Developmental Dysplasia of the Hip: Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice-A 5-Year Retrospective Review

Developmental Dysplasia of the Hip: Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice-A 5-Year Retrospective Review

(1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilit...

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Bibliographic Details
Published in:Children (Basel) Vol. 9; no. 2; p. 247
Main Authors: Vasilcova, Veronika, AlHarthi, Moqfa, AlAmri, Nadrah, Sagat, Peter, Bartik, Peter, Jawadi, Ayman H, Zvonar, Martin
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 12-02-2022
MDPI
Subjects:
Age
Arthritis
Breech presentation
Cerebral palsy
Clinics
DDH
differential diagnosis
Electronic health records
Hip dislocation
Medical diagnosis
Medical referrals
Orthopedics
Osteoarthritis
Pain
Patients
Pediatrics
Physical therapy
prevalence
Rehabilitation
Ultrasonic imaging
Saudi Arabia
prevalence
DDH
differential diagnosis
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Summary:(1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children's Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant's age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study.
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ISSN:2227-9067
2227-9067
DOI:10.3390/children9020247