Correlation of Developmental Dysplasia of Hip in Newborns with Mode of Presentation on Graf Method Ultrasound

Correlation of Developmental Dysplasia of Hip in Newborns

Authors

  • Nasim Marvi Department of Anatomy, Bahria University Health Sciences Campus, Karachi, Pakistan
  • Samia Khalid Khokhar Department of Anatomy, Bahria University Health Sciences Campus, Karachi, Pakistan
  • Omar Alam Jinnah Sindh Medical University, Karachi, Pakistan
  • Aisha Qamar Department of Anatomy, Bahria University Health Sciences Campus, Karachi, Pakistan
  • Yasmeen Mahar Department of Anatomy, Bahria University Health Sciences Campus, Karachi, Pakistan
  • Sarwath Fatimee Department of Anatomy, Sir Syed College of Medical Sciences, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i10.1951

Keywords:

Displacement, Congenital Hip, Dysplasia, Graf Method Ultrasound

Abstract

Developmental dysplasia of hip (DDH) affects 1.5-20/1000 live births. Early detection and treatment have spared many patients from crippling. The dislocation of the hip is always postnatal. Defects in hip occur because of the flexibility of the joint capsule at birth, underdeveloped hip acetabulum and immature femur head. Objective: To correlate incidence of developmental dysplasia of hip in newborns with modes of presentation at birth (vertex, breech and transverse) using Graf method ultrasound. Methods: The six-month analytical cross-sectional study was conducted after ethical approval and informed parental consent. A total of 115 healthy newborns below 28 days age were inducted in the study. The study excluded neuromuscular disease, neural tube defects and genetic anomaly cases. The bilateral hip angles were measured on ultrasound, categorized and recorded. Modes of presentation (vertex, breech and transverse) and physical exam findings were included.  Results: Hip angles were measured in 115 newborns. The vertex presentation was the most common; 96 (83.48%). Infants with vertex presentation had the significantly smaller frequency of dysplasia (p<0.001). Breech presentation had significantly high incidence of hip dysplasia (p<0.001). Bilateral pathological immature hip (2a-) and centered unstable (2c) hip dysplasia types were most common in all groups. Severe dysplasia types D and 4 were seen in the vertex and breech groups. Conclusions: Developmental dysplasia of hip occurs with vertex, transverse and breech presentation postnatally. The most frequent variants are the immature pathological and centered unstable hips. The severe forms of dysplasia occur in vertex and breech presentations

References

Chavoshi M, Mirshahvalad SA, Mahdizadeh M, Zamani F. Diagnostic Accuracy of Ultrasonography Method of Graf in The Detection of Developmental Dysplasia of The Hip: A Meta-Analysis and Systematic Review. Archives of Bone and Joint Surgery. 2021 May; 9(3): 297-305. doi: 10.22038/abjs.2021.55292.2755.

Kolovos S, Sioutis S, Polyzou M, Papakonstantinou ME, Karampikas V, Altsitzioglou P et al. The Risk of DDH Between Breech and Cephalic-Delivered Neonates Using Graf Ultrasonography. European Journal of Orthopaedic Surgery & Traumatology. 2024 Feb; 34(2): 1103-9. doi: 10.1007/s00590-023-03770-0.

Bakarman K, Alsiddiky AM, Zamzam M, Alzain KO, Alhuzaimi FS, Rafiq Z. Developmental Dysplasia of The Hip (DDH): Etiology, Diagnosis, and Management. Cureus. 2023 Aug; 15(8): 2-12. doi: 10.7759/cureus.43207.

Saif Ullah M, Noor-ul Ferdous KM, Mahmud SM, Hasan MN, Alam MM. Evaluation and Management of Developmental Dysplasia of Hip (DDH) in Children - Our Experience. East African Scholars Journal of Medical Sciences. 2023 Jan; 6(1): 5-11. doi: 10.36349/easms.2023.v06i01.002.

Sioutis S, Kolovos S, Papakonstantinou ME, Reppas L, Koulalis D, Mavrogenis AF. Developmental Dysplasia of the Hip: A Review. Journal of Long-Term Effects of Medical Implants. 2022; 32(3): 39-56.doi: 10.1615/JLongTermEffMedImplants.2022040393.

Pigeolet M, Gaafar H, Naamani D, Khan MA, Alkire BC, Chinoy MA et al. Cost-Effectiveness of Screening for Developmental Dysplasia of The Hip in Karachi, Pakistan Using A Universally Applicable Cost-Effectiveness Model. British Medical Journal Public Health. 2024 Jul; 2(1): 1-10. doi: 10.1136/ bmjph-2023-000340.

