Risk factors and of diagnosis methods of developmental dysplasia of the hip at Soba University Hospital, Sudan
- 1Department of Surgery, Faculty of Medicine and Health Sciences, University of Dongola, Sudan
Int. Res. J. Medical Sci., Volume 5, Issue (1), Pages 13-15, February,28 (2017)
This is observational retrospective hospital based study aiming to clarify and study pattern of clinical presentation, causes and methods of diagnosis of DDH in patients presenting in Soba university hospital. A series of thirty seven patients with forty eight hips studied retrospectively between the years (1997 up to 2009) in Soba University Hospital Khartoum State. The data was collected after completing questionnaire (check list). Verbal consent was taken from pediatric orthopedics surgery department. The average age was seven years ranging from four days to fourteen years. Eleven cases (29.7%) were between four days and sex months of age. Twenty one (56.8%) patients were females. Breech alignment was in three patients (8%). Seven cases (18.9%), were delivered by C/S and one birth (2.7%) needed assistance. On diagnosis eight patients (21.6%) were associated with congenital anomalies (talipes equinas, fixed knee flexion deformities, and cardiovascular abnormalities). Diagnosis was most frequent in small age group, eleven cases (29.7%) age between four days to sex months. The clinical tests used in diagnosis were Ortilani and Barlows. In tow cases (5.4%) Ortilani alone was used. In 68% of casese Galeazzi sign used to detect the problem on clinical ground. DDH was detected unilaterally in twenty patients (70.3%). For the unilateral DDH left side was common, seventeen patients (45.9%) were left sided. Investigations done to these patients were X-rays and U/S. Twenty eight cases (75.5%) were diagnosed with X-ray alone. Nine cases dignosed by U/S and X-rays.
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