alexa Clubfoot and developmental dysplasia of the hip: value of screening hip radiographs in children with clubfoot.


Pediatrics & Therapeutics

Author(s): Westberry DE, Davids JR, Pugh LI

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Abstract Clubfoot and hip dislocations are common conditions seen by pediatric orthopedists. In the evaluation of a child with clubfoot, most texts recommend a hip screening radiograph to rule out occult hip dysplasia. Between 1983 and 1998, 349 patients were treated for idiopathic clubfoot. Almost all feet required surgical correction. The average follow-up was 8.4 years. Of these patients, 127 had hip screening x-rays during their treatment of clubfoot. The remaining 222 patients were followed clinically for an average of 9.6 years. Of the 127 patients with hip screening x-rays, 1 was found to have hip dysplasia (0.8\%). Of the 222 without hip screening x-rays, none developed signs or symptoms of hip pathology during their clinical follow-up period. The overall rate of hip dysplasia in the idiopathic clubfoot population in this series was less than 1.0\%. Screening hip radiographs in the idiopathic clubfoot population are probably not warranted.
This article was published in J Pediatr Orthop and referenced in Pediatrics & Therapeutics

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