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. 2024 May 24;103(21):e38316.
doi: 10.1097/MD.0000000000038316.

The usefulness of universal ultrasound before hospital discharge for early diagnosing hip dysplasia in Korean neonates with breech presentation in a single center: A retrospective study

Seung Woo Shon  1 , Su Jeong Park  2 , Mi Hye Bae  2 , Kyung Hee Park  2
Affiliations

The usefulness of universal ultrasound before hospital discharge for early diagnosing hip dysplasia in Korean neonates with breech presentation in a single center: A retrospective study

Seung Woo Shon et al. Medicine (Baltimore). .

Abstract

Developmental dysplasia of the hip (DDH) is a broad-spectrum disorder. Early diagnosis and treatment are important for improved prognosis and a lower risk of long-term complications. Selecting high-risk infants is important for the early diagnosis of DDH using ultrasonography; however, there are no standard international guidelines. This study aimed to identify the usefulness of universal ultrasound before hospital discharge in breech-born neonates and proposes selective ultrasound for high-risk patients. A retrospective chart review was conducted to identify breech-born neonates who underwent hip ultrasonography before discharge for the detection of DDH between 2019 and 2023. Patients were categorized into DDH and non-DDH groups according to the ultrasound results. We compared sex, gestational age, birth weight, first-born status, twin pregnancy, associated anomalies, presence of symptoms, physical examination results, and timing of the first hip ultrasound. The medical records of the mothers were reviewed to identify the amount of amniotic fluid and duration of breech presentation. This study included 102 patients, of whom 62 and 40 were assigned to the non-DDH and DDH groups, respectively. Congenital anomalies, positive symptoms, and positive physical examination results were significant risk factors. However, female sex, first-born status, and oligohydramnios were not statistically significant. The duration of breech presentation during pregnancy was not significant. Additionally, the risk of Pavlik harnesses was higher in patients who underwent a positive physical examination. Universal ultrasonography before discharge is not recommended for the early diagnosis of DDH in all breech-born neonates because of the high rate of overdiagnosis. We recommend that ultrasonography be performed in patients with congenital anomalies, except for foot problems, or in those with a positive physical examination conducted by trained specialists.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Flow diagram of our study population. DDH = developmental dysplasia of the hip.
See this image and copyright information in PMC

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References

    1. Oh EJ, Min JJ, Kwon S-S, et al. . Breech presentation in twins as a risk factor for developmental dysplasia of the hip. J Pediatr Orthop. 2022;42:e55–8. - PMC - PubMed
    1. Choi IH, Cho TJ, Yoo WJ, Park MS, Lee DY. Pediatric Orthopaedics. 3 ed. Seoul: Koonja; 2009:340–50.
    1. Barlow TG. Early diagnosis and treatment of congenital dislocation of the hip. Proc R Soc Med. 1963;56:804–6. - PMC - PubMed
    1. Ortolani M. Congenital hip dysplasia in the light of early and very early diagnosis. Clin Orthop Relat Res. 1976:6–10. - PubMed
    1. Omeroğlu H. Use of ultrasonography in developmental dysplasia of the hip. J Child Orthop. 2014;8:105–13. - PMC - PubMed