DOS 2016

DOS Kongressen 2016 ·

Evaluation of Screening Programme for Developmental

Dysplasia of the Hip

Jens Svendsson, Ahmed Abood, Søren Harving, Anne-Sofie Jensen

Orthopaedic, Aalborg University Hospital

Background:

It has been suggested that breech presentation during pregnancy,

family history of Hip Dysplasia (DDH) or twins have an increased risk of DDH.

Different screening methods are applied in different regions with controversy.

Purpose / Aim of Study:

The purpose of this study is to evaluate the current

screening programme of DDH at Aalborg University Hospital (AAUH).

Materials and Methods:

Patients were identified using registrations of pa-

tients screened for DDH at the department of paediatric orthopaedics AAUH

from 2004 until 2014. Patients were divided into 5 groups according to refer-

ring cause: breech presentation, family history of DDH, twin birth, clinical hip

instability and asymmetrical skinfolds. For each group the final clinical examina-

tion and treatment was determined. Patients with lower body deformities were

excluded.

Findings / Results:

176 patients were included. The screening of 127 (72%)

patients was completed after first examination. For the 5 groups the percentage

of patients terminated in the programme after first examination ranged from

43% to 76%. Lowest for the patients referred due to unstable hips and high-

est for the genetically predisposed patients. 96% of the patients terminated

the programme within the first 6 months. All patients included completed the

programme with no treatment other than a Dennis Brown brace or instructions

in spreading exercises.

Conclusions:

The findings may suggest a to aggressive screening programme

for children referred due to the 5 mentioned causes.

No conflicts of interest reported

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