{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:36:41Z","timestamp":1788352601884,"version":"build-2803163510"},"reference-count":50,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100013058","name":"Jiangsu Provincial Key Research and Development Program","doi-asserted-by":"publisher","award":["BE2022732"],"award-info":[{"award-number":["BE2022732"]}],"id":[{"id":"10.13039\/501100013058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics & Traumatology: Surgery & Research"],"published-print":{"date-parts":[[2024,6]]},"DOI":"10.1016\/j.otsr.2024.103836","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T11:54:40Z","timestamp":1707738880000},"page":"103836","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Risk factors of developmental dysplasia of the hip in infants: A meta-analysis based on cohort studies"],"prefix":"10.1016","volume":"110","author":[{"given":"Xingguang","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jue","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingfeng","family":"Xue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengda","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialing","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8791-1113","authenticated-orcid":false,"given":"Yiqun","family":"Teng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2024.103836_bib0255","first-page":"1021","article-title":"Enhanced detection services for developmental dysplasia of the hip in Scottish children, 1997\u20132013","volume":"103","author":"McAllister","year":"2018","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.otsr.2024.103836_bib0260","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2018-1147","article-title":"Developmental dysplasia of the hip","volume":"143","author":"Yang","year":"2019","journal-title":"Pediatrics"},{"key":"10.1016\/j.otsr.2024.103836_bib0265","first-page":"103625","article-title":"U-shaped hip capsular incision: an easier way to do hip capsulorrhaphy in developmental dysplasia of the hip\u00a0\u2013\u00a0technical note","volume":"21","author":"Elbaseet","year":"2023","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2024.103836_bib0270","doi-asserted-by":"crossref","first-page":"103127","DOI":"10.1016\/j.otsr.2021.103127","article-title":"Petit-Morel method for hip development dysplasia in toddlers: a retrospective observational study in 34 patients","volume":"108","author":"Mazaleyrat","year":"2022","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2024.103836_bib0275","doi-asserted-by":"crossref","first-page":"103172","DOI":"10.1016\/j.otsr.2021.103172","article-title":"Residual acetabular dysplasia in congenital hip dysplasia","volume":"108","author":"de Courtivron","year":"2022","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2024.103836_bib0280","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1007\/s00431-017-2959-z","article-title":"Diagnosing developmental dysplasia of the hip using the Graf ultrasound method: risk and protective factor analysis in 11,820 universally screened newborns","volume":"176","author":"Schams","year":"2017","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.otsr.2024.103836_bib0285","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1016\/j.otsr.2020.09.004","article-title":"Developmental dysplasia of the hip: promoting global exchanges to enable understanding the disease and improve patient care","volume":"106","author":"Canavese","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2024.103836_bib0290","first-page":"570","article-title":"Screening results and analysis of risk factors of developmental dysplasia of hip in infants in Tianjin","volume":"42","author":"Pan","year":"2022","journal-title":"Chin J Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0295","first-page":"113","article-title":"Current status and network system of early screening for developmental dysplasia of the hips","volume":"14","author":"Wang","year":"2018","journal-title":"Chin J Obstet Gynecol Pediatr"},{"key":"10.1016\/j.otsr.2024.103836_bib0300","first-page":"641","article-title":"Detection and treatment of pediatric developmental dysplasia of the hip in children up to two year of age:clinical practice guideline","volume":"37","year":"2017","journal-title":"Chin J Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0305","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.ejogrb.2012.06.030","article-title":"Risk factors for developmental dysplasia of the hip: a meta-analysis","volume":"165","author":"de Hundt","year":"2012","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.otsr.2024.103836_bib0310","doi-asserted-by":"crossref","first-page":"e344","DOI":"10.1016\/j.ejrad.2011.11.003","article-title":"A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns","volume":"81","author":"Ortiz-Neira","year":"2012","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.otsr.2024.103836_bib0315","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.otsr.2024.103836_bib0320","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"10.1016\/j.otsr.2024.103836_bib0325","first-page":"349","article-title":"Comparing two surgical methods for radial neck fractures in children: a meta-analysis","volume":"38","author":"Chen","year":"2017","journal-title":"Chin J Pediatr Surg"},{"key":"10.1016\/j.otsr.2024.103836_bib0330","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s11832-016-0798-5","article-title":"Epidemiology of developmental dysplasia of the hip within the UK: refining the risk factors","volume":"10","author":"Woodacre","year":"2016","journal-title":"J Child Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0335","first-page":"159","article-title":"Preliminary