Ultrasound in detection of developmental hip dysplasia in premature born children

Verica Misanovic1, Fedzat Jonuzi1, Hajra Maksic-Kovacevic1

  • 1Pediatric Clinic, Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

Insights

Early ultrasound screening for developmental hip dysplasia is crucial for all newborns, including premature infants. This method aids in timely diagnosis and treatment, preventing long-term disability in infants.

Area of Science:

  • Pediatric Orthopedics
  • Neonatology
  • Diagnostic Imaging

Background:

  • Developmental hip dysplasia is the most common locomotor system deformity in children.
  • Early diagnosis and treatment within the first year of life are critical for effective management.
  • Ultrasound offers a simple and convenient method for early detection, preventing permanent disability.

Purpose of the Study:

  • To highlight the increasing survival rates of premature infants due to advancements in Neonatal Intensive Care Units.
  • To investigate the prevalence and diagnosis of developmental hip dysplasia in both premature and full-term infants.

Main Methods:

  • A clinical investigation of 150 infants (77 girls, 73 boys) diagnosed with developmental hip dysplasia.
  • Diagnosis confirmed through clinical examination, ultrasound, and X-ray of the hips.
  • Data collected between January 2012 and August 2014.

Main Results:

  • Two groups of 75 infants each were formed: premature and full-term.
  • Developmental hip dysplasia was diagnosed in premature infants at the Ultrasound unit and Intensive Neonatal Care Unit.
  • Control group consisted of full-term infants diagnosed with hip dysplasia during their first ultrasound examination.

Conclusions:

  • Premature birth rates range from 5-10% and show an increasing trend.
  • Ultrasound hip examination is recommended for all newborns at 6 weeks of age.
  • Early screening facilitates prompt intervention for developmental hip dysplasia.
Abstract