Developmental Hip Dysplasia Screening in Child Health Follow-up and Risk Factors Assessment Review Çocuk Sağlığı Takibinde Gelişimsel Kalça Displazisi Taraması ve Risk Faktörleri Değerlendirmesi
Medical Journal of Bakirkoy, cilt.20, sa.1, ss.55-61, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 20 Sayı: 1
- Basım Tarihi: 2024
- Doi Numarası: 10.4274/bmj.galenos.2023.2023.5-5
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sayfa Sayıları: ss.55-61
- Anahtar Kelimeler: Developmental dysplasia of the hip, screening, risk factors
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Developmental dysplasia of the hip (DDH) is the most common skeletal dysplasia. For early diagnosis, screening is recommended. The aim of our study was to determine the incidence of DDH and type IIa hips among infants, evaluate the risk factors for DDH, and review the studies on the same topic that were conducted in Türkiye. Methods: For this retrospective descriptive study, the records of all infants who were followed up between December 2014 and May 2015 by a “Child Health Follow-up Outpatient Clinic” were investigated for DDH. A total of 300 infants constituted the study group. Risk factors for DDH, including gender, being first born, birth weight and height, maternal age, mode of delivery, multiple births, skeletal deformity, oligohydramnios, breech presentation, swaddling, positive family history, and examination findings related to DDH were extracted from the files. Missing information was gathered by phone from parents. Results: The incidence of DDH was 0.3%. The rate of immature hip was 16.7%. Immature hip and positive family history, swaddling, and left hip involvement had a statistically significant relationship. In the follow-up, only one case developed hip dysplasia, and 98% of cases with immature hips returned to normal at the end of the third month. Conclusion: Immature hips may resolve without requiring intervention. Infants who are swaddled and have a positive family history of DDH should be carefully monitored. Left side involvement of immature hips is an important risk factor for DDH.