Abstract
(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.
Highlights
Abstract: (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
A relatively high prevalence of DDH in the pediatric rehabilitation clinic at King Abdullah Specialized Children’s Hospital (KASCH) in Riyadh was reported in this study
Developmental Dysplasia of the Hip appears as a dysplastic disorder
Summary
Developmental Dysplasia of the Hip appears as a dysplastic disorder. It describes anomalies of articular and periarticular anatomy, and their effects on biomechanics, explaining the hip instability, capsular laxity, and abnormal growth of the acetabulum [1].Understanding the description of DDH and the following spectrum of hip abnormalities requires expert knowledge of hip joint growth and development [2]. Developmental Dysplasia of the Hip appears as a dysplastic disorder. It describes anomalies of articular and periarticular anatomy, and their effects on biomechanics, explaining the hip instability, capsular laxity, and abnormal growth of the acetabulum [1]. DDH includes unstable hips, subluxation, dislocation (luxation), and/or malformed acetabula [2,4]. A hip joint is unstable when the tight space between the femoral head and the acetabulum is lacking. The unsteady femoral head can subluxate or dislocate the bounds of the acetabulum [2,4]. Contact failure between the head of the femur and the acetabulum causes the dislocation of the hip [2,4]
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