{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:34:32Z","timestamp":1791477272573,"version":"4.3.4"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003This article evaluates the risk (defined here as incidence per 1,000 infants) of developmental dysplasia of the hip (DDH) in premature infants undergoing hip ultrasound (HUS) for breech presentation only compared with other indications.<\/jats:p><jats:p>\n            Study Design\u2003Retrospective study of infants born between January 1, 2009 and December 31, 2018 at &lt;37 weeks' gestation with a HUS obtained in the first year of life, at Nationwide Children's Hospital, the only available facility for pediatric radiology and orthopaedic services in central Ohio. We calculated risk differences and odds ratios of DDH by the indication of HUS.<\/jats:p><jats:p>\n            Results\u2003From 2,397 infants reviewed, 89% underwent HUS for breech presentation only. The local incidence of DDH for infants undergoing HUS for breech-only indication was 15 per 1,000 compared with 155 per 1,000 for infants undergoing HUS for other indications. The odds ratio of DDH diagnosis was 12.1 (95% confidence interval: 7.5, 19.6) for infants undergoing HUS for an indication other than breech presentation only relative to infants undergoing HUS for the indication of breech presentation only.<\/jats:p><jats:p>\n            Conclusion\u2003The risk of DDH diagnosis in premature infants undergoing HUS for breech presentation is much lower than those undergoing HUS for clinical concerns and other risk factors. Screening these infants with physical examination may be sufficient.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0043-1771259","type":"journal-article","created":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T22:34:50Z","timestamp":1690670090000},"page":"e2390-e2395","source":"Crossref","is-referenced-by-count":4,"special_numbering":"S","title":["The Risk of Developmental Dysplasia of the Hip in Premature Infants with Breech Presentation at Birth"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1332-3645","authenticated-orcid":false,"given":"Ahmed","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Biomedical informatics, Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, Ohio"},{"name":"Biostatistics Resource at Nationwide Children's Hospital, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"},{"name":"The Ohio Perinatal Research Network, Center for Perinatal Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9155-9456","authenticated-orcid":false,"given":"Sara","family":"Conroy","sequence":"additional","affiliation":[{"name":"Department of Biomedical informatics, Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, Ohio"},{"name":"Biostatistics Resource at Nationwide Children's Hospital, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"},{"name":"The Ohio Perinatal Research Network, Center for Perinatal Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Seguin","sequence":"additional","affiliation":[{"name":"Central Ohio Pediatrix Medical Group, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6831-7520","authenticated-orcid":false,"given":"Jonathan L.","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio"},{"name":"The Ohio Perinatal Research Network, Center for Perinatal Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,29]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"e20163107","DOI":"10.1542\/peds.2016-3107","article-title":"Evaluation and referral for developmental dysplasia of the hip in infants","volume":"138","author":"B A Shaw","year":"2016","journal-title":"Pediatrics"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s40477-020-00463-w","article-title":"Developmental dysplasia of the hip: real world data from a retrospective analysis to evaluate the effectiveness of universal screening","volume":"24","author":"D Buonsenso","year":"2021","journal-title":"J Ultrasound"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"239","DOI":"10.3109\/17453679408995446","article-title":"The impact of intra-uterine factors on neonatal hip instability. An analysis of 1,059,479 children in Norway","volume":"65","author":"T Hinderaker","year":"1994","journal-title":"Acta Orthop Scand"},{"issue":"01","key":"ref4","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":"M de Hundt","year":"2012","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/0002-9378(92)91347-D","article-title":"The frequency of breech presentation by gestational age at birth: a large population-based study","volume":"166","author":"D E Hickok","year":"1992","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1055\/s-2007-999455","article-title":"Prevalence of breech presentation by gestational age","volume":"7","author":"L M Hill","year":"1990","journal-title":"Am J Perinatol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s12887-017-0829-5","article-title":"Population-based study of the incidence of congenital hip dysplasia in preterm infants from the Survey of Neonates in Pomerania (SNiP)","volume":"17","author":"A E Lange","year":"2017","journal-title":"BMC Pediatr"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1111\/jpc.12250","article-title":"Breech preterm infants are at risk of developmental dysplasia of the hip","volume":"49","author":"T Quan","year":"2013","journal-title":"J Paediatr Child Health"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e465","DOI":"10.1055\/s-0042-1756139","article-title":"Developmental dysplasia of the hip is not associated with breech presentation in preterm infants","volume":"41","author":"S P Leonard","year":"2024","journal-title":"Am J Perinatol"},{"issue":"20","key":"ref10","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.2106\/JBJS.O.00500","article-title":"The American Academy of Orthopaedic Surgeons evidence-based guideline on detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age","volume":"97","author":"K Mulpuri","year":"2015","journal-title":"J Bone Joint Surg Am"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1542\/peds.105.4.896","article-title":"Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip","volume":"105","author":"American Academy of Pediatrics","year":"2000","journal-title":"Pediatrics"},{"issue":"08","key":"ref13","doi-asserted-by":"crossref","first-page":"e2227638","DOI":"10.1001\/jamanetworkopen.2022.27638","article-title":"Incidence of neonatal developmental dysplasia of the hip and late detection rates based on screening strategy: a systematic review and meta-analysis","volume":"5","author":"I Kuitunen","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"09","key":"ref14","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1302\/0301-620X.87B9.16565","article-title":"The significance of at-risk factors in ultrasound surveillance of developmental dysplasia of the hip. A ten-year prospective study","volume":"87","author":"R W Paton","year":"2005","journal-title":"J Bone Joint Surg Br"},{"issue":"01","key":"ref15","first-page":"47","article-title":"Ultrasound screening for developmental dysplasia of the hip in the neonate: the effect on treatment rate and prevalence of late cases","volume":"94","author":"K Rosendahl","year":"1994","journal-title":"Pediatrics"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1302\/0301-620X.81B2.0810255","article-title":"Ultrasound screening for hips at risk in developmental dysplasia. Is it worth it?","volume":"81","author":"R W Paton","year":"1999","journal-title":"J Bone Joint Surg Br"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.clinimag.2021.04.023","article-title":"Developmental hip dysplasia and hip ultrasound frequency in a large American payer database","volume":"76","author":"A J Degnan","year":"2021","journal-title":"Clin Imaging"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.surge.2017.05.002","article-title":"Screening in developmental dysplasia of the hip (DDH)","volume":"15","author":"R W Paton","year":"2017","journal-title":"Surgeon"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"e557","DOI":"10.1542\/peds.2005-1597","article-title":"Screening for developmental dysplasia of the hip: a systematic literature review for the US Preventive Services Task Force","volume":"117","author":"S A Shipman","year":"2006","journal-title":"Pediatrics"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"1140349","DOI":"10.3389\/fped.2023.1140349","article-title":"Assessment for late developmental hip dysplasia in a cohort of infants with risk factors and normal hip ultrasound","volume":"11","author":"R Morello","year":"2023","journal-title":"Front Pediatr"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s40477-020-00502-6","article-title":"Indirect effects of COVID-19 on child health care: delayed diagnosis of developmental dysplasia of the hip","volume":"23","author":"D Buonsenso","year":"2020","journal-title":"J Ultrasound"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1771259.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:38:02Z","timestamp":1730813882000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1771259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,29]]},"references-count":20,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2024,5,13]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1771259","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,29]]}}}