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Study on the diagnosis time of developmental dysplasia of the hip
N Pashapour1, S Golmahammadlou
1Department of Paediatrics, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Islamic Republic of Iran. npashapor@yahoo.com
Insights
Diagnosis of developmental dysplasia of the hip (DDH) in infants aged 1.5-4.5 months in Urmia, Iran, revealed late detection in most cases. This study highlights delayed diagnosis of DDH, necessitating improved screening protocols.
Area of Science:
- Pediatrics
- Orthopedics
- Public Health
Background:
- Developmental dysplasia of the hip (DDH) is a common congenital disorder.
- Early diagnosis and treatment of DDH are crucial for preventing long-term complications.
Purpose of the Study:
- To determine the time to diagnosis for developmental dysplasia of the hip (DDH) in infants in Urmia, Islamic Republic of Iran.
- To assess the proportion of DDH cases diagnosed during a specific screening period.
Main Methods:
- A cross-sectional study involving 1100 infants aged 1.5-4.5 months.
- Clinical examination using Ortolani and Barlow methods, supplemented by sonography for DDH diagnosis.
Main Results:
- 10 out of 105 suspected cases were confirmed with DDH (2 boys, 8 girls).
- 7 cases were diagnosed during the study period, while only 3 had prior diagnoses.
- The majority of DDH cases presented with delayed diagnosis.
Conclusions:
- A significant delay in the diagnosis of developmental dysplasia of the hip was observed in the study population.
- Findings suggest a need for enhanced screening and earlier detection strategies for DDH in this region.
Abstract:
We determined the time till diagnosis of developmental dysplasia of the hip in Urmia, Islamic Republic of Iran. A total of 1100 infants (530 boys and 570 girls) aged 1.5-4.5 months attending university outpatient clinics for vaccination during June 2001 to January 2002 were examined for developmental dysplasia of the hip. Ortalani and Barlow methods and sonography were used for diagnosis. Of 105 suspected cases, 10 were confirmed with developmental dysplasia of the hip (2 boys and 8 girls): 7 were diagnosed during the study and only 3 cases had been diagnosed previously. This late diagnosis is far greater than reported in other studies.
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