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Late-presenting developmental dysplasia of the hip in Jordanian males. A retrospective hospital based study

Omar Q Samarah1, Fadi A Al Hadidi, Mohammad Q Hamdan

  • 1Orthopedic Section, Special Surgery Department, Faculty of Medicine, The University of Jordan, Amman, Jordan. E-mail. o.samarah@ju.edu.jo.

Saudi Medical Journal
|February 4, 2016
PubMed

Insights

Developmental dysplasia of the hip (DDH) affects 3.75% of late-presenting Jordanian males. Cesarean delivery increases dislocation risk, while normal delivery is linked to acetabular dysplasia.

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Radiology

Background:

  • Developmental dysplasia of the hip (DDH) is a common pediatric orthopedic condition.
  • Late presentation of DDH in male patients requires understanding of specific risk factors and patterns.

Purpose of the Study:

  • To describe the pattern of late-presenting developmental dysplasia of the hip (DDH) in Jordanian male patients.
  • To identify risk factors and associated findings in this population.

Main Methods:

  • Retrospective study of 1145 male patients with suspected DDH.
  • Data collected from medical records and radiographic measurements between March 2011 and October 2014.
  • Analysis of risk factors, presentation patterns, and associated conditions.

Main Results:

  • 43 patients (3.75%) were diagnosed with late-presenting DDH, involving 70 hips.
  • First-born status increased DDH risk by 41.9%.
  • Cesarean delivery was linked to hip dislocation (p=0.004), while normal delivery was associated with acetabular dysplasia (p=0.004). Bilateral DDH was more common (60.5%). Limited abduction was a constant finding in dislocated hips.

Conclusions:

  • Cesarean delivery is a significant risk factor for hip dislocation in DDH.
  • Normal delivery is associated with acetabular dysplasia.
  • Bilateral DDH is more prevalent than unilateral DDH in this cohort.
Abstract

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