Is It Worthwhile to Screen the Hip in Infants Born with Clubfeet?

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2013 Sep 6

PMID 24005238

Citations 7

Authors

Dahang Zhao

Weiwei Rao

Li Zhao

Jianlin Liu

Yaqing Chen

Pinquan Shen

Qing Du

Luan Li

Affiliations

Soon will be listed here.

Abstract

Purpose: There is some disagreement about whether idiopathic congenital talipes equinovarus (CTEV) increases the risk of neonatal developmental dysplasia of the hip (DDH). This study aimed to investigate the incidence of DDH in our infants with idiopathic CTEV.

Methods: We conducted an observational cohort study over a three-year period to assess the relationship between idiopathic CTEV and DDH. All neonates younger than six weeks with idiopathic CTEV who were treated in our medical centre were admitted to this study. Each subject underwent hip ultrasound examination using the Graf method at the age of six weeks. DDH was diagnosed when a hip was type IIa(-) or worse according to the Graf classification of sonographic hip type.

Results: A total of 184 patients were diagnosed with idiopathic CTEV and underwent hip sonography. In total, seven hips of five individuals underwent treatment (four girls and one boy). The results indicated that 2.7% of babies (five of 184) with idiopathic CTEV had DDH. However, we did not find any statistically significant difference (p = 0.5776) in the Pirani scores between the DDH group and group with normal hips.

Conclusions: This study revealed that the idiopathic CTEV group had a greater incidence of DDH in comparison with the general population. It is recommended that hip sonography be undertaken particularly in patients with idiopathic CTEV.

Citing Articles

The impact of the introduction of selective screening in the UK on the epidemiology, presentation, and treatment outcomes of developmental dysplasia of the hip.

Poacher A, Hathaway I, Crook D, Froud J, Scourfield L, James C Bone Jt Open. 2023; 4(8):635-642.

PMID: 37607720 PMC: 10444535. DOI: 10.1302/2633-1462.48.BJO-2022-0158.R1.

The cost effectiveness of potential risk factors for developmental dysplasia of the hip within a national screening programme.

Poacher A, Froud J, Caterson J, Crook D, Ramage G, Marsh L Bone Jt Open. 2023; 4(4):234-240.

PMID: 37051819 PMC: 10067325. DOI: 10.1302/2633-1462.44.BJO-2022-0135.R1.

Screening of Newborns and Infants for Developmental Dysplasia of the Hip: A Systematic Review.

Pandey R, Johari A Indian J Orthop. 2022; 55(6):1388-1401.

PMID: 35003532 PMC: 8688670. DOI: 10.1007/s43465-021-00409-2.

Is foot deformity associated with developmental dysplasia of the hip?.

Haberg O, Foss O, Lian O, Holen K Bone Joint J. 2020; 102-B(11):1582-1586.

PMID: 33135434 PMC: 7954182. DOI: 10.1302/0301-620X.102B11.BJJ-2020-0290.R3.

The impact of different types of talus deformation after treatment of clubfeet.

Kolb A, Willegger M, Schuh R, Kaider A, Chiari C, Windhager R Int Orthop. 2016; 41(1):93-99.

PMID: 27730290 DOI: 10.1007/s00264-016-3301-5.

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