Evaluation of ultrasound screening method and prevalence for developmental hip dysplasia in the central Anatolia

Oğuzhan Pekince; Ferhat Sayar; Emrah Cevat Ercan; Özkan Köse

Makale detayları

Evaluation of ultrasound screening method and prevalence for developmental hip dysplasia in the central Anatolia

Yazarlar:

Oğuzhan Pekince | Ferhat Sayar | Emrah Cevat Ercan | Özkan Köse

Yayıncı:

Pamukkale University

Ana Başlıklar:

Ortopedi

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 3, pp.486-496

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314151

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: This study aims to evaluate the incidence and follow-up outcomes of Developmental Hip Dysplasia DDH in infants admitted to City Hospital using the Graf classification. Furthermore, it aims to investigate the prevalence of DDH in Central Anatolia and assess the effectiveness of current screening and treatment protocols for detecting and managing DDH in infants. Materials and methods: A total of 10.650 infants underwent screening for DDH using the Graf USG method as part of the National DDH screening program at City Hospital between August 2020 and September 2022. Infants born at term 38 weeks and above and screened between 30-90 days of birth were included, while premature infants were excluded. Hips were classified according to the Graf method into Types 1 normal, 2 immature, 2A , 2A -, 2B, 2C, D, 3, and 4, based on alpha angles. Results: The study examined the USG results of 8,695 term infants 52.5 male and 47.5 female between 2020 and 2022. The mean gestational age of participants at the time of the initial USG examination was approximately 7.942.07 weeks. Graf Type 1 was more prevalent in males 97-96.5, while Graf Type 2 was more common in females 7.2-7.8. Radiologists tended to recommend a re-examination after one month for Type 2A Graf hips 84.49-82.02, whereas orthopedic consultation was advised for Type 2B, 2C, and Type 3 hips. The vast majority of infants 93.6 underwent only one USG screening. Pelvic X-ray was requested for 15.9 of patients, and additional USGs were requested for 5.7 of patients. Pavlik treatment was applied to 4.2 of patients who did not return to normal, Frejka pillow treatment was applied to 1.5 Interestingly, none of the patients who maintained regular USG monitoring and treatment required surgical intervention involving osteotomy. Conclusion: USG is an early diagnostic method for DDH, which allows for simple treatment options and the prevention of complications. It is a simple, inexpensive, and non-invasive method. Our study supports that regular USG screenings in infants eliminate the need for surgical procedures requiring osteotomy. However, the proportion of individuals who failed to adhere to their follow-up appointments despite receiving abnormal results remains elevated, underscoring the necessity for implementing diverse strategies aimed at augmenting parental awareness in this context.

 Purpose: This study aims to evaluate the incidence and follow-up outcomes of Developmental Hip Dysplasia DDH in infants admitted to City Hospital using the Graf classification. Furthermore, it aims to investigate the prevalence of DDH in Central Anatolia and assess the effectiveness of current screening and treatment protocols for detecting and managing DDH in infants. Materials and methods: A total of 10.650 infants underwent screening for DDH using the Graf USG method as part of the National DDH screening program at City Hospital between August 2020 and September 2022. Infants born at term 38 weeks and above and screened between 30-90 days of birth were included, while premature infants were excluded. Hips were classified according to the Graf method into Types 1 normal, 2 immature, 2A , 2A -, 2B, 2C, D, 3, and 4, based on alpha angles. Results: The study examined the USG results of 8,695 term infants 52.5 male and 47.5 female between 2020 and 2022. The mean gestational age of participants at the time of the initial USG examination was approximately 7.942.07 weeks. Graf Type 1 was more prevalent in males 97-96.5, while Graf Type 2 was more common in females 7.2-7.8. Radiologists tended to recommend a re-examination after one month for Type 2A Graf hips 84.49-82.02, whereas orthopedic consultation was advised for Type 2B, 2C, and Type 3 hips. The vast majority of infants 93.6 underwent only one USG screening. Pelvic X-ray was requested for 15.9 of patients, and additional USGs were requested for 5.7 of patients. Pavlik treatment was applied to 4.2 of patients who did not return to normal, Frejka pillow treatment was applied to 1.5 Interestingly, none of the patients who maintained regular USG monitoring and treatment required surgical intervention involving osteotomy. Conclusion: USG is an early diagnostic method for DDH, which allows for simple treatment options and the prevention of complications. It is a simple, inexpensive, and non-invasive method. Our study supports that regular USG screenings in infants eliminate the need for surgical procedures requiring osteotomy. However, the proportion of individuals who failed to adhere to their follow-up appointments despite receiving abnormal results remains elevated, underscoring the necessity for implementing diverse strategies aimed at augmenting parental awareness in this context.

