背景:发育性髋关节发育不良(DDH)会导致疼痛,关节不稳定性,和早期退行性关节病。发病率,患病率,DDH的管理策略在几个国家已经有了很好的记录,但不是在沙特阿拉伯。
目的:我们综合了目前关于发病率的证据,患病率,危险因素,沙特阿拉伯DDH患儿的临床治疗。
方法:我们搜索了3个数据库来定位研究。包括沙特阿拉伯DDH儿童在内的研究;报告了两种发病率,患病率,危险因素,和/或临床实践;包括英语或阿拉伯语。我们排除了评论,案例研究,或动物研究。两名独立作者回顾了潜在的研究并评估了研究的质量。
结果:我们的搜索产生了67项潜在研究,其中包括16项研究(总DDH样本=3,127;年龄范围=2.5至86.4个月)。三项研究报告了每1000名新生儿的发病率从3.1到4.9不等。3项研究报告的患病率为6%至78%。九项研究报告说,女性性行为,臀位,家族史,年龄小于3岁是DDH的相关危险因素。四项研究报告说,支具应用和闭合复位是保守治疗,9项研究报告说,开放髋关节复位术,内收肌肌腱切开术,和/或骨盆截骨术是治疗DDH的手术方法。
结论:在沙特阿拉伯,DDH的发病率和患病率为每千名出生3.1至4.9人,6-78%,分别(与其他国家报告的不同),但与其他国家相比,沙特阿拉伯的DDH风险因素似乎相似(女性,臀位介绍,DDH家族史)。
BACKGROUND: Developmental dysplasia of the hip (
DDH) leads to pain, joint instability, and early degenerative joint disease. Incidence, prevalence, and management strategies of
DDH have been well-documented in several countries, but not in Saudi Arabia.
OBJECTIVE: We synthesized the current evidence regarding incidence, prevalence, risk factors, and clinical treatment for children with
DDH in Saudi Arabia.
METHODS: We searched 3 databases to locate studies. Studies that included children with
DDH in Saudi Arabia; reported either incidence rate, prevalence, risk factors, and/or clinical practice; and were available in English or Arabic were included. We excluded reviews, case studies, or animal studies. Two independent authors reviewed potential studies and assessed study\'s quality.
RESULTS: Our search yielded 67 potential studies, of which 16 studies were included (total DDH sample = 3,127; age range = 2.5 to 86.4 months). Three studies reported incidence rates ranging from 3.1 to 4.9 per 1000 births, and 3 studies reported prevalence ranging from 6 to 78%. Nine studies reported that female sex, breech position, family history, and age less than 3 years were risk factors associated with DDH. Four studies reported that brace applications and closed reduction were conservative treatments, and 9 studies reported that open hip reduction, adductor tenotomy, and/or pelvic osteotomy were surgical approaches to treat DDH.
CONCLUSIONS: In Saudi Arabia, the Incidence and prevalence rates of
DDH are 3.1 to 4.9 per 1,000 births, and 6-78%, respectively (differ from what has been reported in other countries), but the risk factors of DDH in Saudi Arabia appear to be similar in comparison to other countries (female, breech presentation, family history of DDH).