Developmental Dysplasia of the Hip in Abha-Saudi Arabia. Incidence, and Risk Factors
Main Article Content
Keywords
Developmental dysplasia of the hip - DDH - Hips - Children - Saudi Arabia.
Abstract
Developmental dysplasia of the hip (DDH) is a disease ranging from mild acetabular dysplasia to frank dislocation. When a child is older than 6 months, getting them to have a hip that is smaller in the middle and doesn't cause too many problems is harder. In this study, the medical records of all 340 children with DDH in Abha Maternity and Children Hospital, Abha, Saudi Arabia were evaluated to find out how often DDH is diagnosed and treated there and what are the main risk factors related to its presentation and management. About 36.2% (123) of the children had a family history of DDH, and 38.5% (131) of their parents were married consanguineously. 48% of the parents used "limping" and 14% used "limitation in abduction" (LA) as presenting complaints to the clinic. The results showed a strong link between early age, being male, having a family history of DDH, having pregnancy complications, and being preterm (with a p-value of less than 0.000).
References
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22. Kremli, M. K., Alshahid, A. H., Khoshhal, K. I., & Zamzam, M. M. (2003). The pattern of developmental dysplasia of the hip. Saudi medical
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23. Kural B, Devecioğlu Karapınar E, Yılmazbaş P, Eren T, Gökçay G. (2019). Risk factor assessment and a ten-year experience of DDH screening in a well-child population. BioMed Research International. 4;2019.
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https://doi.org/10.1007/s43465-021-00504-4
27. Murray KA, Crim JR. Radiographic imaging for treatment and follow-up of developmental dysplasia of the hip. Semin Ultrasound CT MR. 2001 Aug;22(4):306-40. doi: 10.1016/s0887-2171(01)90024-1. PMID: 11513157.
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29. Noordin, S., Umer, M., Hafeez, K., & Nawaz, H. (2010). Developmental dysplasia of the hip. Orthopedic reviews, 2(2).
30. Orak MM, Onay T, Gümüştaş SA, Gürsoy T, Muratlí HH. Is prematurity a risk factor for developmental dysplasia of the hip?: a prospective study. Bone Joint J. 2015;97-B:716–720.
31. Phillips R, Perraton L, Cridland K, Maloney S, Harris IA, Malliaras P. (2021). Patient knowledge of rotator cuff related shoulder pain condition and treatment and validation of a patient-reported knowledge questionnaire. Musculoskeletal Care. 19(4):504-514. doi: 10.1002/msc.1547. Epub 2021 Mar 18. PMID: 33734551.
32. Pulik, Ł., Poszka, K., Romaniuk, K., Sibilska, A., Jedynak, A., Tołowiński, I., ... & Łęgosz, P. (2022). Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool.
33. questionnaire of paediatric orthopaedic surgeons on current practice in children less than 1 year old. Journal of children's orthopaedics, 5(4), 267-271.
34. Sadat-Ali, M. (2020). Developmental Dysplasia of the Hip (DDH) in Saudi Arabia: Time to Wake up. A Systematic Review (1980-2018). Open Journal of Epidemiology, 10(02), 125.
35. Sewell, M. D., Rosendahl, K., & Eastwood, D. M. (2009). Developmental dysplasia of the hip. Bmj, 339.
36. Storer, S. K., & Skaggs, D. L. (2006). Developmental dysplasia of the hip. American Family Physician, 74(8), 1310-1316.
37. Tian FD, Zhao DW, Wang W, Guo L, Tian SM, Feng A, Yang F, Li DY. (2017). Prevalence of Developmental Dysplasia of the Hip in Chinese
Adults: A Cross-sectional Survey. Chin Med J (Engl).130(11):1261-1268. doi: 10.4103/0366-6999.206357. PMID: 28524823; PMCID:
PMC5455033.
38. Ulziibat, M., Munkhuu, B., Bataa, A. E., Schmid, R., Baumann, T., & Essig, S. (2021). Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial. BMC pediatrics, 21(1), 1-11.
39. van Sleuwen BE, Engelberts AC, Boere-Boonekamp MM, Kuis W, Schulpen TW, L’Hoir MP. Swaddling: a systematic review. Pediatrics. 2007;120:e1097–e1106.
40. Vaquero-Picado A, González-Morán G, Garay EG, Moraleda L. Developmental dysplasia of the hip: update of management. EFORT Open Rev. 2019 Sep 17;4(9):548-556. doi: 10.1302/2058-5241.4.180019. PMID: 31598333; PMCID: PMC6771078.
41. Vitale, M. G., & Skaggs, D. L. (2001). Developmental dysplasia of the hip from six months to four years of age. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 9(6), 401-411.
