Impact of Multiple Factors on the Incidence of Developmental Dysplasia of the Hip: Risk Assessment Tool

Background and Objectives: Developmental dysplasia of the hip (DDH) is one of the most common musculoskeletal conditions in children. If not treated, it leads to disability, gait abnormalities, limb shortening, and chronic pain. Our study aims to determine the impact of multiple risk factors on the...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2022-08, Vol.58 (9), p.1158
Main Authors: Pulik, Łukasz, Płoszka, Katarzyna, Romaniuk, Krzysztof, Sibilska, Aleksandra, Jedynak, Andrzej, Tołwiński, Ignacy, Kumięga, Paulina, Wojtyński, Paweł, Łęgosz, Paweł
Format: Article
Language:English
Subjects:
Bias
Bone surgery
Child
DDH
Developmental Dysplasia of the Hip
Ethnicity
Female
Hip Dislocation, Congenital - diagnostic imaging
Hip Dislocation, Congenital - epidemiology
hip ultrasound
Humans
Incidence
Infant
Infant, Newborn
Infant, Premature
Orthopedics
Outpatient care facilities
Pathogenesis
Pediatric research
Population
Pregnancy
prevalence
Retrospective Studies
Risk Assessment
risk calculator
Risk Factors
screening
Ultrasonic imaging
Ultrasonography
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Summary:Background and Objectives: Developmental dysplasia of the hip (DDH) is one of the most common musculoskeletal conditions in children. If not treated, it leads to disability, gait abnormalities, limb shortening, and chronic pain. Our study aims to determine the impact of multiple risk factors on the incidence of DDH and to develop an interactive risk assessment tool. Materials and Methods: We conducted a retrospective cohort study in the Outpatient Clinic for Children of the Medical University of Warsaw Hospital. The Graf classification system was used for universal ultrasonographic screening. In total, 3102 infants met the eligibility criteria. Results: The incidence of DDH in the study group was 4.45%. The incidence of DDH in the Warsaw population, Poland, during the study period was 3.73 to 5.17 (95% CI). According to the multivariate analysis, the risk factors for DDH were birth weight (OR = 2.17 (1.41−3.32)), week of delivery (OR = 1.18 (1.00−1.37)), female sex (OR = 8.16 (4.86−13.71)), breech presentation (OR = 5.92 (3.37−10.40)), physical signs of DDH (25.28 (8.77−72.83)) and positive family history in siblings (5.74 (2.68−12.31)). Our results support the recent hypothesis that preterm infants (
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina58091158