Ultrasonographic Screening and the Determination of Risk Factors involved in Developmental Dysplasia of the Hip

Abstract

Aim:Developmental dysplasia of the hip is an orthopedic problem which is a spectrum of disorders from the instability of the hip joint to total dislocation. Developmental dysplasia of the hip is frequently seen and has good prognosis when diagnosed and treated early. The aim of our study is to examine the risk factors leading to developmental dysplasia of the hip and to assess the value of hip ultrasonography.Materials and Methods:In our research, 9.102 imagings of hip ultrasonography from 4.551 infants were analyzed retrospectively. One hundred and fifty-one infants who were diagnosed with developmental dysplasia of the hip and 170 healthy infants as a control group were compared in terms of birth order, being the firstborn, type of delivery, gestational age, birth weight, oligohydramnios, multiple pregnancy, breech presentation, swaddling, family history and existence of foot anomalies.Results:Prematurity, oligohydramnios and a positive family history were observed to be significant risk factors for developmental dysplasia of the hip.Conclusion:It is possible to prevent the complications and necessity of surgical treatment with early diagnosis. Therefore, we propose screening for developmental dysplasia of the hip for all infants.

Keywords

• developmental dysplasia of the hip
• hip dislocation
• hip dysplasia
• hip instability
• hip ultrasonography