screening of infants with developmental dysplasia of the hip and analysis of risk factors in Dalian","volume":"16","author":"Jiang","year":"2017","journal-title":"J Clin Pedriatr Surg"},{"key":"10.1016\/j.otsr.2024.103836_bib0340","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1097\/BPB.0000000000000624","article-title":"Oligohydramnios: should it be considered a risk factor for developmental dysplasia of the hip?","volume":"28","author":"Manoukian","year":"2019","journal-title":"J Pediatr Orthop B"},{"key":"10.1016\/j.otsr.2024.103836_bib0345","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1186\/s12891-020-03454-4","article-title":"Predicting developmental dysplasia of the hip in at-risk newborns","volume":"21","author":"Roposch","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.otsr.2024.103836_bib0350","first-page":"664","article-title":"Prevalence of developmental dysplasia of the hip in a Maternity Hospital in S\u00e3o Paulo, Brazil","volume":"56","author":"Motta","year":"2021","journal-title":"Rev Bras Ortop (Sao Paulo)"},{"key":"10.1016\/j.otsr.2024.103836_bib0355","first-page":"727","article-title":"Incidence and epidemiological characteristics of developmental dysplasia of the hip in Yangzhou","volume":"42","author":"Wang","year":"2021","journal-title":"Chin J Pediatr Surg"},{"key":"10.1016\/j.otsr.2024.103836_bib0360","first-page":"4526","article-title":"Early screening of infant developmental hip dysplasia and analysis of the influencing factors","volume":"36","author":"Feng","year":"2021","journal-title":"Matern Child Health Care China"},{"key":"10.1016\/j.otsr.2024.103836_bib0365","doi-asserted-by":"crossref","first-page":"e28320","DOI":"10.1097\/MD.0000000000028320","article-title":"Epidemiological investigation and ultrasonic diagnosis of developmental dysplasia of the hip in Chinese infants: a large multi-center cohort study","volume":"101","author":"Xu","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.otsr.2024.103836_bib0370","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.3390\/medicina58091158","article-title":"Impact of multiple factors on the incidence of developmental dysplasia of the hip: risk assessment tool","volume":"58","author":"Pulik","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"10.1016\/j.otsr.2024.103836_bib0375","doi-asserted-by":"crossref","first-page":"653","DOI":"10.3109\/17453679808999277","article-title":"Ultrasonography for evaluation of hip dysplasia. Methods and policy in neonates, infants, and older children","volume":"69","author":"Terjesen","year":"1998","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.otsr.2024.103836_bib0380","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1186\/s13018-021-02784-w","article-title":"Greater presence of receptors for relaxin in the ligamentum teres of female infants who undergo open reduction for developmental dysplasia of the hip","volume":"16","author":"Ayano\u011flu","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.otsr.2024.103836_bib0385","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/BPO.0000000000000446","article-title":"Sonographic assessment of hip swaddling techniques in infants with and without DDH","volume":"36","author":"Harcke","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0390","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1046\/j.1442-200x.2004.01855.x","article-title":"Screening for developmental dysplasia of the hip: results of a 7-year follow-up study","volume":"46","author":"Sahin","year":"2004","journal-title":"Pediatr Int"},{"key":"10.1016\/j.otsr.2024.103836_bib0395","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1186\/s12887-021-02910-x","article-title":"Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial","volume":"21","author":"Ulziibat","year":"2021","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.otsr.2024.103836_bib0400","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1016\/j.pcl.2014.08.008","article-title":"Evaluation and treatment of developmental hip dysplasia in the newborn and infant","volume":"61","author":"Schwend","year":"2014","journal-title":"Pediatr Clin North Am"},{"key":"10.1016\/j.otsr.2024.103836_bib0405","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/MOP.0000000000000574","article-title":"Developmental dysplasia of the hip: an update on diagnosis and management from birth to 6\u00a0months","volume":"30","author":"Swarup","year":"2018","journal-title":"Curr Opin Pediatr"},{"key":"10.1016\/j.otsr.2024.103836_bib0410","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1097\/ALN.0000000000001796","article-title":"Effect of intrathecal bupivacaine dose on the success of external cephalic version for breech presentation: a prospective, randomized, blinded clinical trial","volume":"127","author":"Chalifoux","year":"2017","journal-title":"Anesthesiology"},{"key":"10.1016\/j.otsr.2024.103836_bib0415","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1111\/1471-0528.12013","article-title":"Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version","volume":"120","author":"Lambeek","year":"2013","journal-title":"BJOG"},{"key":"10.1016\/j.otsr.2024.103836_bib0420","doi-asserted-by":"crossref","first-page":"F94","DOI":"10.1136\/fn.76.2.F94","article-title":"Perinatal risk factors for developmental dysplasia of the hip","volume":"76","author":"Chan","year":"1997","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"10.1016\/j.otsr.2024.103836_bib0425","doi-asserted-by":"crossref","first-page":"19461","DOI":"10.1038\/s41598-022-24025-8","article-title":"Risk factors of developmental dysplasia of the hip in a