“…These include Saudis (Shaheen, 1989;Moussa and Alomran, 2007), Japanese, Turkish (Kutlu et al, 1992), S ami, and Native Americans and Indigenous Peoples of Canada (Loder and Skopelja, 2011). Infants born in colder winter months demonstrate poorer acetabular development compared to those born in the warmer months (Andr en and Palm en, 1963;Siffel et al, 2005) as measured by acetabular depth and acetabular angles; this may explain the increase in DDH in children born in the winter or may represent an effect of increased swaddling or tight clothing to protect the baby from the colder weather (Walker, 1977). In cultures where infant transport involves abduction of the legs around the mother (as in Hong Kong) or where swaddling is absent, DDH is virtually unheard of (e.g., Southern Chinese, African Bantu, Thai, North Korean, Sri Lankan; Hoaglund et al, 1981;Roper, 1976).…”