The Feasibility of Prenatal Ultrasonic Screening for Developmental Dysplasia of the Hip
Abstract
:1. Introduction
2. Materials and Methods
- Women aged 18 to 45 years;
- Physiological pregnancies;
- Pregnancies at term;
- Complete follow-up through 18 weeks postpartum.
- Twin or multiple pregnancies;
- Suspected or diagnosed fetal abnormalities;
- Mother’s pathological obesity (BMI > 30 kg/m2).
Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Type | α-Angle | β-Angle | Description | Bony Roof | Bony Rim | Cartilage Roof |
---|---|---|---|---|---|---|
Ia | ≥60 | ≤55 | Mature hip | Good | Blunt | Covers the f.h 1 |
Ib | >60 | >55 | Mature hip | Good | Blunt | Cover the f.h |
IIa | 50–59 | >55 | Physiologically immature (<3 mth) | Deficient | Rounded | Covers the f.h 1 |
IIb | 50–59 | <55 | Delay of ossification (>3 mth) | Deficient | Rounded | Covers the f.h 1 |
IIc | 43–49 | <77 | Critical hip | Severely deficient | Rounded to flattened | Still covers the f.h 1 |
IId | 43–49 | >77 | Decentering hip | Severely deficient | Rounded to flattened | Displaced |
III | <43 | >77 | Dislocated hip | Poor | Flattened | Labrum pressed upward |
IV | <43 | Dislocated hip | Poor | Flattened | Labrum pressed downward |
Group A | Group B | |
---|---|---|
N° of patients | 58 (64.4%) | 32 (35.6%) |
Graf classification | ||
Ia (%) | 4 (6.9%) | |
Ib (%) | 54 (93.1%) | |
IIa (%) | 31 (96.9%) | |
IIb (%) | 0 | |
IIc (%) | 1 (3.1%) | |
Gender | ||
Male n (%) | 24 (41.4%) | 10 (31.2%) |
Female n (%) | 34 (58.6%) | 22 (68.8%) |
Side | ||
Right | 30 (51.7%) | 12 (37.5%) |
Left | 28 (48.3%) | 20 (62.5%) |
Family history of DDH | 9 (15.5%) | 7 (21.9%) |
Ethnicity | ||
Caucasian | 46 (79.3%) | 29 (90.6%) |
African | 9 (15.5%) | 3 (9.4%) |
Asian | 3 (5.2%) | 0 |
Multiparous | 17 (29.3%) | 8 (25%) |
Primiparous | 41 (70.7%) | 24 (75%) |
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Bevilacqua, C.; Boscarato, V.; Pieroni, G.; Fraternali, E.; Lattanzi, G.; Aspriello, S.D.; Gigante, A.P.; Cecchi, A. The Feasibility of Prenatal Ultrasonic Screening for Developmental Dysplasia of the Hip. Diseases 2024, 12, 188. https://doi.org/10.3390/diseases12080188
Bevilacqua C, Boscarato V, Pieroni G, Fraternali E, Lattanzi G, Aspriello SD, Gigante AP, Cecchi A. The Feasibility of Prenatal Ultrasonic Screening for Developmental Dysplasia of the Hip. Diseases. 2024; 12(8):188. https://doi.org/10.3390/diseases12080188
Chicago/Turabian StyleBevilacqua, Claudia, Virginia Boscarato, Giovanni Pieroni, Eva Fraternali, Giuliano Lattanzi, Simone Domenico Aspriello, Antonio Pompilio Gigante, and Alessandro Cecchi. 2024. "The Feasibility of Prenatal Ultrasonic Screening for Developmental Dysplasia of the Hip" Diseases 12, no. 8: 188. https://doi.org/10.3390/diseases12080188
APA StyleBevilacqua, C., Boscarato, V., Pieroni, G., Fraternali, E., Lattanzi, G., Aspriello, S. D., Gigante, A. P., & Cecchi, A. (2024). The Feasibility of Prenatal Ultrasonic Screening for Developmental Dysplasia of the Hip. Diseases, 12(8), 188. https://doi.org/10.3390/diseases12080188