Developmental dysplasia of the hip

Summary In its severest form, developmental dysplasia of the hip is one of the most common congenital malformations. The pathophysiology and natural history of the range of morphological and clinical disorders that constitute developmental dysplasia of the hip are poorly understood. Neonatal screeni...

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Bibliographic Details
Published in:The Lancet (British edition) 2007-05, Vol.369 (9572), p.1541-1552
Main Authors: Dezateux, Carol, Prof, Rosendahl, Karen, Prof
Format: Article
Language:English
Subjects:
Adult
Arthroplasty, Replacement, Hip - statistics & numerical data
Biological and medical sciences
Birth defects
Bone dysplasia
Child development
Children
Children with disabilities
Clinical trials
Congenital defects
Diagnostic tests
Diseases of the osteoarticular system
Disorders
Female
Femur Head Necrosis - diagnostic imaging
Femur Head Necrosis - etiology
General aspects
Health services
Hip
Hip Dislocation, Congenital - diagnosis
Hip Dislocation, Congenital - pathology
Hip Dislocation, Congenital - surgery
Hip joint
Humans
Infant, Newborn
Infants
Internal Medicine
Male
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Morphology
Musculoskeletal diseases
Natural history
Neonates
Newborn babies
Postoperative Complications
Radiography
Randomized Controlled Trials as Topic
Screening
Splints
Ultrasonic imaging
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Summary:Summary In its severest form, developmental dysplasia of the hip is one of the most common congenital malformations. The pathophysiology and natural history of the range of morphological and clinical disorders that constitute developmental dysplasia of the hip are poorly understood. Neonatal screening programmes, based on clinical screening examinations, have been established for more than 40 years but their effectiveness remains controversial. Whereas systematic sonographic imaging of newborn and young infants has afforded insights into normal and abnormal hip development in early life, we do not clearly understand the longer-term outcomes of developmental hip dysplasia, its contribution to premature degenerative hip disorders in adult life, and the benefits and harms of newborn screening. High quality studies of the adult outcomes of developmental hip dysplasia and the childhood origins of early degenerative hip disease are needed, as are randomised trials to assess the effectiveness and safety of neonatal screening and early treatment.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(07)60710-7