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Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2025, Number 1-3

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Rev Mex Ortop Ped 2025; 27 (1-3)

Association of risk factors for developmental dysplasia of the hip in a secondary care hospital

Miguel-Sardaneta ML, Rojas-Camacho F, Urbina-Mones K, Dominguez-Arellano G, Niño-Barrios D

Language: Spanish
References: 26
Page: 11-15
PDF size: 307.54 Kb.


ABSTRACT

Introduction: developmental dysplasia of the hip (DDH) encompasses abnormalities in the hip joint. The American Academy of Orthopedic Surgery recommends hip screening before four months of age due to major risk factors. Objective: to associate risk factors with the development of DDH. Material and methods: observational, analytical, retrospective, case-control, homodemic study, from August to December 2022. Newborns with two or more risk factors for DDH were included. They were classified into newborns with DDH confirmed by the Graf method (group 1) and newborns without DDH (group 2). Results: the sample consisted of 86 newborns who met inclusion criteria, 41 with DDH and 45 without DDH. The mean age was 1.6 ± 0.49 months. The mean alpha angle of our cases and controls was 55.1° versus 65.4° (p < 0.001), and the beta angle was 57.24° versus 30.98°, respectively. Breech presentation was the only risk factor with significant evidence (odds ratio > 1, p < 0.001, 95% CI 3.59-39.26). Conclusions: the risk factor with the greatest impact on the development of DDH was breech presentation; therefore, it is important to improve the detection, referral, and timely treatment of this population.


REFERENCES

  1. AIUM-ACR-SPR-SRU practice parameter for the performance of an ultrasound examination for detection and assessment of developmental dysplasia of the hip. J Ultrasound Med. 2018; 37(11): E1-E5. doi: 10.1002/jum.14829.

  2. Raimann R, Aguirre D. Displasia del desarrollo de la cadera: tamizaje y Manejo en el lactante. Rev Med Clic Las Condes. 2021; 32(3): 263-270. doi: 10.1016/j.rmclc.2021.04.003

  3. Den H, Ito J, Kokaze A. Epidemiology of developmental dysplasia of the hip: analysis of Japanese National Database. J Epidemiol. 2023; 33(4): 186-192. doi: https://doi.org/10.2188/jea.je20210074.

  4. Secretaría de Salud de México. Artículo 61 de la Ley General de Salud. Iniciativa que reforma y adiciona el artículo 61 de la ley general de salud, a cargo del diputado Luis Enrique Martínez Ventura, del grupo parlamentario del pt. Ciudad de México; 2018. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/ref/lgs.htm.

  5. Claro JC, Mora FG, Mejía C, García-Ramírez VF, Hernández-Laredo O. Epidemiología de la displasia del desarrollo de la cadera. Rev Esp Med Quir. 2017; 22(1): 22-27.

  6. Zamborsky R, Kokavec M, Harsanyi S, Attia D, Danisovic L. Developmental dysplasia of hip: perspectives in genetic screening. Med Sci (Basel). 2019; 7(4): 59. doi: 10.3390/medsci7040059.

  7. Schaeffer EK, Study Group I, Mulpuri K. Developmental dysplasia of the hip: addressing evidence gaps with a multicentre prospective international study. Med J Aust. 2018; 208(8): 359-364. doi: 10.5694/mja18.00154.

  8. Bakarman K, Alsiddiky AM, Zamzam M, Alzain KO, Alhuzaimi FS, et al. Developmental Dysplasia of the Hip (DDH): Etiology, Diagnosis, and Management. Cureus. 2023; 15(8): 43207. https://doi.org/10.7759/cureus.43207

  9. Ionescu A, Dragomirescu MC, Herdea A, Ulici A. Developmental dysplasia of the hip: how many risk factors are needed? Children. 2023; 10(6): 968. doi: 10.3390/children10060968.

  10. Brenes M, Flores CA, Meza MA. Actualización en displasia del desarrollo de la cadera. Rev Med Sinerg. 2020; 5(9): e574.

