Update on the management of infant and toddler developmental dysplasia of the hip

Loh, Brian; Woollett, Emily

doi:10.31128/ajgp-07-20-5543

Cited by 4 publications

(4 citation statements)

References 34 publications

(58 reference statements)

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“…If there is an anatomical abnormality in the proximal femoral, femoral osteotomy should be considered to achieve the reduction. Additionally, in late-presenting children, due to the unpredictable remodeling potential of the acetabulums, acetabular osteotomy can be done [5]. A systematic review conducted in Saudi Arabia shows a prevalence of DDH of about 10.46 per 1000 in the Saudi population, with the majority of cases presenting after 12 months [6].…”

Section: Barlow Maneuvermentioning

confidence: 99%

“…Based on the analyzed data, participants were asked about the influencing factors of DDH, and in response to the first question regarding the presence of a child with DDH, the majority (1,206, 97.9% participants) answered no, while 26 (2.1%) reported that their children had been affected. When asked about the timing of the diagnosis, the majority were diagnosed at birth up to six months, accounting for 1.4% ( 17), followed by six months to a year, with a rate of 0.4% (5). Additionally, an equal percentage of participants, 0.2% (2), reported being diagnosed within one or two years.…”

Section: Baseline Sociodemographic Characteristics and Personal Risk ...mentioning

confidence: 99%

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Community Awareness About Developmental Dysplasia of the Hip (DDH) in the Western and Southern Regions of Saudi Arabia

Knired,

Zogel,

Darraj

et al. 2024

Cureus

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Background: Developmental dysplasia of the hip (DDH) is a disorder in which the hip joint does not develop normally in the pediatric age group. It is caused by a confluence of hereditary and environmental factors. We aimed to examine knowledge and awareness of DDH among the general population of the southern and western regions of Saudi Arabia.Methodology: A cross-sectional survey-based study was conducted in the western and southern regions of Saudi Arabia. This study included adult male and female participants above 18 years of age. Data were collected using a validated electronic questionnaire that was disseminated via social media platforms. All data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (IBM Corp., Armonk, NY).Results: In this study, 1,232 participants were surveyed in Saudi Arabia. The majority were between 21 and 30 years old (663, 53.8%), unmarried (690, 56%), and had a baccalaureate or diploma certificate (886, 71.9%). Regarding knowledge of DDH, 86.4% of participants had poor knowledge of the causes of DDH, and 740 (60%) had poor overall knowledge of DDH. However, 492 (40%) participants had good knowledge. Respondents with a higher monthly income, those who were mothers, and those who obtained information from social media had a better awareness level. Concerning treatment, 531 (43.1%) participants were unsure about the best treatment for DDH, and 850 (69%) believed that early treatment was better.Conclusions: According to our literature, DDH is highly prevalent among Saudi populations. However, our findings indicate that the majority of the Saudi population residing in the western and southern regions of Saudi Arabia lacks basic knowledge of DDH. All capable facilities, such as medical schools, hospitals, and primary healthcare centers, must impart cultural education about DDH to address this awareness gap.

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Section: Barlow Maneuvermentioning

confidence: 99%

Section: Baseline Sociodemographic Characteristics and Personal Risk ...mentioning

confidence: 99%

Community Awareness About Developmental Dysplasia of the Hip (DDH) in the Western and Southern Regions of Saudi Arabia

Knired,

Zogel,

Darraj

et al. 2024

Cureus

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“…Early detection is critical as late diagnosed hip dysplasia often results in long term complications and disability. The likelihood of surgical interventions such as closed or open reduction, and femoral or pelvic osteotomies are much higher as are risks for avascular necrosis of the femoral head with early osteoarthritis and associated need for arthroplasty (18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

Case report: Morphological changes evident after manual therapy in two cases of late-diagnosed developmental dysplasia of the hip

