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The pattern of developmental dysplasia of the hip

Mamoun K Kremli1, Ahmed H Alshahid, Khalid I Khoshhal

  • 1Department of Orthopedics, College of Medicine, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. mkremli@ksu.edu.sa

Saudi Medical Journal
|October 28, 2003
PubMed

Insights

Developmental dysplasia of the hip (DDH) is common in Saudi children, with diagnosis often delayed. Factors like consanguinity and swaddling appear to increase DDH incidence in the Saudi population.

Area of Science:

  • Orthopedics
  • Pediatric Health
  • Public Health

Background:

  • Developmental dysplasia of the hip (DDH) is a significant pediatric orthopedic condition.
  • Limited data exists on DDH prevalence and risk factors within the Kingdom of Saudi Arabia (KSA).

Purpose of the Study:

  • To expand the understanding of DDH in the Saudi population.
  • To compare the presentation of DDH in Saudi children with international data.

Main Methods:

  • A 5-year prospective study (starting September 1996) of Saudi pediatric patients diagnosed with DDH.
  • Data collected via direct parental interviews at King Khalid University Hospital, Riyadh, KSA.

Main Results:

  • Six hundred Saudi children with DDH were analyzed.
  • Delayed diagnosis was observed in a majority of cases.
  • Parental consanguinity, positive family history, breech deliveries, and swaddling were associated with increased DDH incidence in this population.

Conclusions:

  • A national screening program for DDH is recommended for KSA.
  • Further nationwide research is crucial to identify at-risk groups and understand the geographical distribution of DDH.
Abstract

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