Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

WHAT FOLLOW-UP IS REQUIRED FOR A FAMILY HISTORY OF DDH?



Abstract

Aim: To assess the effectiveness and need for X-rays undertaken at 9 to 12 months of age in cases were children have a strong family history of DDH and have had a normal ultra-sound scan at 6 weeks of age.

Materials and Methods: A retrospective study was undertaken over a five-year period. 122 children were identified as having a positive family history of DDH with a normal ultra-sound scan at 6 weeks. 56% were female and 44% were male. 6 were breech (4.9%). The mean ultra-sound was undertaken at 8.9 weeks. The mean X-ray was undertaken at 11.6 months. Acetabular dysplasia was diagnosed if the acetabular index was over 30 degrees. All X-rays were reviewed by one specialist.

Results: 3 children were noted to have late acetabular dysplasia (2.5%). One case was bilateral and 2 cases were unilateral.

Conclusion: The study showed a sub-group of cases where there was an incidence of acetabular dysplasia where the ultra-sound was normal at 6 weeks in those with a strong family history of DDH. It was felt that the finding of this dysplasia supports the policy to X-ray these cases at one year because of the significantly increased risk of acetabular dysplasia in this group.

The abstracts were prepared by the Editorial Secretary Robin W Paton. Correspondence should be addressed to him c/o BOA, 35–43 Lincoln’s Inn Field, London WC2A 3PN.