2023

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BackgroundLate diagnosed Developmental Dysplasia of the Hip (DDH) is the detection of DDH after 3 months of age and is associated with significantly poorer outcomes than when diagnosed and managed early. Late diagnosed DDH has lower rates of success with bracing, higher rates of surgery and higher rates of complications, including avascular necrosis of the femoral head and early osteoarthritis of the hip. We describe two cases of late-diagnosed DDH which demonstrated changes in femoroacetabular joint morphology on radiographic interpretation after a 6-month trial period of manual therapy.Case PresentationTwo cases (13 and 30 months of age) with late-diagnosed DDH presented to a private chiropractic clinic for conservative, non-bracing management. One case had unilateral DDH and the other bilateral DDH. A trial of manual therapy was utilized over a 6-month period. Both cases demonstrated changes to femoroacetabular morphology as well as improvements in gross motor activity and lower extremity muscle tone.ConclusionManual therapy, as an adjunct or alternative to static bracing, may be of benefit in individuals with late-diagnosed DDH not responding to bracing, and prior to more invasive interventions. Additional cases of manual therapy-based management of this condition are required to inform the design of future trials to investigate this hypothesis.

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“…Conversely, in the United Kingdom, screening programs rely more heavily on targeting high-risk populations [ 12 ]. In contrast, Australia does not recommend routine screening using physical examination, instead focusing on high-risk populations, such as infants with a family history of DDH or those born in the breech position [ 13 , 14 ]. Similarly, in Canada, universal screening is not recommended and screening is targeted towards high-risk populations using a combination of physical examination and imaging modalities [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Maternal Age and Educational Level on Developmental Dysplasia of the Hip Diagnosis and Screening: A Descriptive Comparative Study

Dawod,

Alswerki,

Abuqudiri

et al. 2023

Advances in Orthopedics

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Background. Early and proper screening for developmental dysplasia of the hip (DDH) is very critical to prevent catastrophic complication on the developing hip joint. Many factors (either maternal or child-related) that hinder timely DDH screening have been previously investigated. Methods. A cross-sectional descriptive study design was adopted. 175 babies presented for DDH screening coming with their mothers were investigated. Maternal age, age group, and educational level were recorded. In addition, multiple child-related variables such as age of screening, gender, positive family history, preterm delivery, and mode of delivery were recorded as well. Analysis for association between delayed vs. early screening was made against the maternal and the child-related variables. Results. A total number of 175 children with their mothers were investigated. The mean maternal age was 27.9 years, about one third of the mothers had a graduate level of education (36.3%), while 41.1% had high school education, and 22.3% had middle school education. On the other hand, 40.0% of the investigated babies were first born and two thirds of our sample babies were females (66.9%). Of the included babies, 100 (57.1%) were screened at the appropriate 4-month age, while 75 (42.9%) missed the 4-month screening. Chi-square analysis showed that delayed DDH screening was associated with a lower maternal educational level ( P ≤ 0.001), younger maternal age ( P ≤ 0.001), and first born baby ( P ≤ 0.001). Positive family history was protective against delayed DDH screening ( P = 0.032). Conclusion. The lower maternal educational level, younger maternal age group, and first born babies are risk factors for delayed DDH screening.

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Update on the management of infant and toddler developmental dysplasia of the hip

Abstract: This article is the third in a commissioned series on paediatric orthopaedics.Update on the management of infant and toddler developmental dysplasia of the hip Clinical

Cited by 4 publications

References 34 publications

Community Awareness About Developmental Dysplasia of the Hip (DDH) in the Western and Southern Regions of Saudi Arabia

Community Awareness About Developmental Dysplasia of the Hip (DDH) in the Western and Southern Regions of Saudi Arabia

Case report: Morphological changes evident after manual therapy in two cases of late-diagnosed developmental dysplasia of the hip

The Impact of Maternal Age and Educational Level on Developmental Dysplasia of the Hip Diagnosis and Screening: A Descriptive Comparative Study

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