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Published on: February 2, 2015
Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates
1From the Department of Orthopedic, Mediclinic Al Jowhara hospital, Abu Dhabi, United Arab Emirates.
Insights
Neonates from the Gulf Cooperation Council (GCC) region, especially girls, show a higher incidence of developmental dysplasia of the hip (DDH). This finding emphasizes the need for a national screening program for DDH.
Area of Science:
- Pediatrics
- Orthopedics
- Neonatal Care
Background:
- Developmental dysplasia of the hip (DDH) is a condition requiring early detection.
- Understanding geographical and demographic variations in DDH incidence is crucial for targeted screening.
Purpose of the Study:
- To determine if DDH incidence varies by geographical origin, clinical presentation, or risk factors in neonates.
- To analyze DDH rates within a homogenous cohort in Al Ain, UAE.
Main Methods:
- Universal hip ultrasonography screening using the Graf method was performed on neonates.
- Neonates were categorized into Gulf Cooperation Council (GCC) and non-GCC groups.
- Average age of neonates at screening was 3 days.
Main Results:
- The overall incidence of DDH was 1.7%.
- DDH incidence was higher in the GCC group (2.9%), particularly among girls (6.3%).
- The incidence of immature hips (type IIa) was 9% and showed no significant difference based on origin or gender.
Conclusions:
- Neonates from the GCC region, especially females, exhibit a higher prevalence of DDH.
- The findings underscore the necessity for a national ultrasonography screening program for DDH.
Objectives:
To investigate if the incidence of developmental dysplasia of the hip (DDH) differs considering the geographical origin, clinical picture, or presence of risk factors in homogenous cohort of neonates born in Mediclinic Al Jowhara hospital, Al Ain, United Arab of Emirates (UAE).
Methods:
Universal ultrasonography hips screening of the neonates in the maternity ward of Mediclinic Al Jowhara hospital, Al Ain, UAE, was carried out using the Graf method. The average age of the neonates was 3 days. Two groups were formed for comparison: I) the Gulf Cooperation Council (GCC) group (n=169, 47.7%), and II) the non-GCC group (n=185, 52.3%).
Results:
The incidence of DDH was 1.7%. It was higher among neonates from the GCC region (2.9%) and significantly higher among girls from this region (6.3%). The incidence of immature hips (type IIa) was 9% and was similar regardless of origin or gender.
Conclusion:
Neonates from the GCC region, girls in particular, have a higher incidence of DDH. These results highlight the emergency to establish a national ultrasonography DDH screening program.
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