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Breech preterm infants are at risk of developmental dysplasia of the hip

Teddy Quan1, Alison L Kent, Hazel Carlisle

  • 1Medical School, Australian National University, Canberra, Australian Capital Territory, Australia.

Journal of Paediatrics and Child Health
|June 14, 2013
PubMed

Insights

Preterm infants born breech have a similar risk of developmental dysplasia of the hip (DDH) as term infants. Similar screening guidelines for DDH are recommended for both groups.

Area of Science:

  • Pediatrics
  • Orthopedic Surgery
  • Neonatology

Background:

  • Developmental dysplasia of the hip (DDH) screening is standard for breech infants.
  • The risk of DDH in preterm breech infants is not well-established.

Purpose of the Study:

  • To determine the risk of DDH in preterm infants born in the breech position.
  • To compare DDH incidence between preterm and term breech infants.

Main Methods:

  • Retrospective audit of breech infants (preterm <37 weeks, term ≥37 weeks).
  • Screening included clinical examination and hip ultrasound.
  • Infants classified as positive or negative for DDH.

Main Results:

  • DDH incidence was 2.3% in preterm breech infants (3/129).
  • DDH incidence was 1.8% in term breech infants (3/163).
  • The odds ratio for DDH in preterm vs. term breech infants was 1.27 (95% CI 0.25-6.40).

Conclusions:

  • Preterm breech infants have a similar DDH incidence to term breech infants.
  • Current screening guidelines for DDH may be applicable to preterm breech infants.
Abstract

Keywords:
breech presentationcongenital dislocation of the hipdevelopmental dysplasia of the hipprematurepreterm

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