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Review
. 2023 Sep 18;15(9):e45503.
doi: 10.7759/cureus.45503. eCollection 2023 Sep.

An Overview of Developmental Dysplasia of the Hip and Its Management Timing and Approaches

Ali Alhaddad  1 , Amin G Gronfula  2 , Thamer H Alsharif  3 , Ahmed A Khawjah  3 , Mohammed Y Alali  4 , Khalid M Jawad  5
Affiliations
Review

An Overview of Developmental Dysplasia of the Hip and Its Management Timing and Approaches

Ali Alhaddad et al. Cureus. .

Abstract

Developmental dysplasia of the hip (DDH), if uncorrected, can result in several chronic abnormalities, including chronic hip pain, degenerative arthritis, and gait abnormalities. The outcome of DDH generally depends on the age of presentation; a worse prognosis is linked to a higher age of presentation. Although treatment continues to be a challenge, recent advancements in the field have improved our understanding of the disease, which has resulted in advancements in DDH surveillance during infancy and the reduction of complications with early intervention. The databases used for this overview include Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Library, MEDLINE, and EMBASE. These databases were used to search for ongoing trials related to the management and diagnosis of DDH.

Keywords: congenital dislocation of the hip; ddh; ddh management; hip dysplasia; paediatric orthopedic.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Shenton's line (green lines). The acetabular index (red line) is the main parameter to control acetabular development during the first years of age.
The X-ray was obtained from one of the patients in the clinic.
Figure 2
Figure 2. A four-year-old DDH patient who underwent femoral and pelvic osteotomy.
The X-ray was obtained from one of the patients in the clinic.
See this image and copyright information in PMC

References

    1. Dysplasia in the development of the hip (Article in Spanish) Moraleda L, Albiñana J, Salcedo M, Gonzalez-Moran G. Rev Esp Cir Ortop Traumatol. 2013;57:67–77. - PubMed
    1. Developmental dysplasia of the hip. Dezateux C, Rosendahl K. Lancet. 2007;369:1541–1552. - PubMed
    1. The anatomy and pathology of congenital dislocation of the hip. Dunn PM. https://pubmed.ncbi.nlm.nih.gov/954316/ Clin Orthop Relat Res. 1976:23–27. - PubMed
    1. Evaluation and treatment of developmental hip dysplasia in the newborn and infant. Schwend RM, Shaw BA, Segal LS. Pediatr Clin North Am. 2014;61:1095–1107. - PubMed
    1. Morphology of the acetabulum in congenital dislocation of the hip. Gross, histological and roentgenographic studies. Ponseti IV. https://pubmed.ncbi.nlm.nih.gov/681377/ J Bone Joint Surg Am. 1978;60:586–599. - PubMed

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