  11. Diagnóstico y tratamiento oportuno de displasia de la cadera desarrollo de la cadera desarrollo de la cadera. México: Instituto Mexicano del Seguro Social, 2013. Disponible en: http://www.imss.gob.mx/profesionales/guiasclinicas/Pages/guias.aspx

  12. Jiménez JC, Cadena PA, Sigüencia JE, Curicho DA. Displasia del desarrollo de caderas. Recimundo. 2022; 6(4): 316-26. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8648135

  13. Ghaseminejad-Raeini A, Shahbazi P, Roozbahani G, et al. Preterm birth does not increase the risk of developmental dysplasia of the Hip: a systematic review and meta-analysis. BMC Pediatr. 2023; 23(1): 268. doi: 10.1186/s12887-023-04083-1.

  14. Chen YP, Fan TY, Chu CC, Lin JJ, Ji CY, et al. Automatic and human level Graf's type identification for detecting developmental dysplasia of the hip. Biomed J. 2024; 47(2). https://doi.org/10.1016/j.bj.2023.100614

  15. Poacher AT, Hathaway I, Crook DL, Froud JLJ, Scourfield L, James C et al. The impact of the introduction of selective screening in the UK on the epidemiology, presentation, and treatment outcomes of developmental dysplasia of the hip. Bone Jt Open. 2023; 4(8): 635-642.

  16. Hsu KH, Chang WC, Feng CK, et al. Implementing the AAOS guidelines for screening of developmental dysplasia of the hip before the age of six months in Taiwan. J Pediatr Orthop. 2023; 43(6): e416-e420. doi: 10.1097/BPO.0000000000002414.

  17. Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet. 2007; 369(9572): 1541-1552. doi: 10.1016/S0140-6736(07)60710-7.

  18. Duarte ML, Motta GGB, Rodrigues NVM, Chiovatto ARS, Chiovatto ED, Iared W. Ultrasound techniques for the detection of developmental dysplasia of the hip: a systematic review and meta-analysis. Sao Paulo Med J. 2022; 141(2): 154-167. doi: 10.1590/1516-3180.2021.0852.13062022.

  19. Yu RX, Gunaseelan L, Malik AS, Arulchelvan A, Yue E, Siddiqua A et al. Utility of clinical and ultrasonographic hip screening in neonates for developmental dysplasia of the hip. Cureus. 2021; 13(10): e18516. doi: 10.7759/cureus.18516.

  20. Ferreira MB, Batista JB. Orthopedic and ultrasound assessment of hip stability of newborns referred by pediatricians with suspected developmental dysplasia. Rev Col Bras Cir. 2019; 46(6). Doi: https://doi.org/10.1590/0100-6991e-20192284

  21. Elshikh HE, Shallan AM, Kadhim RM. Role of ultrasound in detecting developmental hip dysplasia in neonates at risk. Rev Journal Med Benha. 2023; 40: 192-205. doi: 10.21608/bmfj.2023.172157.1701.

  22. Chen X., Liu J., Xue M., Zou C., Lu J., Wang X & Teng Y. Risk factors of developmental dysplasia of the hip in infants: A meta-analysis based on cohort studies. Orthopaedics & Traumatology: Surgery & Research. 2024; 110 (4). DOI: https://doi.org/10.1016/j.otsr.2024.103836

  23. Sarmiento NS, González EC, Vázquez JL, Concheiro AG, Couceiro EN & Fernández JR. Riesgo de displasia del desarrollo de la cadera en pacientes sometidos a versión cefálica externa. An Pediatr. 2018; 88(3): 136-139. DOI: 10.1016/j.anpedi.2017.03.017

  24. Lankinen V, Helminen M, Bakti K, Välipakka J, Laivuori H & Hyvärinen A. Known risk factors of the developmental dysplasia of the hip predicting more severe clinical presentation and failure of Pavlik harness treatment. BMC Pediatr. 2023; 148. Disponible en: https://doi.org/10.1186/s12887-023-03935-0

  25. Fludder CJ, Keil BG, Neave MJ. Case report: morphological changes evident after manual therapy in two cases of late-diagnosed developmental dysplasia of the hip. Front Pediatr. 2023; 10: 1045812. doi: 10.3389/fped.2022.1045812.

  26. Nandhagopal T, Tiwari V, De Cicco FL. Displasia del desarrollo de la cadera. Stat Pearls. Isla del Tesoro (FL); 2024. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK563157/



EVIDENCE LEVEL

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