42. Woodacre, T., Ball, T., & Cox, P. (2016). Epidemiology of developmental dysplasia of the hip within the UK: refining the risk factors. Journal of children's orthopaedics, 10(6), 633-642.
43. Zelner JL, Trostle J, Goldstick JE, Cevallos W, House JS, Eisenberg JN. (2012) Social connectedness and disease transmission: social organization, cohesion, village context, and infection risk in rural Ecuador. Am J Public Health. 102(12):2233-9. doi: 10.2105/AJPH.2012.300795. Epub 2012 Oct 18. PMID: 23078481; PMCID: PMC3519324.
44.Biswas, S. ., Bhagyasree, V. ., & Rathod, V. N. . (2022). A CHECKLIST OF BIRDS AND DIVERSITY OF AVIAN FAUNA IN MUDASARLOVA RESERVOIR OF VISAKHAPATNAM, INDIA . Journal Of Advanced Zoology, 42(02), 165–175. https://doi.org/10.17762/jaz.v42i02.51
45. Faisal, H. T. ., Abid, M. K. ., & Abed, A. . (2022). Study Of Some Biochemical Parameters in Dose During Pregnancy in Goats. Journal Of Advanced Zoology, 43(1), 01–06. https://doi.org/10.17762/jaz.v43i1.109
46. Wankhade, L. N. . (2022). STUDY ON BUTTERFLY FAUNA OF KARANJA (GHADGE) TAHSIL OF DISTRICT WARDHA (MAHARASHTRA). Journal Of Advanced Zoology, 42(02), 186–193. https://doi.org/10.17762/jaz.v42i02.53
2. Alhunaishel, M. A., Ahmed, F. E., Alotaibi, M. G., Alqahtani, B. S., & Al Zughaibi, M. A. (2016). The morphology of DDH in Saudi children in Riyadh, KAMC. Journal of Epidemiology and Public Health Reviews, 1.
3. Alhussainan, T. S. (2018). Developmental Dysplasia of The Hip in Saudi Arabia-A Problem that goes beyond a National Screening program. Orthopedics and Rheumatology Open Access Journals, 12(2), 37-38.
4. Al-Mohrej, O. A., Alsarhani, W. K., Al-Ayedh, N. K., Al-Ghamdi, A. M., Masudi, E. M., & Al-Saif, S. A. (2017). Characteristics of developmental dysplasia of the hip at a tertiary hospital in Riyadh, Saudi Arabia. Journal of Health Specialties, 5(2), 87-87.
5. Alqarni MM, Shati AA, Al-Qahtani YA, Alhifzi WS, Alhifzi WS, Al Saleh RS, Alqahtani NA, Alshehri MA. Perception and Awareness about Developmental Dysplasia of the Hip in Children among Pregnant Ladies in the Aseer Region, Southwestern Saudi Arabia. Healthcare (Basel). 2021 Oct 16;9(10):1384. doi: 10.3390/healthcare9101384. PMID: 34683064; PMCID: PMC8544495.
6. Alshahrani KM, Alsiddiky A, Alamro SM, Alqarni AA. Assessing the level of DDH knowledge among parents in Riyadh city in Saudi Arabia. Int Arch Integr Med. 2018;5:141-9.
7. Alves, C., Truong, W. H., Thompson, M. V., Suryavanshi, J. R., Penny, C. L., Do, H. T., & Dodwell, E. R. (2018). Diagnostic and treatment
preferences for developmental dysplasia of the hip: a survey of EPOS and POSNA members. Journal of children's orthopaedics, 12(3), 236-244.
8. Aronsson, D. D., Goldberg, M. J., Kling Jr, T. F., & Roy, D. R. (1994). Developmental
9. Bajuifer, S., Shaalan, M., & Dawood, A. (2018). Treatment of Developmental Dysplasia of the Hip: Short and Mid-term Outcome in Alnoor Specialized Hospital. Orthop Muscular Syst, 7(260), 2161-0533.
10.Bauchner, H. (2000). Developmental dysplasia of the hip (DDH): An evolving science. Archives of disease in childhood. 83. 202. 10.1136/adc.83.3.202.
11.Bulut, M., Gürger, M., Belhan, O., Batur, O. C., Celik, S., & Karakurt, L. (2013). Management of developmental dysplasia of the hip in less than 24 months old children. Indian Journal of Orthopaedics, 47(6), 578-584.
12. de Hundt M, Vlemmix F, Bais JM, Hutton EK, de Groot CJ, Mol BW, Kok M. Risk factors for developmental dysplasia of the hip: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2012 Nov;165(1):8-17. doi: 10.1016/j.ejogrb.2012.06.030. Epub 2012 Jul 21. PMID: 22824571.
