Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov;102-B(11):1582-1586.
doi: 10.1302/0301-620X.102B11.BJJ-2020-0290.R3.

Is foot deformity associated with developmental dysplasia of the hip?

Øvind Håberg  1   2 , Olav A Foss  2   3 , Østein Bjerkestrand Lian  1   2 , Ketil Jarl Holen  2   3
Affiliations

Is foot deformity associated with developmental dysplasia of the hip?

Øvind Håberg et al. Bone Joint J. 2020 Nov.

Abstract

Aims: To assess if congenital foot deformity is a risk factor for developmental dysplasia of the hip (DDH).

Methods: Between 1996 and 2012, 60,844 children were born in Sør-Trøndelag county in Norway. In this cohort study, children with risk factors for DDH were examined using ultrasound. The risk factors evaluated were clinical hip instability, breech delivery, a family history of DDH, a foot deformity, and some syndromes. As the aim of the study was to examine the risk for DDH and foot deformity in the general population, children with syndromes were excluded. The information has been prospectively registered and retrospectively analyzed.

Results: Overall, 494 children (0.8%) had DDH, and 1,132 (1.9%) a foot deformity. Of the children with a foot deformity, 49 (4.3%) also demonstrated DDH. There was a statistically significant increased association between DDH and foot deformity (p < 0.001). The risk of DDH was highest for talipes calcaneovalgus (6.1%) and club foot (3.5%), whereas metatarsus adductus (1.5%) had a marginal increased risk of DDH.

Conclusion: Compared with the general population, children with a congenital foot deformity had a significantly increased risk for DDH and therefore we regard foot deformity as a true risk factor for DDH. Cite this article: Bone Joint J 2020;102-B(11):1582-1586.

Keywords: Calcaneovalgus; Clubfoot; DDH; Foot deformity.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
The study population. US, ultrasound.
See this image and copyright information in PMC

References

    1. Broadhurst C, Rhodes AML, Harper P, et al. . What is the incidence of late detection of developmental dysplasia of the hip in England? Bone Joint J. 2019;101-B(3):281–287. - PubMed
    1. Bache CE, Clegg J, Herron M. Risk factors for developmental dysplasia of the hip: ultrasonographic findings in the neonatal period. J Pediatr Orthop B. 2002;11(3):212–218. - PubMed
    1. Cyvin KB. Congenital dislocation of the hip joint. Acta paediatrica Scandinavica Supplement. 1977;263:1–67. - PubMed
    1. Holen KJ, Terjesen T, Tegnander A, et al. . Ultrasound screening for hip dysplasia in newborns. J Pediatr Orthop. 1994;14(5):667–673. - PubMed
    1. Jones DA. Importance of the clicking hip in screening for congenital dislocation of the hip. Lancet. 1989;1(8638):599–601. - PubMed

MeSH terms