TY  - JOUR
T1  - Family history in developmental dysplasia of the hip: should we follow-up?
AU  - Aydın, Sonay
AU  - Fatihoğlu, Erdem
PY  - 2019
DA  - November
Y2  - 2018
DO  - 10.18621/eurj.442402
JF  - The European Research Journal
JO  - Eur Res J
PB  - Prusa Medical Publishing
WT  - DergiPark
SN  - 2149-3189
SP  - 957
EP  - 961
VL  - 5
IS  - 6
LA  - en
AB  - Objectives:Developmental dysplasiaof the hip (DDH) is an important problem. Ultrasonography (US) is a propermethod before 6 months of age. For older children, plain radiographs can beuseful. Six risk factors are emphasized: breechpresentation, female sex, a positive family history, being first-born, left hipaffected, and mode of delivery. In some centers, clinicians prefer toperform a control US examination or pelvic radiographs after 6 months of agefor the children having a positive family history. We aimed to evaluate thenecessity of control US/direct radiography examinations. Methods: A total of 205 children with a positive family history for DDH areincluded. US examinations are performed according to Graf’s method. We haveevaluated direct radiographs by using Hilgenreiner, Perkin, and Shenton lines,acetabular angle. Results: Initial US examinations are performed at a median ageof 8.3 weeks. Seventy-four patients (36%) had a repeat ultrasound scan at amedian age of 7 months; none of them demonstrated abnormal findings. One hundredand thirty-one patients (63.9%) had control radiographs at a median age of 8.2months. Shenton line is considered as normal, and the upper femoral epiphysisis located in inferomedial quadrant according to Hilgenreiner and Perkin lines.Conclusions: A positive family history for DDH may be a lessimportant reason for performing control US or radiographic examination.Patients with a normal screening US result and having risk factors can bedischarged from follow up safely, so that unnecessary examinations and familyanxiety will be reduced.
KW  - Developmental dysplasia of the hip
KW  - Graf method
KW  - ultrasound
KW  - family history
KW  - follow-up
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UR  - https://doi.org/10.18621/eurj.442402
L1  - https://dergipark.org.tr/en/download/article-file/768737
ER  -