single clinical center","volume":"12","author":"Xiao","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.otsr.2024.103836_bib0430","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1007\/s00132-008-1236-2","article-title":"When is the optimal time for hip ultrasound screening?","volume":"37","author":"Farr","year":"2008","journal-title":"Orthopade"},{"key":"10.1016\/j.otsr.2024.103836_bib0435","first-page":"697","article-title":"The association between mode of delivery and developmental dysplasia of the hip in breech infants: a systematic review of 9 cohort studies","volume":"78","author":"Panagiotopoulou","year":"2012","journal-title":"Acta Orthop Belg"},{"key":"10.1016\/j.otsr.2024.103836_bib0440","doi-asserted-by":"crossref","first-page":"2415","DOI":"10.1007\/s00264-013-2073-4","article-title":"Is it worthwhile to screen the hip in infants born with clubfeet?","volume":"37","author":"Zhao","year":"2013","journal-title":"Int Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0445","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s11832-014-0572-5","article-title":"Screening for hip dysplasia in congenital muscular torticollis: is physical exam enough?","volume":"8","author":"Joiner","year":"2014","journal-title":"J Child Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0450","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1007\/s00264-015-2757-z","article-title":"The prevalence of developmental dysplasia of the hip in idiopathic clubfoot: a systematic review and meta-analysis","volume":"39","author":"Ibrahim","year":"2015","journal-title":"Int Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0455","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1186\/s12887-023-04083-1","article-title":"Preterm birth does not increase the risk of developmental dysplasia of the hip: a systematic review and meta-analysis","volume":"23","author":"Ghaseminejad-Raeini","year":"2023","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.otsr.2024.103836_bib0460","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/BPB.0000000000001021","article-title":"Is prematurity a risk factor for developmental dysplasia of the hip? A systematic review and meta-analysis","volume":"32","author":"Burkhart","year":"2023","journal-title":"J Pediatr Orthop B"},{"key":"10.1016\/j.otsr.2024.103836_bib0465","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1302\/0301-620X.97B5.34010","article-title":"Is prematurity a risk factor for developmental dysplasia of the hip? A prospective study","volume":"97-B","author":"Orak","year":"2015","journal-title":"Bone Joint J"},{"key":"10.1016\/j.otsr.2024.103836_bib0470","doi-asserted-by":"crossref","first-page":"e55","DOI":"10.1097\/BPO.0000000000001982","article-title":"Breech presentation in twins as a risk factor for developmental dysplasia of the hip","volume":"42","author":"Oh","year":"2022","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0475","doi-asserted-by":"crossref","first-page":"914545","DOI":"10.3389\/fped.2022.914545","article-title":"Morphological development of the hip in normal infants under six months of age by the Graf ultrasound method","volume":"10","author":"Liu","year":"2022","journal-title":"Front Pediatr"},{"key":"10.1016\/j.otsr.2024.103836_bib0480","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1097\/BPO.0000000000001205","article-title":"Management of irreducible hip dislocations in infants with developmental dysplasia of the hip diagnosed below 6 months of age","volume":"39","author":"Aarvold","year":"2019","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0485","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.otsr.2014.03.017","article-title":"Developmental dysplasia of the hip in neonates: evolution of acetabular dysplasia after hip stabilization by brief Pavlik harness treatment","volume":"100","author":"Bin","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2024.103836_bib0490","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1302\/1863-2548.12.180056","article-title":"The natural history of abnormal ultrasound findings in hips of infants under six months of age","volume":"12","author":"Sakkers","year":"2018","journal-title":"J Child Orthop"},{"key":"10.1016\/j.otsr.2024.103836_bib0495","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/01202412-200509000-00003","article-title":"The natural history of developmental dysplasia of the hip: sonographic findings in infants of 1\u20133 months of age","volume":"14","author":"Roovers","year":"2005","journal-title":"J Pediatr Orthop B"},{"key":"10.1016\/j.otsr.2024.103836_bib0500","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1097\/BPO.0000000000000930","article-title":"Timing of Pavlik harness initiation: can we wait?","volume":"39","author":"Larson","year":"2019","journal-title":"J Pediatr Orthop"}],"container-title":["Orthopaedics & Traumatology: Surgery & Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056824000392?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056824000392?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:01:18Z","timestamp":1762560078000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056824000392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["S1877056824000392"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2024.103836","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk factors of developmental dysplasia of the hip in infants: A meta-analysis based on cohort studies","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2024.103836","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Masson SAS.","name":"copyright","label":"Copyright"}],"article-number":"103836"}}