Pandey RA and Johari AN. Screening of Newborns and Infants for Developmental Dysplasia of The Hip: A Systematic Review. Indian Journal of Orthopaedics. 2021 Dec; 55(6): 1388–1401. doi: 10.1007/s43465-021-00409-2.

Çekiç B, Erdem-Toslak İ, Sertkaya Ö, Filiz S, Kılar Y, Köroğlu M et al. Incidence and Follow-Up Outcomes of Developmental Hip Dysplasia of Newborns in The Western Mediterranean Region. The Turkish Journal of Pediatrics. 2015 Aug; 57(4): 353-8.

El sheikh, H., shalan, A., Kadhim, R. Ultrasound in Detecting Developmental Hip Dysplasia in Neonates at Risk. Benha Medical Journal, 2023; 40(Special issue (Radiology)): 192-205. doi: 10.21608/bmfj.2023.172157.1701.

Ömeroğlu H, Akceylan A, Köse NU. Associations Between Risk Factors and Developmental Dysplasia of The Hip and Ultrasonographic Hip Type: A Retrospective Case Control Study. Journal of Children's Orthopaedics. 2019 Apr; 13(2): 161-6. doi: 10.1302/1863-2548.13.180174.

Treiber M, Korpar B, Sirše M, Merc M. Early Neonatal Universal Ultrasound Screening for Developmental Dysplasia of The Hip: A Single Institution Observational Study. International Orthopaedics. 2021 Apr; 45(4): 991-5. doi: 10.1007/s00264-020-04915-0.

Zeb J, Hayat S, Afzal I, Haq SN, Shoaib M, Zeb M et al. Frequency of Risk factors for Developmental Dyslasia of Hip (DDH) in patients presenting to a Tertiary Care Hospital. Journal of Pakistan Orthopaedic Association. 2022; 34(04): 163-5.

Khabiah MM, Al Hunaif AM, Al Mudawi EA, Alkhalifah KM, Asiri NA, Alqahtani RF et al. Prevalence of Breech Presentation and Other Gestational/Delivery Characteristics Among Patients Born with Developmental Dysplasia of the Hip. Cureus. 2023 Jul; 15(7): 2-10. doi: 10.7759/cureus.42750.

Patil N, Tapadia J, Sharma A. A Cross-Sectional Study of Early Detection of Developmental Dysplasia of Hip Joint by Ultrasonography in Infants below 90 days of Age. Scholars Journal of Applied Medical Sciences. 2023 Mar; 11(3): 840-3. doi: 10.36347/sjams.2023.v11i05.005.

Ionescu A, Dragomirescu MC, Herdea A, Ulici A. Developmental Dysplasia of the Hip: How many Risk Factors are Needed? Children. 2023 May; 10(6): 2-9. doi: 10.3390/children10060968.

Ramírez-Rosete JA, Hurtado-Vazquez A, Miranda-Duarte A, Peralta-Cruz S, Cuevas-Olivo R, Martínez-Junco JA et al. Environmental and Genetic Risk Factors in Developmental Dysplasia of the Hip for Early Detection of the Affected Population. Diagnostics. 2024 Apr; 14(9): 2-13. doi: 10.3390/ diagnostics14090898.

Harsanyi S, Zamborsky R, Krajciova L, Kokavec M, Danisovic L. Developmental Dysplasia of The Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects. Medicina. 2020 Mar; 56(4): 2-12. doi: 10.3390/medicina56040153.

Alshehri F and Almalki Y. Developmental Dysplasia of The Hip in Infants Younger than Six Months: Ultrasonographic Assessment in Relation with Risk Factors. International Journal of Health Sciences. 2023 Mar; 17(2): 37-45.

Xiao H, Tang Y, Su Y. Risk Factors of Developmental Dysplasia of The Hip in a Single Clinical Center. Scientific Reports. 2022 Nov; 12(1): 1-7.doi: 10.1038/s41598-022-24025-8.

Konijnendijk A, Vrugteveen E, Voorthuis B, Boere-Boonekamp M. Association Between Timing and Duration of Breech Presentation During Pregnancy and Developmental Dysplasia of The Hip: A Case-Control Study. Journal of Child Health Care. 2023 Mar; 27(1): 35-45.doi: 10.1177/13674935211042198.

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Published

2024-10-31
CITATION
DOI: 10.54393/pjhs.v5i10.1951
Published: 2024-10-31

How to Cite

Marvi, N., Khokhar, S. K., Alam, O., Qamar, A., Mahar, Y., & Fatimee, S. (2024). Correlation of Developmental Dysplasia of Hip in Newborns with Mode of Presentation on Graf Method Ultrasound: Correlation of Developmental Dysplasia of Hip in Newborns. Pakistan Journal of Health Sciences, 5(10), 85–89. https://doi.org/10.54393/pjhs.v5i10.1951

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