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Updated: Jun 16, 2025

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Molecular mechanisms and genetic factors contributing to the developmental dysplasia of the hip
Xiaoming Zhao1, Shuai Liu2, Zhonghua Yang3,4
1Department of Pediatric Orthopaedics, Shenyang Orthopaedic Hospital, Shenyang, China.
Insights
Developmental dysplasia of the hip (DDH) is a common neonatal condition. Genetic factors and gene variations are increasingly recognized as key contributors to DDH development and susceptibility.
Area of Science:
- Genetics
- Orthopedics
- Developmental Biology
Background:
- Developmental dysplasia of the hip (DDH) is the most common hip disease in neonates.
- Accurate diagnosis and timely treatment are crucial for pediatric patients with DDH.
- Genetic factors are increasingly implicated in the pathogenesis of DDH.
Purpose of the Study:
- To review recent molecular mechanisms and genetic factors contributing to DDH.
- To highlight the role of gene variation and heredity in DDH susceptibility.
- To summarize findings from genetic studies in DDH.
Main Methods:
- Genome-wide association studies (GWAS)
- Genome-wide linkage analyses (GWLA)
- Exome sequencing (ES)
- Analysis of animal models with DDH phenotypes
- Identification of noncoding RNAs and de novo gene variants
Main Results:
- Numerous genes and single-nucleotide polymorphisms (SNPs) associated with DDH susceptibility have been identified.
- DDH phenotypes are observed in animal models with specific genetic variants (e.g., CX3CR1, KANSL1, GDF5).
- Noncoding RNAs and de novo gene variants contribute to DDH-related syndromes.
Conclusions:
- Genetic factors play a significant role in the pathogenesis of DDH.
- Advances in genetic research have enhanced the understanding of DDH etiology.
- Further research into genetic mechanisms is essential for improving DDH diagnosis and treatment.
Abstract:
The most prevalent hip disease in neonates is developmental dysplasia of the hip (DDH). A timely and accurate diagnosis is required to provide the most effective treatment for pediatric patients with DDH. Heredity and gene variation have been the subject of increased attention and research worldwide as one of the factors contributing to the pathogenesis of DDH. Genome-wide association studies (GWAS), genome-wide linkage analyses (GWLA), and exome sequencing (ES) have identified variants in numerous genes and single-nucleotide polymorphisms (SNPs) as being associated with susceptibility to DDH in sporadic and DDH family patients. Furthermore, the DDH phenotype can be observed in animal models that exhibit susceptibility genes or loci, including variants in CX3CR1, KANSL1, and GDF5. The dentification of noncoding RNAs and de novo gene variants in patients with DDH-related syndrome has enhanced our understanding of the genes implicated in DDH. This article reviews the most recent molecular mechanisms and genetic factors that contribute to DDH.
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