{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T05:49:25Z","timestamp":1768715365537,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,11,12]],"date-time":"2012-11-12T00:00:00Z","timestamp":1352678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p><jats:italic>Please cite this paper as:<\/jats:italic> Lambeek A, De Hundt M, Vlemmix F, Akerboom B, Bais J, Papatsonis D, Mol B, Kok M. Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version. BJOG 2012; DOI: 10.1111\/1471\u20100528.12013.<\/jats:p><jats:p><jats:bold>Objective\u2002<\/jats:bold> To evaluate the effect of successful external cephalic version on the incidence of developmental dysplasia of the hip (DDH) requiring treatment in singleton breech presentation at term.<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> Observational cohort study.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> Three large teaching hospitals in the Netherlands.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> Women with a singleton breech presentation of 34\u2003weeks of gestation or more, who underwent an external cephalic version attempt.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> We made a comparison of the incidence of DDH between children born in breech presentation and children born in cephalic presentation after a successful external cephalic version.<\/jats:p><jats:p><jats:bold>Main outcome measure\u2002<\/jats:bold> The incidence of DDH requiring either conservative treatment, with a harness, or surgical treatment.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> A total of 498 newborns were included in the study, of which 40 (8%) were diagnosed with DDH and 35 required treatment. Multivariate analysis showed that female gender (OR\u20032.79, 95%\u2003CI 1.23\u20136.35) and successful external cephalic version (OR\u20030.29, 95%\u2003CI 0.09\u20130.95) were independently associated with DDH.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> A successful external cephalic version is associated with a lower incidence of DDH, although a high percentage of children born after a successful external cephalic version still appear to have DDH. A larger cohort study is needed to establish the definite nature of this relationship. Until then, we recommend the same screening policy for infants born in cephalic position after a successful external cephalic version as for infants born in breech position.<\/jats:p>","DOI":"10.1111\/1471-0528.12013","type":"journal-article","created":{"date-parts":[[2012,11,12]],"date-time":"2012-11-12T18:48:23Z","timestamp":1352746103000},"page":"607-612","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version"],"prefix":"10.1111","volume":"120","author":[{"given":"AF","family":"Lambeek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"De Hundt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Vlemmix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BMC","family":"Akerboom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JMJ","family":"Bais","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DNM","family":"Papatsonis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BWJ","family":"Mol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Kok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,12]]},"reference":[{"key":"e_1_2_11_2_2","first-page":"1310","article-title":"Developmental dysplasia of the hip","volume":"74","author":"Storer SK","year":"2006","journal-title":"Am Fam Physician"},{"key":"e_1_2_11_3_2","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1302\/0301-620X.74B5.1527117","article-title":"Radiographic screening at four months of infants at risk for congenital hip dislocation","volume":"74","author":"Garvey M","year":"1992","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679408995446"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.4.e57"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/adnc.2003.50016"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000096804.78689.c2"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016470510030517"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004020000186"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.76.2.F94"},{"key":"e_1_2_11_11_2","first-page":"804","article-title":"Early diagnosis and treatment of congenital dislocation of the hip","volume":"56","author":"Barlow TG","year":"1963","journal-title":"Proc R Soc Med"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198411000-00015"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B7.16073"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2001.tb02453.x"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016348809004270"},{"key":"e_1_2_11_16_2","first-page":"933","article-title":"Breech deformation complex in neonates","volume":"45","author":"Hsieh YY","year":"2000","journal-title":"J Reprod Med"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B12.24960"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1258\/RSMSMJ.51.4.33"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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