Diagnosis of hip dysplasia in newborns
DOI:
https://doi.org/10.56294/saludcyt2022182Keywords:
Hip Dislocation, Neonatal Screening, DiagnosisAbstract
Background: developmental dysplasia of the hip is a very frequent pathology in newborns being the most common hip disorder in pediatric orthopedics.
Aim: to describe the diagnostic methods of developmental dysplasia of the hip in newborns.
Methodology: a literature review was performed, and indexed articles were collected from databases: PubMed, Scopus and Web of Science, the search had no time limit.
Results: in the diagnosis of developmental dysplasia of the hip (DDH) in newborns, determining the diagnostic methods is fundamental to be able to provide adequate treatment to patients; the diagnostic methods for DDH are clinical screening or selective ultrasonography. In addition, a complete clinical history, including risk factors and a physical examination with Barlow and Ortolani maneuvers accompanied by ultrasonography should be included. The most commonly used diagnostic method is selective ultrasonography. Clinical examination helps early detection and a referral for management of this, with the aim of avoiding long-term morbidities that compromise the patients' lifestyle.
Conclusions: the diagnostic methods for developmental dysplasia of the hip most commonly used in several countries are clinical screening and selective ultrasonography, where, the former is based on a complete evaluation of the newborn based on clinical history, assessing the history and risk factors for DDD, accompanied by maneuvers such as Ortalani and Barlow
References
1. Zhang S, Doudoulakis KJ, Khurwal A, Sarraf KM. Developmental dysplasia of the hip. Br J Hosp Med (Lond) 2020;81:1-8. https://doi.org/10.12968/hmed.2020.0223.
2. Norlén S, Faergemann C. Developmental dysplasia of the hip in infants referred for a combined pediatric orthopedic and radiologic examination – A prospective cohort study. Journal of Orthopaedics 2022;32:109-14. https://doi.org/10.1016/j.jor.2022.05.014.
3. Husum H-C, Ghaffari A, Rytoft LA, Svendsson J, Harving S, Kold S, et al. Positive predictive values in clinical screening for developmental dysplasia of the hip. Acta Paediatrica, International Journal of Paediatrics 2021;110:2430-4. https://doi.org/10.1111/apa.15896.
4. Wilf-Miron R, Kuint J, Peled R, Cohen A, Porath A. Utilization of ultrasonography to detect developmental dysplasia of the hip: When reality turns selective screening into universal use. BMC Pediatrics 2017;17. https://doi.org/10.1186/s12887-017-0882-0.
5. Kumar RK, Shah P, Ramya AN, Rajan R. Diagnosing developmental dysplasia of hip in newborns using clinical screen and ultrasound of hips-An Indian experience. Journal of Tropical Pediatrics 2016;62:241-5. https://doi.org/10.1093/tropej/fmv107.
6. Escribano García C, Bachiller Carnicero L, Marín Urueña SI, del Mar Montejo Vicente M, Izquierdo Caballero R, Morales Luengo F, et al. Developmental dysplasia of the hip: Beyond the screening. Physical exam is our pending subject. Anales de Pediatría (English Edition) 2021;95:240-5. https://doi.org/10.1016/j.anpede.2020.07.024.
7. Canavese F, Castañeda P, Hui J, Li L, Li Y, Roposch A. Developmental dysplasia of the hip: Promoting global exchanges to enable understanding the disease and improve patient care. Orthopaedics & Traumatology: Surgery & Research 2020;106:1243-4. https://doi.org/10.1016/j.otsr.2020.09.004.
8. Bohaček I, Plečko M, Duvančić T, Smoljanović T, Vukasović Barišić A, Delimar D. Current knowledge on the genetic background of developmental dysplasia of the hip and the histomorphological status of the cartilage. Croat Med J 2020;61:260-70.
9. Choudry QA, Paton RW. Neonatal screening and selective sonographic imaging in the diagnosis of developmental dysplasia of the hip. Bone and Joint Journal 2018;100B:806-10. https://doi.org/10.1302/0301-620X.100B6.BJJ-2017-1389.R1.
10. Çiçekli Ö, Doğan M. Evaluation of surgical outcome in advanced age patients with developmental hip dysplasia. International Journal of Surgery 2018;52:44-9. https://doi.org/10.1016/j.ijsu.2018.02.020.
11. Kuitunen I, Uimonen MM, Haapanen M, Sund R, Helenius I, Ponkilainen VT. Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis. JAMA Netw Open 2022;5:e2227638. https://doi.org/10.1001/jamanetworkopen.2022.27638.
12. Harper P, Joseph BM, Clarke NMP, Herrera-Soto J, Sankar WN, Schaeffer EK, et al. Even Experts Can Be Fooled: Reliability of Clinical Examination for Diagnosing Hip Dislocations in Newborns. Journal of Pediatric Orthopaedics 2020;40:408-12. https://doi.org/10.1097/BPO.0000000000001602.
13. Güler O, Şeker A, Mutlu S, çerçi MH, Kömür B, Mahiroğullari M. Results of a universal ultrasonographic hip screening program at a single institution. Acta Orthopaedica et Traumatologica Turcica 2016;50:42-8. https://doi.org/10.3944/AOTT.2016.15.0024.
14. Dogruel H, Atalar H, Yavuz OY, Sayli U. Clinical examination versus ultrasonography in detecting developmental dysplasia of the hip. International Orthopaedics 2008;32:415-9. https://doi.org/10.1007/s00264-007-0333-x.
15. Roovers EA, Boere-Boonekamp MM, Castelein RM, Zielhuis GA, Kerkhoff TH. Effectiveness of ultrasound screening for developmental dysplasia of the hip. Archives of Disease in Childhood: Fetal and Neonatal Edition 2005;90:F25-30. https://doi.org/10.1136/adc.2003.029496.
16. Ziegler CM, Ertl KM, Delius M, Foerster KM, Crispin A, Wagner F, et al. Clinical examination and patients’ history are not suitable for neonatal hip screening. Journal of Children’s Orthopaedics 2022;16:19-26. https://doi.org/10.1177/18632521221080472.
17. Gyurkovits Z, Sohár G, Baricsa A, Németh G, Orvos H, Dubs B. Early detection of developmental dysplasia of hip by ultrasound. HIP International 2021;31:424-9. https://doi.org/10.1177/1120700019879687.
18. Clarke NMP, Reading IC, Corbin C, Taylor CC, Bochmann T. Twenty years experience of selective secondary ultrasound screening for congenital dislocation of the hip. Archives of Disease in Childhood 2012;97:423-9. https://doi.org/10.1136/archdischild-2011-301085.
19. Lowry CA, Donoghue VB, Murphy JF. Auditing hip ultrasound screening of infants at increased risk of developmental dysplasia of the hip. Archives of Disease in Childhood 2005;90:579-81. https://doi.org/10.1136/adc.2003.033597.
20. Brown J, Dezateux C, Karnon J, Parnaby A, Arthur R. Efficiency of alternative policy options for screening for developmental dysplasia of the hip in the United Kingdom. Archives of Disease in Childhood 2003;88:760-6. https://doi.org/10.1136/adc.88.9.760.
21. Woolacott NF, Puhan MA, Steurer J, Kleijnen J. Ultrasonography in screening for developmental dysplasia of the hip in newborns: systematic review. BMJ 2005;330:1413. https://doi.org/10.1136/bmj.38450.646088.E0.
Published
Issue
Section
License
Copyright (c) 2022 Grace Maleny Atarihuana Hidalgo , Andrés Felipe Mercado González, Andrea Carolina Yépez Idrovo, Pedro Martin Pedro Martin Flores Flores (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.