Is Reassessment of Radiographs Taken from Pediatric Patients Useful for Detecting Unrecognised Hip Dysplasia?

INTRODUCTION: Developmental Dysplasia of the Hip (DDH) is an entity that may be congenital as well as develop during infancy or childhood and include anatomic disorders of the hips. Moreover,DDH is of great importance with the possibility of being diagnosed late and the disabilities it causes inpatients.Despite the fact thatthere was not a patient with complaints of hip dislocation in this study, the unrecognized cases that admitted to the clinics due to other complaints were tried to present.
METHODS: Hip and pelvic radiographs taken from10000 children who were referred to emergency and pediatric outpatient clinics of our department with other complaints between 2009-2016were evaluated.Six patients who had high acetabular index according to the measurements calculated from 4000radiographs thatwere appropriate for evaluation and who were thought to have unrecognized were recalled and their hip radiographs were evaluated
RESULTS: Six patients with suspected hip dysplasia detected from 4000 radiographs, which were suitable for themeasurement techniques,were called to the control examination.In the physical examinations and radiographs,abnormal radiographic views of a patient with complete dislocation and two patients with dysplastic hip according to their first radiographs were completely resolved
DISCUSSION AND CONCLUSION: When treatment of DDH can be performed with simple instrumentation or limited surgical interventions in the early infancy, complicated surgical interventions are required during age of walking and after this period,whichreduce the success rate. Therefore, we think that every child under one year old who has referred to the clinics for other reasons and those with hip or pelvis graphs are required to be examined in terms ofDDH