ArticleJournal of children's orthopaedics2019
Associations between risk factors and developmental dysplasia of the hip and ultrasonographic hip type: a retrospective case control study.
Article in Journal of children's orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 47 citations in OpenAlex.
- Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial.BMC pediatrics · 2021Trial
- Association between breech presentation in twins and developmental dysplasia of the hip.Orthopadie (Heidelberg, Germany) · 2026Article
- Revisiting selected risk factors and their association with ultrasonographic hip types in developmental dysplasia of the hip: a multivariate regression analysis.BMC pediatrics · 2026Article
- The sound transmission for clinical diagnosis of developmental dysplasia disease of the hip in newborns: a diagnosis study.Frontiers in pediatrics · 2026Article
- Early Screening for Developmental Dysplasia of the Hip: Sonographic Reference Values, Risk Factors, and Treatment Considerations.International journal of neonatal screening · 2025Article
- Developmental dysplasia of the hip: ultrasound evaluation.Pediatric radiology · 2025Review
- The Relationship Between Developmental Dysplasia of the Hip (DDH) and Congenital Talipes Equinovarus (CTEV)-A Retrospective Case Series.Journal of paediatrics and child health · 2025Article
- Risk Factors for Developmental Dysplasia of the Hip: A Critical Analysis About an Unclear Relationship.Journal of clinical medicine · 2024Article
- Impact of Pavlik Harness treatment on motor skills acquisition: A case-control study.Journal of children's orthopaedics · 2024Article
- Article
- Refining Risk Factors for Developmental Dysplasia of the Hip in Neonates: A Cross-Sectional Study in a Tertiary Referral Center.Medical journal of the Islamic Republic of Iran · 2024Article
- Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates.Saudi medical journal · 2023Article
- Article
- Investigation of Igf-1, Igf-Bp3 and Igf-Bp5 levels in umbilical cord blood of infants with developmental dysplasia of the hip.Turkish journal of medical sciences · 2023Article
- Risk factors for misdiagnosis in children with developmental dysplasia of the hip: a retrospective single centre study.BMJ paediatrics open · 2023Article
- Clinical Examination Findings Can Accurately Diagnose Developmental Dysplasia of The Hip-A Large, Single-Center Cohort.Children (Basel, Switzerland) · 2023Article
- Risk factors of developmental dysplasia of the hip in a single clinical center.Scientific reports · 2022Article
- Article
- Progress in screening strategies for neonatal developmental dysplasia of the hip.Frontiers in surgery · 2022Review
- Factors for selective ultrasound screening in newborns with developmental dysplasia of the hipFrontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed to revisit the correlation between the previously defined risk factors and the occurrence of developmental dysplasia of the hip (DDH) and to assess the influence of these factors on the ultrasonographic type of hip dysplasia according to the Graf's classification in patients with DDH.
methodsData of healthy infants (mean age 33 days) who had bilateral mature (normal) hips (Graf type I) were compared with the data of infants (mean age 105 days) who were treated by abduction brace due to unilateral or bilateral DDH (Graf type IIa- and worse hips).
resultsInfants with at least one risk factor had a significantly higher rate of DDH than those with no risk factors (p < 0.001). Likewise, infants with more than one risk factor had a significantly higher rate of DDH than those with only one risk factor (p = 0.008). Family history, breech presentation and swaddling were found to be the three significant risk factors related to the development of DDH. Family history, swaddling and oligohydramnios were found to be the three significant risk factors correlated with a higher rate of unstable/decentred hip(s) (Graf types D/III/IV) in patients with DDH.
conclusionThe risk of DDH significantly increases in infants who have more than one risk factor for DDH. Positive family history and postnatal traditional swaddling are the two main factors both in the aetiology of DDH and in development of a more severe hip dysplasia in patients with DDH. Besides, breech presentation increases the risk of development of DDH and oligohydramnios leads to development of a more severe hip dysplasia in patients with DDH. By introducing these four variables as 'absolute risk factors for DDH' to the selective newborn hip screening programmes, the sensitivity and specificity of these programmes may be optimized and the risk of delayed diagnosis may be lessened. LEVEL OF EVIDENCE: Level III prognostic study.
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