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Congenital dislocation of the hip and its relation to swaddling used in Turkey
1Department of Orthopaedics and Traumatology, Selçuk University, School of Medicine, Konya, Turkey.
Insights
Congenital dislocation of the hip (CDH) affected 1.34% of infants in central Turkey. This condition was more common in girls and significantly linked to swaddling practices.
Area of Science:
- Pediatrics
- Orthopedics
- Public Health
Background:
- Congenital dislocation of the hip (CDH) is a significant developmental condition.
- Understanding its incidence and risk factors is crucial for early intervention.
Purpose of the Study:
- To determine the incidence of congenital dislocation of the hip (CDH).
- To identify contributing factors to the etiology of CDH in central Turkey.
Main Methods:
- A screening program was conducted across five hospitals in Konya, Turkey.
- Four thousand one hundred seventy-three infants aged 3-24 months were examined between 1988 and 1990.
Main Results:
- The overall incidence of CDH was 1.34%.
- CDH was approximately three times more prevalent in girls than boys.
- A statistically significant relationship was found between CDH and swaddling (bundled in extension and adduction).
- No cases of Cesarean section, breech presentation, or teratologic CDH were observed.
Conclusions:
- Swaddling practices may be a significant contributing factor to the etiology of CDH.
- The findings highlight the importance of considering cultural practices in hip dysplasia prevention.
Abstract:
A screening program was initiated and performed at five hospitals in Konya, Turkey from 1988 to 1990. Four thousand one hundred seventy-three infants aged 3-24 months were examined. With this study, we hoped to determine the incidence of and contributing factors to the etiology of congenital dislocation of the hip (CDH) in the central region of Turkey. The overall CDH incidence was 1.34%. CDH occurred about three times more often among girls than boys (40 girls vs. 16 boys). No infant with CDH had been delivered by Cesarean section or breech presentation. No teratologic CDH was detected. The relationship between CDH and swaddling (bundled in extension and adduction) was statistically significant.