 Purpose: This study aims to evaluate the incidence and follow-up outcomes of Developmental Hip Dysplasia DDH in infants admitted to City Hospital using the Graf classification. Furthermore, it aims to investigate the prevalence of DDH in Central Anatolia and assess the effectiveness of current screening and treatment protocols for detecting and managing DDH in infants. Materials and methods: A total of 10.650 infants underwent screening for DDH using the Graf USG method as part of the National DDH screening program at City Hospital between August 2020 and September 2022. Infants born at term 38 weeks and above and screened between 30-90 days of birth were included, while premature infants were excluded. Hips were classified according to the Graf method into Types 1 normal, 2 immature, 2A , 2A -, 2B, 2C, D, 3, and 4, based on alpha angles. Results: The study examined the USG results of 8,695 term infants 52.5 male and 47.5 female between 2020 and 2022. The mean gestational age of participants at the time of the initial USG examination was approximately 7.942.07 weeks. Graf Type 1 was more prevalent in males 97-96.5, while Graf Type 2 was more common in females 7.2-7.8. Radiologists tended to recommend a re-examination after one month for Type 2A Graf hips 84.49-82.02, whereas orthopedic consultation was advised for Type 2B, 2C, and Type 3 hips. The vast majority of infants 93.6 underwent only one USG screening. Pelvic X-ray was requested for 15.9 of patients, and additional USGs were requested for 5.7 of patients. Pavlik treatment was applied to 4.2 of patients who did not return to normal, Frejka pillow treatment was applied to 1.5 Interestingly, none of the patients who maintained regular USG monitoring and treatment required surgical intervention involving osteotomy. Conclusion: USG is an early diagnostic method for DDH, which allows for simple treatment options and the prevention of complications. It is a simple, inexpensive, and non-invasive method. Our study supports that regular USG screenings in infants eliminate the need for surgical procedures requiring osteotomy. However, the proportion of individuals who failed to adhere to their follow-up appointments despite receiving abnormal results remains elevated, underscoring the necessity for implementing diverse strategies aimed at augmenting parental awareness in this context.

 Amaç: Bu çalışma, Şehir Hastanesine başvuran bebeklerde Graf sınıflaması kullanılarak Gelişimsel Kalça Displazisi GKD insidansını ve takip sonuçlarını değerlendirmeyi amaçlamaktadır. Ayrıca, Orta Anadoluda GKD prevalansını araştırmayı ve GKDnin tespit edilmesi ve yönetilmesi için mevcut tarama ve tedavi protokollerinin etkinliğini değerlendirmeyi hedeflemektedir. Gereç ve yöntem: Ağustos 2020 ile Eylül 2022 tarihleri arasında Şehir Hastanesinde Ulusal GKD tarama programının bir parçası olarak toplam 10.650 bebek Graf USG yöntemiyle GKD taramasından geçirilmiştir. Doğum haftası 38 hafta ve üzeri olan ve doğumdan 30-90 gün sonra taranan bebekler dahil edilirken, prematüre bebekler hariç tutulmuştur. Kalçalar alfa açılarına dayanarak Graf yöntemine göre Tip 1 normal, 2 olgunlaşmamış, 2A , 2A -, 2B, 2C, D, 3 ve 4 şeklinde sınıflandırılmıştır. Bulgular: Çalışma, 2020-2022 yılları arasında 8.695 term bebek 52,5 erkek ve 47,5 dişi USG sonuçlarını incelemiştir. Katılımcıların ilk USG muayenesi sırasındaki ortalama gebelik haftası yaklaşık 7,942,07 hafta idi. Graf Tip 1 erkeklerde daha yaygındı 97-96,5, Graf Tip 2 ise kadınlarda daha yaygındı 7,2-7,8. Graf Tip 2A kalçalar için radyologlar genellikle bir ay sonra tekrar muayene önerirken 84,49-82,02, Tip 2B, 2C ve Tip-3 kalçalar için ortopedik danışma önerilmiştir. Bebeklerin büyük çoğunluğu 93,6 yalnızca bir kez USG taramasına tabi tutulmuştur. Hastaların 15,9una pelvis grafisi istenmiş ve 5,7sine ek USGler istenmiştir. Takiplerinde normale dönmeyen hastaların 4,2sine Pavlik tedavisi uygulanmış, 1,5ine Frejka yastığı tedavisi uygulanmıştır. İlginç bir şekilde, düzenli USG takibi ve tedavisi devam eden hastalar arasında hiçbirinin osteotomi gerektiren cerrahi müdahaleye ihtiyaç duymadığı gözlemlenmiştir. Sonuç: USG, GKD tanısı için erken, basit, ucuz ve invaziv olmayan bir tanı yöntemidir. Sonuçlarında GKD tanısı konulan çocukların basit tedavi modaliteleri ile tedavi edilmelerine ve komplikasyonların önlenmesine olanak sağlar. Çalışmamız, bebeklerde düzenli USG taramalarının osteotomi gerektiren cerrahi işlemlere ihtiyacı ortadan kaldırdığını desteklemektedir. Ancak, anormal sonuçlar almasına rağmen takip randevularına uymayan bireylerin oranı hala yüksektir, bu da ebeveyn farkındalığını artırmaya yönelik çeşitli stratejilerin uygulanması gerekliliğini vurgular.

Makale detayları

Evaluation of ultrasound screening method and prevalence for developmental hip dysplasia in the central Anatolia

Yazarlar:

Oğuzhan Pekince | Ferhat Sayar | Emrah Cevat Ercan | Özkan Köse

Yayıncı:

Pamukkale University

Ana Başlıklar:

Ortopedi

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 3, pp.486-496

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314151

pISSN:

1308-0865

Developmental hip dysplasia

Anatolia

prevalence

ultrasound screening methodGelişimsel kalça displazisi

Anadolu

prevalans

ultrason tarama metodu

Sayı

Makale detayları

Yazarlar: Oğuzhan Pekince | Ferhat Sayar | Emrah Cevat Ercan | Özkan Köse

Yayıncı: Pamukkale University

Ana Başlıklar: Ortopedi

Dergi: Pamukkale Tıp Dergisi Vol.17 Issue 3, pp.486-496

Belge Tipi: Makale

Yayın Tarihi: 5/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001314151

pISSN: 1308-0865

Sayı

Yazarlar:

Oğuzhan Pekince | Ferhat Sayar | Emrah Cevat Ercan | Özkan Köse

Yayıncı:

Pamukkale University

Ana Başlıklar:

Ortopedi

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 3, pp.486-496

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314151

pISSN:

1308-0865