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[Early screening of developmental dysplasia of the hip among hospitalized children]
Qiuliang Liu1, Yisheng Wang, Yufeng Liu
1Department of Pediatric Surgery, First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China.
Insights
Developmental dysplasia of the hip (DDH) screening in children under 36 months is crucial. Ultrasound is effective for infants under 6 months, while physical exams and imaging are key for older children.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Imaging
- Public Health Screening
Background:
- Developmental dysplasia of the hip (DDH) is a common congenital disorder.
- Early detection and treatment are vital to prevent long-term complications.
Purpose of the Study:
- To retrospectively analyze the effectiveness of DDH screening in children up to 36 months of age.
- To evaluate different screening methods for various age groups.
Main Methods:
- Retrospective review of 10,428 children undergoing DDH screening.
- Initial screening included hip function, abduction, Ortolani, and Barlow tests.
- Suspected cases underwent re-screening with ultrasound or radiological imaging.
Main Results:
- A total of 48 children (0.46% incidence) were diagnosed with DDH.
- Ultrasound was used for 1,260 children, with 346 requiring further assessment.
- Left hip involvement was more common (52 hips vs. 17 right hips).
Conclusions:
- Ultrasonic examination is a simple, cost-effective screening tool for infants under 6 months.
- Meticulous physical examinations and imaging studies are effective for DDH screening in children aged 6 to 36 months.
Objective:
To summarize retrospectively developmental dysplasia of the hip (DDH) screening of children within 36 months.
Methods:
Newborn infants underwent initial DDH screening at First Affiliated Hospital, Zhengzhou University from September 2011 to May 2013. The examinations included double hip function, abduction test and Ortolani/Barlow test. After initial DDH screening, suspected and abnormal infants were transferred to our department for re-screening. And clinical physical examinations, type B ultrasound or radiological imaging were performed for confirmation or elimination.
Results:
A total of 10 428 children were DDH screened. And 1 260 children were examined with ultrasound and 346 suspected and abnormal children (445 hips) were transferred for further assessments. Among them, 33 children (49 hips) were positive with Ortolani or Barlow test, 61 children (88 hips) had dysplasia of hip and 48 children (14 boys, 34 girls) (69 hips) received a final diagnosis of DDH. Left (n = 52) and right hip (n = 17) were involved with a disease incidence of DDH at 0.46%.
Conclusions:
Ultrasonic examination is both simple and cost-effective for DDH screening of children within 6 months. And meticulous medical examinations and imaging studies are effective DDH screening for children from 6 to 36 months.
