Sonographic Screening for Developmental Dysplasia of the Hip in Preterm Breech Infants: Do Current Guidelines Address the Specific Needs of Premature Infants?

Overview

Journal J Perinatol

Specialty Gynecology & Obstetrics

Date 2016 Feb 26

PMID 26914014

Citations 6

Authors

J Lee

R M Spinazzola

N Kohn

M Perrin

R L Milanaik

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the association between gestational age versus corrected age at the time of hip ultrasound with findings for developmental dysplasia of the hip (DDH) in preterm breech infants.

Study Design: A retrospective medical chart review was conducted to examine hip ultrasounds of 318 premature breech infants for findings associated with DDH.

Results: Positive findings for DDH occurred in 3/135 (2%) of infants <32 weeks gestational age and 17/183 (9%) of infants 32 to <37 weeks gestational age (odds ratio: 0.22, 95% CI: 0.04 to 0.79, P<0.015). No infants born <32 weeks gestational age had abnormal findings for DDH upon follow-up ultrasound. Infants <40 weeks corrected age at the time of hip ultrasound were more likely to have DDH findings compared with infants ⩾44 weeks corrected age (odds ratio: 7.83, 95% CI: 2.20 to 29.65, P<0.001).

Conclusion: Current hip ultrasonography policies that include screening of premature breech infants may need to be revised.

Citing Articles

Developmental Dysplasia of the Hip - Part 1.

Braga S, Ramalho Junior A, Akkari M, Figueiredo M, Waisberg G, Santili C Rev Bras Ortop (Sao Paulo). 2023; 58(6):e839-e846.

PMID: 38077773 PMC: 10708981. DOI: 10.1055/s-0042-1758371.

Preterm birth does not increase the risk of developmental dysplasia of the Hip: a systematic review and meta-analysis.

Ghaseminejad-Raeini A, Shahbazi P, Roozbahani G, Sharafi A, Shafiei S, Fallah Y BMC Pediatr. 2023; 23(1):268.

PMID: 37246230 PMC: 10226229. DOI: 10.1186/s12887-023-04083-1.

Sonographic Hip Angles in Relation to Gestational Age of Neonates. A Prospective, Cohort in the Population of Northern Greece.

Chatziravdeli V, Kazas C, Metaxiotis D, Chatziioannidis I, Mitsiakos G, Diamanti E Arch Bone Jt Surg. 2023; 11(3):197-205.

PMID: 37168591 PMC: 10165202. DOI: 10.22038/ABJS.2022.67942.3219.

Ideal timing for aggressive screening to detect developmental dysplasia of the hip in term and preterm infants.

Hahn W Clin Exp Pediatr. 2022; 65(7):346-347.

PMID: 35287255 PMC: 9263430. DOI: 10.3345/cep.2021.01669.

Risk factors and screening timing for developmental dysplasia of the hip in preterm infants.

Jeon G, Choo H, Kwon Y Clin Exp Pediatr. 2021; 65(5):262-268.

PMID: 34784658 PMC: 9082247. DOI: 10.3345/cep.2021.01074.

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