THE RELATIONSHIP BETWEEN SKIN CREASES AND DEVELOPMENTAL DYSPLASIA OF THE HIP IN TERM INFANTS UNDERGOING HIP ULTRASOUNOGRAPHY: The Relationship Between Skin Creases and Developmental Dysplasia of the Hip

Bülent Güneş

doi:10.5281/zenodo.10021104

Authors

Bülent Güneş Şanlıurfa Eğitim ve Araştırma Hastanesi

DOI:

https://doi.org/10.5281/zenodo.10021104

Keywords:

Developmental dysplasia of the hip, anterior skin crease, posterior skin crease.

Abstract

Abstract

Aim: We aimed to reveal the relevance between the anterior skin crease (ASC) and posterior skin crease (PSC) and Developmental dysplasia of the hip (DDH) and to reveal its value in predicting the presence of DDH.

Materials and Methods: Our study included 520 term infants in our study who presented to the pediatric clinic for the first time between 2020/2023 and were between 4-12 weeks of age. ASC-positive and ASC-negative and PSC-positive and PSC-negative groups were compared according to clinical characteristics.

Results: DDH was 6.58% (34/520). The presence of ASC and/or PSC was found in 6.58% (34/520). Female gender, breech presentation and family history of DDH were more common in ASC-positive and PSC-positive groups. Sensitivity for DDH was 26.5%, Specifity for DDH was 95.9%, positive predictive value (PPV) for DDH was 31% and negative predictive value for DDH was 94.9% in ASC+PSC group.

Conclusion: This study has shown that skin folds, which are a simple physical examination finding, are important to exclude the diagnosis of DDH but not to diagnose DDH.

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THE RELATIONSHIP BETWEEN SKIN CREASES AND DEVELOPMENTAL DYSPLASIA OF THE HIP IN TERM INFANTS UNDERGOING HIP ULTRASOUNOGRAPHY