13. De Hundt, M., Vlemmix, F., Bais, J. M. J., Hutton, E. K., De Groot, C. J., Mol, B. W. J., & Kok, M. (2012). Risk factors for developmental dysplasia of the hip: a meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 165(1), 8-13
14. Düppe, H., & Danielsson, L. G. (2002). Screening of neonatal instability and of developmental dislocation of the hip: a survey of 132 601 living newborn infants between 1956 and 1999. The Journal of Bone and Joint Surgery. British volume, 84(6), 878-885.
15. Dygut, J., Sułko, J., Guevara-Lora, I., & Piwowar, M. (2022). Secondary (Late) Developmental Dysplasia of the Hip with Displacement: From Case Studies to a Proposition for a Modified Diagnostic Path. Diagnostics, 12(6), 1472.
16. Goiano, E. D. O., Akkari, M., Pupin, J. P., & Santili, C. (2020). The epidemiology of developmental dysplasia of the hip in males. Acta Ortopédica Brasileira, 28, 26-30.
17. Guille JT, Pizzutillo PD, MacEwen GD. Development dysplasia of the hip from birth to six months. J Am Acad Orthop Surg. 2000;8:232–242
18. Heeres, R. H., Witbreuk, M. M. E. H., & van der Sluijs, J. A. (2011). Diagnosis and
19.Ibrahim, A. I., Mortada, E. M., Alqahtani, S. A., Alkathri, H., Alsayyed, R., Abualait, T. S., & Alwhaibi, R. (2021). Developmental dysplasia of the
hip and associated risk factors in Saudi children: A retrospective study. Journal of Back and Musculoskeletal Rehabilitation, (Preprint), 1-8.
20.Imrie M, Scott V, Stearns P, Bastrom T, Mubarak SJ. Is ultrasound screening for DDH in babies born breech sufficient? J Child Orthop. 2010; 4:3–8.
21. Kotlarsky P, Haber R, Bialik V, Eidelman M. Developmental dysplasia of the hip: What has changed in the last 20 years? World J Orthop. 2015 Dec 18;6(11):886-901. doi: 10.5312/wjo.v6.i11.886. PMID: 26716085; PMCID: PMC4686436.
22. Kremli, M. K., Alshahid, A. H., Khoshhal, K. I., & Zamzam, M. M. (2003). The pattern of developmental dysplasia of the hip. Saudi medical
journal, 24(10), 1118-1120.
23. Kural B, Devecioğlu Karapınar E, Yılmazbaş P, Eren T, Gökçay G. (2019). Risk factor assessment and a ten-year experience of DDH screening in a well-child population. BioMed Research International. 4;2019.
24. Loder, R. T., & Skopelja, E. N. (2011). The epidemiology and demographics of hip dysplasia. International Scholarly Research Notices, 2011.
25. McCarthy, J. J., Scoles, P. V., & MacEwen, G. D. (2005). Developmental dysplasia of the hip (DDH). Current Orthopaedics, 19(3), 223-230.
26. Mulpuri, K., Schaeffer, E.K. & Price, C.T. Global Collaborations in Developmental Dysplasia of the Hip. JOIO 55, 1357–1359 (2021).
https://doi.org/10.1007/s43465-021-00504-4
27. Murray KA, Crim JR. Radiographic imaging for treatment and follow-up of developmental dysplasia of the hip. Semin Ultrasound CT MR. 2001 Aug;22(4):306-40. doi: 10.1016/s0887-2171(01)90024-1. PMID: 11513157.
28. Nandhagopal T, De Cicco FL. Developmental Dysplasia Of The Hip. [Updated 2022 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563157/
29. Noordin, S., Umer, M., Hafeez, K., & Nawaz, H. (2010). Developmental dysplasia of the hip. Orthopedic reviews, 2(2).
30. Orak MM, Onay T, Gümüştaş SA, Gürsoy T, Muratlí HH. Is prematurity a risk factor for developmental dysplasia of the hip?: a prospective study. Bone Joint J. 2015;97-B:716–720.
31. Phillips R, Perraton L, Cridland K, Maloney S, Harris IA, Malliaras P. (2021). Patient knowledge of rotator cuff related shoulder pain condition and treatment and validation of a patient-reported knowledge questionnaire. Musculoskeletal Care. 19(4):504-514. doi: 10.1002/msc.1547. Epub 2021 Mar 18. PMID: 33734551.
32. Pulik, Ł., Poszka, K., Romaniuk, K., Sibilska, A., Jedynak, A., Tołowiński, I., ... & Łęgosz, P. (2022). Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool.
33. questionnaire of paediatric orthopaedic surgeons on current practice in children less than 1 year old. Journal of children's orthopaedics, 5(4), 267-271.
