ArticleBMC pediatrics2023
Known risk factors of the developmental dysplasia of the hip predicting more severe clinical presentation and failure of Pavlik harness treatment.
Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Female-Inclusive Selective Versus Universal Neonatal Hip Ultrasonography Screening for Developmental Dysplasia of the Hip.Children (Basel, Switzerland) · 2026Article
- Current Trends and Future Directions in the Diagnosis and Management of Pediatric Orthopedic Disorders.Cureus · 2026Review
- Article
- Early Screening for Developmental Dysplasia of the Hip: Sonographic Reference Values, Risk Factors, and Treatment Considerations.International journal of neonatal screening · 2025Article
- Early abduction treatment versus observation in Barlow-positive and mildly unstable hips.BMC pediatrics · 2025Article
- Incidence and Associated Risk Factors of Neonatal Developmental Dysplasia of the Hip in Saudi Arabia: A Retrospective Cohort Study.Pediatric health, medicine and therapeutics · 2025Article
- Reliability of ChatGPT answers to common questions on developmental dysplasia of the hip as an information source for parents.Frontiers in pediatrics · 2025Article
- Utility of routine X-ray surveillance following hip sonography for developmental dysplasia in children: a single-center study spanning a decade.Archives of orthopaedic and trauma surgery · 2024Article
- Risk Factors for Developmental Dysplasia of the Hip: A Critical Analysis About an Unclear Relationship.Journal of clinical medicine · 2024Article
- Article
- Costs of abduction treatment in developmental dysplasia of the hip. Analysis of 900 patients.Annals of medicine · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDevelopmental dysplasia of the hip (DDH) varies from mild instability of the hip to subluxation or total dislocation of the joint. Well-known risk factors of DDH include pre-natal breech position, female sex, positive family history, hip side, primiparity and the mode of delivery. Aim of the present study was to further evaluate known risk-factors of DDH, find associations with more severe dysplasia (characterized with Ortolani positivity) and find risk factors of failure of the Pavlik harness treatment. MATERIAL AND
methodsAll children with the diagnosis of DDH treated in Tampere University hospital in the years 1998-2018 were retrospectively identified for the study and the data was collected from the medical records. Teratological dislocations (n = 3) were excluded from the analysis. Total of 945 patients were included.
resultsBreech presentation was strongly associated with Ortolani positivity (p < 0.001). Breech presentation was not associated with ending up for spica casting and/or operative treatment (p = 0.291) despite the association with Ortolani positivity. Ortolani positivity (p = 0.002), positive family history (p = 0.013) and girl sex (p = 0.029) were associated with ending up for spica casting and/or operative treatment.
conclusionBreech presentation seems to increase the risk of Ortolani positive DDH. However, these infants are likely to recover with initially started Pavlik harness treatment, as it was not associated with elevated risk for undergoing more robust treatments. Positive family history and girl sex are associated with the most severe cases of developmental dysplasia of the hip, and it may predispose to the failure of the Pavlik harness treatment.
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