Investigating the need for routine hip ultrasound to detect developmental dysplasia of the hips in babies born with breech presentation
CPS ePoster Library. D'Alessandro M. Jun 22, 2016; 128147; 77
Michelle D'Alessandro
Michelle D'Alessandro
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Background: Breech presentation at birth increases the risk for developmental dysplasia of the hips (DDH). However, international consensus with regards to screening guidelines for infants at increased risk of DDH is lacking. Kingston General Hospital (KGH), a Canadian tertiary care center, currently employs a DDH ultrasound screening protocol at 6 weeks of age for all infants born with breech presentation.

Objectives: To investigate the utility of routine ultrasound scanning in detecting DDH in patients born breech with a negative physical exam of the hips.

Methods: A retrospective chart review was conducted in which electronic medical records at KGH were reviewed to identify infants born breech who received routine hip ultrasound screening for DDH between 2010 and 2015. Physical exam findings of the hips, ultrasound reports, and subsequent treatment modalities were extracted as well as gestational age, birth weight, and gender.

Result: 319 infants born with breech presentation who underwent routine hip ultrasound regardless of physical exam status were identified (192 (60.2%) female; 127 (39.8%) male). 27 (8.5%) had a negative physical exam but a positive finding on ultrasound. The gender distribution of this subset was significantly different than that of the total group (p

Conclusion: For infants born with breech presentation with a negative physical exam of the hips, consideration could be given to direct routine ultrasound screening for DDH at females only.

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