Clubfoot and developmental dysplasia of the hip: Value of screening hip radiographs in children with clubfoot

David E. Westberry, Jon Davids, Linda I. Pugh

Research output: Contribution to journalArticle

23 Scopus citations

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, I 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.

Original languageEnglish (US)
Pages (from-to)503-507
Number of pages5
JournalJournal of Pediatric Orthopaedics
Volume23
Issue number4
DOIs
StatePublished - Jul 2003
Externally publishedYes

Keywords

  • Clubfoot
  • Developmental dysplasia of the hip
  • Screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Orthopedics and Sports Medicine

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