CONGENITAL DISLOCATION
OF THE HIP: CASE REPORT, RISK FACTORS, TIMING OF SCREENING AND RESULTS OF
FOLLOW-UP
Zamir C1, Savi R2,
Walowik I1, Moreno M2, Ashraf A2, Rishpon
S3
1.Ministry of Health, Haifa
District, Hadera Sub-District, Israel
2. Dept. Orthopedics,
Hillel-Yaffe Medical Center, Hadera, Israel
3. Ministry of
Health, Haifa District, Israel
Objectives:
1.
To compare the demographic and perinatal characteristics of a group
of children with CDH to those of a control group.
2.
To determine whether the outcome and prognosis are related to the
timing of the diagnostic physical screening examination.
Methods: 231 children born in the years 1994-1995 in the Hadera
sub-district: 77 children suspected clinically of having CDH, and 154
controls. All the study children were referred to a pediatric orthopedic
surgeon and underwent imaging procedures. The control group was selected
systematically ¨C 2 controls per study patient.
Results: Female gender, firstborn child, and breech presentation at birth
were all features that were significantly more common in the study group
compared to the controls (odds ratio 4.3, 2.7, 6 respectively) (p
<0.05).
If the diagnosis was made after 6 weeks of age there was a higher
risk (although not statistically significant) of the patient subsequently
requiring surgical treatment (O.R. 3), and of there being motor disability
or handicap (O.R. = 2.6).
Conclusions:
1.
Children with CDH have certain demographic and perinatal markers.
Early detection of this condition may lessen the need for surgical
intervention and the risk of disability or motor handicap.