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Review
. 2024 Jan 13;11(1):97.
doi: 10.3390/children11010097.

Screening of Developmental Dysplasia of the Hip in Europe: A Systematic Review

Wojciech Krysta  1 , Patryk Dudek  1 , Łukasz Pulik  2 , Paweł Łęgosz  2
Affiliations
Review

Screening of Developmental Dysplasia of the Hip in Europe: A Systematic Review

Wojciech Krysta et al. Children (Basel). .

Abstract

Background: Developmental dysplasia of the hip (DDH) is a prevalent orthopaedic disorder in children, and screening methods vary across regions due to local health policies. The purpose of this review is to systematise the different ultrasound screening strategies for detecting DDH in newborns in Europe.

Methods: Eligible studies from the PubMed, Embase, and Scopus databases, published between 1 January 2018 and 18 March 2023, were included. The inclusion criteria specified a European origin, a focus on newborn human patients, and information on ultrasound for DDH detection.

Results: In total, 45 studies were included, covering 18 countries. Among them, six nations (Austria, Bosnia and Herzegovina, Poland, Slovenia, the Czech Republic, and Germany) perform universal ultrasound screening. The timing of the first ultrasound varies, with Austria and the Czech Republic within the 1st week, Bosnia and Herzegovina on the day of birth, Poland between 1 and 12 weeks, and Germany before the 6th week. The Graf method is the most popular ultrasound technique used.

Conclusions: There is no consensus on the optimal DDH detection approach in Europe. Varied screening methods stem from epidemiological, cultural, and economic differences among countries.

Keywords: developmental dysplasia of the hip; humans; newborn; screening; ultrasonography.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flow chart of the search process.
Figure 2
Figure 2
Screening approach for developmental dysplasia of the hip in Austria [23].
Figure 3
Figure 3
Screening approach for developmental dysplasia of the hip in the Czech Republic [27,28].
Figure 4
Figure 4
Screening approach for developmental dysplasia of the hip in Denmark [30,31].
Figure 5
Figure 5
Screening approach for developmental dysplasia of the hip in France [18].
Figure 6
Figure 6
Screening approach for developmental dysplasia of the hip in Germany [34,35].
Figure 7
Figure 7
Screening approach for developmental dysplasia of the hip in Greece [38,39].
Figure 8
Figure 8
Screening approach for developmental dysplasia of the hip in Hungary [40].
Figure 9
Figure 9
Screening approach for developmental dysplasia of the hip in Ireland [41].
Figure 10
Figure 10
Screening approach for developmental dysplasia of the hip in Italy [29].
Figure 11
Figure 11
Screening approach for developmental dysplasia of the hip in the Netherlands [11,16].
Figure 12
Figure 12
Screening approach for developmental dysplasia of the hip in Norway [46].
Figure 13
Figure 13
Screening approach for developmental dysplasia of the hip in Poland [47].
Figure 14
Figure 14
Screening approach for developmental dysplasia of the hip in Slovenia [14].
Figure 15
Figure 15
Screening approach for developmental dysplasia of the hip in Spain [49].
Figure 16
Figure 16
Screening approach for developmental dysplasia of the hip in Sweden [20].
Figure 17
Figure 17
Screening approach for developmental dysplasia of the hip in the United Kingdom [21].
See this image and copyright information in PMC

References

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