Ultrasonographic screening and determination of risk factors involved in developmental dysplasia of the hip

INTRODUCTION: Developmental dysplasia of the hip is an orthopedic problem which is a spectrum of disorders from the instability of hip joint to total dislocation. Developmental dysplasia of the hip is frequently seen and has a good prognosis when diagnosed and treated early. The aim of our study is to examine the risk factors leading to developmental dysplasia of the hip and to assess the value of hip ultrasonography.
METHODS: In our research, 9102 hip ultrasonography information of 4551 infants analyzed retrospectively. 151 infants who diagnosed with developmental dysplasia of the hip and 170 healthy infants as the control group; are compared in terms of birth order, being a firstborn, type of delivery, gestational age, birth weight, oligohydramnios, multiple pregnancy, breech presentation, swaddling, family history and existence of foot anomaly.
RESULTS: Prematurity, oligohydramnios and positive family history are founded significant risk factors for developmental dysplasia of the hip.
DISCUSSION AND CONCLUSION: It is possible to prevent the complications and necessity of surgical treatment with early diagnosis. Therefore, we propose screening for developmental dysplasia of the hip to all infants.