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Incidence of hip dysplasia in idiopathic clubfoot
Brian T Carney1, Edward A Vanek
1Shriners Hospital for Children, Lexington, KY, USA. bcarney58@hotmail.com
Insights
This study investigated hip dysplasia in infants with idiopathic clubfoot. Results indicate a potential association, with 16% of infants showing radiographic signs of hip dysplasia.
Area of Science:
- Pediatric Orthopedics
- Developmental Biology
Background:
- Developmental dysplasia of the hip (DDH) is a condition affecting hip joint stability.
- Idiopathic clubfoot is a common congenital foot deformity.
- Previous reports suggested no increased DDH risk in infants with idiopathic clubfoot.
Purpose of the Study:
- To determine the incidence of radiographic hip dysplasia in infants diagnosed with idiopathic clubfoot.
- To investigate the association between idiopathic clubfoot and DDH.
Main Methods:
- A cohort of 51 infants with idiopathic clubfoot underwent surgical release.
- Anterior-posterior pelvic radiographs were obtained at 4 months or older.
- Radiographs were analyzed to screen for signs of DDH, including acetabular index measurements.
Main Results:
- Radiographic hip dysplasia was identified in 8 out of 51 infants (16%).
- The acetabular index exceeded 28 degrees in affected infants, indicating potential hip dysplasia.
Conclusions:
- This study suggests a possible association between idiopathic clubfoot and developmental dysplasia of the hip.
- Findings contradict previous reports and highlight the need for further investigation into DDH screening in infants with clubfoot.
Abstract:
There is reported to be no increased risk for developmental dysplasia of the hip in children with idiopathic clubfoot. The purpose of this study was to determine the incidence of radiographic hip dysplasia in infants with idiopathic clubfoot. Fifty-one children with idiopathic clubfoot who underwent surgical release by a single surgeon had anterior-posterior pelvis radiographs obtained at 4 or more months of age to screen for developmental dysplasia of the hip. The acetabular index measured more than 28 degrees in eight children (16%). This study suggests an association between idiopathic clubfoot and developmental dysplasia of the hip.
