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The aim of this study is to assess long term effects of developmental dysplasia of the hip (DDH) to overall health and quality of life later in life. We compare hip radiographs, hip symptoms, clinical examination, head asymmetry, dental examination and intraoral scans of 170 children and young adults treated for DDH in their childhood with age and sex matched controls.
Developmental dysplasia of the hip (DDH) is the most common musculoskeletal disorder in infancy. However there are few reports of long term effects of successfully treated DDH. Incidence of DDH in neonatal period is approximately 1-10/1000 depending on screening protocols used, the age of the infant during screening and which ultrasonographic findings are considered normal and which DDH. The prevalence of hip dysplasia in adult population is grossly 4 % when using Wibergs Centre-Edge (CE) ≤ 20° as definition of dysplasia. It is still unclear, what is the relation between adult acetabular dysplasia and developmental dysplasia in children. Hip dysplasia overall is a major contributing factor in hip osteoarthrosis and total hip replacement in young adults.
The aim of this study is to assess long term effects of developmental dysplasia of the hip to overall health and quality of life later in life. We compare hip radiographs, hip symptoms, clinical examination, head asymmetry, dental examination and intraoral scans of 170 children and young adults treated for DDH in their early childhood with age and sex matched controls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treated for DDH in childhood | Subjects have had DDH in childhood. DDH has been diagnosed before age of 1,5 years and treated for. | ||
| Control | Age an sex matched controls of DDH patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Wibergs Centre-Edge Angle | angle degree | 10 - 30 years after DDH has been treated |
| Measure | Description | Time Frame |
|---|---|---|
| The Copenhagen Hip and Groin Outcome Score (HAGOS) | score in numbers | 10 - 30 years after DDH has been treated |
| Oral Heath Impact Profile | Oral Heath Impact Profile (OHIP-14) -questionaire to assess Oral Health-related Quality of Life |
| Measure | Description | Time Frame |
|---|---|---|
| Hip deformity | Determined by hip radiograph | 10 - 30 years after DDH has been treated |
| Asymmetry in clinical hip examination | Determined by clinical hip examination |
Inclusion Criteria for person treated for DDH:
Exclusion Criteria:
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10-30 years old patientstreated for DDH in early childhood in Oulu University Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Juhana Leppilahti, Professor | University of Oulu | Principal Investigator |
| Marita Valkama, Ph.D., M.D | University of Oulu, Oulu University Hospital, MRC Oulu | Study Director |
| Virpi Harila, Ph.D. | University of Oulu, MRC Oulu | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Oulu; Oulu University Hospital | Oulu | 90100 | Finland |
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| ID | Term |
|---|---|
| D000082602 | Developmental Dysplasia of the Hip |
| D006617 | Hip Dislocation |
| ID | Term |
|---|---|
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D009139 | Musculoskeletal Abnormalities |
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| 10 - 30 years after DDH has been treated |
| Occlusal asymmetries | Determined by dental examination and intraoral scan | 10 - 30 years after DDH has been treated |
| Presence of facial asymmetry | Determined by 3D -photogrammetric images | 10 - 30 years after DDH has been treated |
| 10 - 30 years after DDH has been treated |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |