Hip Ultrasonography in the Diagnosis of Developmental Dysplasia of the Hip: Bakırköy Experience
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Original Article
VOLUME: 52 ISSUE: 4
P: 262 - 267
December 2014

Hip Ultrasonography in the Diagnosis of Developmental Dysplasia of the Hip: Bakırköy Experience

Med Bull Haseki 2014;52(4):262-267
1. Bakırköy Dr Sadi Konuk Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye
2. Trabzon Kanuni Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Trabzon, Türkiye
3. Özel Medicana Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye
No information available.
No information available
Received Date: 17.03.2014
Accepted Date: 26.05.2014
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ABSTRACT

Aim:

The purpose of the study was to determine the prevalence, incidence, and etiology as well as the risk factors for developmental dysplasia of the hip in newborns in whom we performed ultrasonography for screening using Graff’s method in our clinic.

Methods:

We retrospectively evaluated 2632 hip ultrasonography records of 1316 babies performed between 2008 and 2013. We analyzed the questionnaires of the Turkish Pediatric Orthopaedic Society which were filled by the physician during examination. The babies were divided into two groups according to ultrasonographic hip angles as pathological and normal.

Results:

The study is made on 1316 babies [680 girls (51.6%), 636 boys (48.4%)]. The risk for developmental dysplasia of the hip was higher in girls, babies with a family history, babies with metatarsus adductus and those have been swaddled before. The mean gestational age and gestational weight was statistically significantly lower in the pathological group (p=0.0011).

Conclusion:

In our cross-sectional study, the incidence of developmental dysplasia of the hip was 0.5%. Female gender, positive family history of developmental dysplasia of the hip,metatarsus adductus and swaddling are still risk factors. Researching risk factors carefully, patient education and adding hip ultrasonograpy to newborn routine screening program are important measures in preventing developmental dysplasia of the hip.

Keywords:
Developmental hip dysplasia, newborn, ultrasonography