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The Association of Asymmetric Skinfolds and the Diagnosis of Developmental Dysplasia of the Hip in Infants

The Association of Asymmetric Skinfolds and the Diagnosis of Developmental Dysplasia of the Hip... Background: The clinical finding of asymmetric skinfolds (ASF) in infants is used to indicate the possibility of developmental dysplasia of the hip (DDH). The association of ASF and a diagnosis of DDH remains unknown. Purpose: To determine the association of ASF in the gluteal and femoral regions with a diagnosis of DDH. Methods: The correlation of ASF and other physical examination findings with DDH was compared retrospectively. The medical records of infants who underwent DDH screening in the clinic were analyzed. The physical examination findings were reviewed and categorized as ASF, clunk of the hip, limb-length discrepancy, hip abduction limitation, combined conditions of musculoskeletal disorders, and regular screening for DDH. The hip conditions were classified by Graf's ultrasound method. Type IIb and higher classifications were defined as DDH. The diagnosed rate and severity of DDH based on physical examination findings were calculated and compared. Results: Clinical data of 3266 infants aged up to 6 months were reviewed, and 194 infants were diagnosed with DDH by ultrasound examination. ASF was the most common indication for DDH screening (64.5%; 2107/3266). However, this was poorly correlated with a diagnosis of DDH (4.79%; P < .0001). No difference was found between the Graf classification severity and various indications (P = .079). Implications for Practice: Clinicians should recognize that, although ASF is the most common reason for DDH screening in infants, ASF does not correlate with a diagnosis of DDH. Implications for Research: Additional research should examine the relationship between DDH and ASF in other populations. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advances in Neonatal Care Wolters Kluwer Health

The Association of Asymmetric Skinfolds and the Diagnosis of Developmental Dysplasia of the Hip in Infants

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Publisher
Wolters Kluwer Health
Copyright
© 2021 by The National Association of Neonatal Nurses.
ISSN
1536-0903
eISSN
1536-0911
DOI
10.1097/anc.0000000000000935
Publisher site
See Article on Publisher Site

Abstract

Background: The clinical finding of asymmetric skinfolds (ASF) in infants is used to indicate the possibility of developmental dysplasia of the hip (DDH). The association of ASF and a diagnosis of DDH remains unknown. Purpose: To determine the association of ASF in the gluteal and femoral regions with a diagnosis of DDH. Methods: The correlation of ASF and other physical examination findings with DDH was compared retrospectively. The medical records of infants who underwent DDH screening in the clinic were analyzed. The physical examination findings were reviewed and categorized as ASF, clunk of the hip, limb-length discrepancy, hip abduction limitation, combined conditions of musculoskeletal disorders, and regular screening for DDH. The hip conditions were classified by Graf's ultrasound method. Type IIb and higher classifications were defined as DDH. The diagnosed rate and severity of DDH based on physical examination findings were calculated and compared. Results: Clinical data of 3266 infants aged up to 6 months were reviewed, and 194 infants were diagnosed with DDH by ultrasound examination. ASF was the most common indication for DDH screening (64.5%; 2107/3266). However, this was poorly correlated with a diagnosis of DDH (4.79%; P < .0001). No difference was found between the Graf classification severity and various indications (P = .079). Implications for Practice: Clinicians should recognize that, although ASF is the most common reason for DDH screening in infants, ASF does not correlate with a diagnosis of DDH. Implications for Research: Additional research should examine the relationship between DDH and ASF in other populations.

Journal

Advances in Neonatal Care – Wolters Kluwer Health

Published: Aug 11, 2022

References

  • Results of universal ultrasound screening for developmental dysplasia of the hip: a prospective follow-up of 28 092 consecutive infants
  • Ultrasound screening for developmental dysplasia of the hip after 4 weeks increases exam accuracy and decreases follow-up visits
  • Associations between risk factors and developmental dysplasia of the hip and ultrasonographic hip type: a retrospective case control study
  • Clinical significance of asymmetric skin folds in the medial thigh for the infantile screening of developmental dysplasia of the hip
  • The earliest timing of ultrasound in screening for developmental dysplasia of the hips
  • Classification of hip joint dysplasia by means of sonography
  • The epidemiology and demographics of hip dysplasia
  • Investigating the need for routine ultrasound screening to detect developmental dysplasia of the hip in infants born with breech presentation
  • Knowing your click from your clunk: is the current screening for developmental dysplasia of the hip fit for purpose?
  • Retrospective multicenter analysis of the accuracy of clinical examination by community physicians in diagnosing developmental dysplasia of the hip
  • Significance of inguinal folds for diagnosis of congenital dislocation of the hip in infants aged three to four months
  • Associated risk factors in children who had late presentation of developmental dysplasia of the hip
  • Congenital hip dislocation: the importance of early detection and comprehensive treatment
  • Early diagnosis for developmental dysplasia of the hip: what can we do in China?
  • Value of the “clicky hip” in selective screening for developmental dysplasia of the hip
  • Oligohydramnios: should it be considered a risk factor for developmental dysplasia of the hip?