34. Sadat-Ali, M. (2020). Developmental Dysplasia of the Hip (DDH) in Saudi Arabia: Time to Wake up. A Systematic Review (1980-2018). Open Journal of Epidemiology, 10(02), 125.
35. Sewell, M. D., Rosendahl, K., & Eastwood, D. M. (2009). Developmental dysplasia of the hip. Bmj, 339.
36. Storer, S. K., & Skaggs, D. L. (2006). Developmental dysplasia of the hip. American Family Physician, 74(8), 1310-1316.
37. Tian FD, Zhao DW, Wang W, Guo L, Tian SM, Feng A, Yang F, Li DY. (2017). Prevalence of Developmental Dysplasia of the Hip in Chinese
Adults: A Cross-sectional Survey. Chin Med J (Engl).130(11):1261-1268. doi: 10.4103/0366-6999.206357. PMID: 28524823; PMCID:
PMC5455033.
38. Ulziibat, M., Munkhuu, B., Bataa, A. E., Schmid, R., Baumann, T., & Essig, S. (2021). Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial. BMC pediatrics, 21(1), 1-11.
39. van Sleuwen BE, Engelberts AC, Boere-Boonekamp MM, Kuis W, Schulpen TW, L’Hoir MP. Swaddling: a systematic review. Pediatrics. 2007;120:e1097–e1106.
40. Vaquero-Picado A, González-Morán G, Garay EG, Moraleda L. Developmental dysplasia of the hip: update of management. EFORT Open Rev. 2019 Sep 17;4(9):548-556. doi: 10.1302/2058-5241.4.180019. PMID: 31598333; PMCID: PMC6771078.
41. Vitale, M. G., & Skaggs, D. L. (2001). Developmental dysplasia of the hip from six months to four years of age. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 9(6), 401-411.
42. Woodacre, T., Ball, T., & Cox, P. (2016). Epidemiology of developmental dysplasia of the hip within the UK: refining the risk factors. Journal of children's orthopaedics, 10(6), 633-642.
43. Zelner JL, Trostle J, Goldstick JE, Cevallos W, House JS, Eisenberg JN. (2012) Social connectedness and disease transmission: social organization, cohesion, village context, and infection risk in rural Ecuador. Am J Public Health. 102(12):2233-9. doi: 10.2105/AJPH.2012.300795. Epub 2012 Oct 18. PMID: 23078481; PMCID: PMC3519324.
44.Biswas, S. ., Bhagyasree, V. ., & Rathod, V. N. . (2022). A CHECKLIST OF BIRDS AND DIVERSITY OF AVIAN FAUNA IN MUDASARLOVA RESERVOIR OF VISAKHAPATNAM, INDIA . Journal Of Advanced Zoology, 42(02), 165–175. https://doi.org/10.17762/jaz.v42i02.51
45. Faisal, H. T. ., Abid, M. K. ., & Abed, A. . (2022). Study Of Some Biochemical Parameters in Dose During Pregnancy in Goats. Journal Of Advanced Zoology, 43(1), 01–06. https://doi.org/10.17762/jaz.v43i1.109
46. Wankhade, L. N. . (2022). STUDY ON BUTTERFLY FAUNA OF KARANJA (GHADGE) TAHSIL OF DISTRICT WARDHA (MAHARASHTRA). Journal Of Advanced Zoology, 42(02), 186–193. https://doi.org/10.17762/jaz.v42i02.53
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Mar 26, 2023
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Saleh M. Kardm, Turki Ahmed A Alqahtani, Khadijah Abdullah ALGhanmy, Mosab Abdulaziz Saad Deajim, Mohammed Abdullah Al Jebreel, Mohammed Ali Abdullah Alkhurais, Abdulaziz Saleh Ali Alqahtani, & Omar awdah saeed alshahrani. (2023). Developmental Dysplasia of the Hip in Abha-Saudi Arabia. Incidence, and Risk Factors. Journal of Population Therapeutics and Clinical Pharmacology, 30(4), 10-16. https://doi.org/10.47750/jptcp.2023.30.04.002
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Saleh M. Kardm, Turki Ahmed A Alqahtani, Khadijah Abdullah ALGhanmy, Mosab Abdulaziz Saad Deajim, Mohammed Abdullah Al Jebreel, Mohammed Ali Abdullah Alkhurais, Abdulaziz Saleh Ali Alqahtani, & Omar awdah saeed alshahrani. (2023). Developmental Dysplasia of the Hip in Abha-Saudi Arabia. Incidence, and Risk Factors. Journal of Population Therapeutics and Clinical Pharmacology, 30(4), 10-16. https://doi.org/10.47750/jptcp.2023.30.04.002