinations were performed for the bilateral coxofemoral joints, using the method and technique described by Graf. For subjects born in the same medical center, data regarding mother's age, birth weights, and type of delivery (natural vs. caesarian section) were statistically analyzed.In our study group, the frequency of ultrasound diagnosis obtained from the examinations of right and left hips showed that the most frequent stage was type IA, and the rarest stage was III. The IA stage of right coxofemoral joints (87.3%) was higher than in the left coxofemoral joints (87.2%). The incidence of hip dysplasia (type III) diagnosed with ultrasound examinations in subjects from the central area of Romania was 0.2% (0.1% in both hips and 0.1% for the left coxofemoral joint).The musculoskeletal ultrasound examination is effective in early detection of hip dysplasia. The implementation of national and regional programs that promote indications, risk factors, and the screening age for DDH in both rural and urban areas could be a step forward in the early diagnosis of hip dysplasia for newborns and infants. The low incidence of DDH from our study group is not able to identify the role of advanced age of the mother, high birth weight of the newborn, or caesarean section as risk factors involved in the etiology of hip dysplasia. The implementation of national and regional programs that promote the musculoskeletal ultrasound as a screening imagistic investigation for DDH, in both rural and urban areas, could be a step forward in the early diagnosis of hip dysplasia for newborns and infants.

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“…It represents a broad spectrum of conditions, ranging from congenital dislocation of the hips to occult acetabular dysplasia [1-3]. Left untreated, DDH can lead to long-term morbidities, including chronic pain, gait abnormalities, and degenerative arthritis [1,4]. Conversely, early diagnosis and management of DDH can potentially avert these morbidities [1,4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Neonatal screening for DDH has therefore been widely accepted and practised worldwide [1,4,5]. However, the timing of ultrasound screening as part of the neonatal screening programme for DDH remains an ongoing topic of debate [6-9].…”

Section: Introductionmentioning

confidence: 99%

The earliest timing of ultrasound in screening for developmental dysplasia of the hips

et al. 2019

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Purpose: The current study aimed to evaluate the results of ultrasound screening for developmental dysplasia of the hips (DDH) done at various weeks of life, to determine the earliest time that ultrasound screening can be performed reliably. Methods: In this 17-year cohort study, all neonates who underwent ultrasound screening prior to the 12th week of life with subsequent follow-up radiography done at 1 year of life were included. The ultrasound images were evaluated according to the Graf classification, Harcke's dynamic ultrasound screening method, and Terjesen's femoral head coverage method. The radiographic images were evaluated according to the acetabular index and the femoral head position. The accuracy and correlation between the ultrasound findings from various weeks of life with the radiographic findings at 1 year of life were evaluated. Results: A total of 348 neonates were included in the study, of whom 92 had abnormal ultrasound findings and 42 had abnormal radiographic findings at 1 year. Significant differences were identified between the findings of ultrasound screening examinations performed prior to the fourth week of life (day 21 and before) and the radiographic findings at 1 year of life (P<0.05). In contrast, no significant differences were identified when ultrasound screening was performed between the fourth and 12th weeks of life (day 22 and beyond) (P>0.05). The accuracy of ultrasound screening was 79.2% or higher when performed during or after the fourth week of life (day 22 and beyond). Conclusion: The earliest that ultrasound screening for DDH can be performed reliably is during the fourth week of life (day 22 and beyond).

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Results of a universal ultrasonographic hip screening program at a single institution

Abstract: DDH is still common among newborns in Turkey. Hip US is recommended for detection and follow-up of DDH in newborns.

Cited by 12 publications

References 24 publications

Risk Factor Assessment and a Ten-Year Experience of DDH Screening in a Well-Child Population

Risk Factor Assessment and a Ten-Year Experience of DDH Screening in a Well-Child Population

Musculoskeletal ultrasound: a useful tool for diagnosis of hip developmental dysplasia

The earliest timing of ultrasound in screening for developmental dysplasia of the hips

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