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Research ArticleOriginal Article
Open Access

Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates

Nina Đorđević
Saudi Medical Journal November 2023, 44 (11) 1120-1126; DOI: https://doi.org/10.15537/smj.2023.44.11.20230444
Nina Đorđević
From the Department of Orthopedic, Mediclinic Al Jowhara hospital, Abu Dhabi, United Arab Emirates.
MD, PhD
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    Figure 1

    - Instructional leaflet indicating proper and improper legs wrapping techniques.

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    Figure 2

    - Age distribution of the neonates on the day of examination.

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    Figure 3

    - Demographic distribution. GCC: Gulf Cooperation Council

Tables

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    Table 1

    - Incidence of different types of hip maturity in the whole cohort and according to the gender and origin.

    VariablesMature groupDDH groupImmature group
    Cohort316 (89.3)6 (1.7)32 (9.0)
    Female gender149 (85.1)5 (2.9)*21 (12.0)§,‡
    Male gender167 (93.3)1 (0.6)*11 (6.1)§
    GCC149 (87.6)5 (2.9)**16 (9.5)
    Non-GCC167 (90.9)1 (0.5)**16 (8.6)
    GCC female62 (78.5)5 (6.3)†12 (15.2)‡
    Non-GCC female86 (90.6)0 (0.0)†9 (9.3)

    Values are presented as numbers and precentages (%).

    DDH: developmental dysplasia of the hip, GCC: Gulf Cooperation Council

    • ↵* P-value of 0.034,

    • ↵** p-value of 0.076,

    • ↵† p-value of 0.01,

    • ↵‡ p-value of 0.0465, and

    • ↵§ p-value of 0.483.

    • View popup
    Table 2

    - Developmental dysplasia of the hip group.

    NationalitySideRisk factorsClinical findingsOther deformitiesGraf type
    UAERNilNormalNilIIc
    MoroccoRNilNormalNilIIc
    UAELNilNormalNilD
    UAERNilLimited abd. bil.NilD
    KSALNilBarlow and OrtolaniNilIII
    UAELPrimiparity and breechNormalNilIII

    UAE: United Arab Emarites, KSA: Kingdom of Saudi Arabia, R: right, L: left, Nil: none, abd. bil.: abduction bilateral

      • View popup
      Table 3

      - Incidence of risk factors considering hip maturity, female gender, and origin.

      Risk factorsFemaleFamily hx.BreechPrimiparityAHF
      Cohort175 (49.4)10 (2.8)25 (7.1)71 (20.9)13 (3.6)
      Mature hips149 (47.1)*†5 (1.6)‡§23 (7.3)**63 (19.9)††§§5 (1.6)§§
      DDH group5 (83.3)*0 (0.0)1 (16.6)1 (16.6)2 (33.3)§§***
      DDH girls-0 (0.0)1 (20.0)1 (20.0)2 (40.0)
      DDH GCC girls-0 (0.0)1 (25.0)**1 (25.0)2 (50.0)
      DDH non-GCC girls0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
      Immature group21 (65.6)†5 (15.6)§1 (3.1)10 (31.2)6 (18.7)§§***
      Immature girls-2 (9.5)1 (4.8)7 (33.3)††3 (14.3)
      Immature GCC girls-3 (16.7)‡§0 (0.0)3 (16.7)3 (16.7)
      Immature non-GCC girls-0 (0.0)§1 (11.1)5 (55.5)§§1 (11.1)

      Values are presented as numbers and precentages (%).

      hx.: history, AHF: abnormal hip findings, DDH: developmental dysplasia of the hip, GCC: Gulf Cooperation Council

      • ↵* P-value of 0.078,

      • ↵† p-value of 0.04,

      • ↵‡ p-value of 0.000,

      • ↵§ p-value of 0.004,

      • ↵§ p-value of 0.197,

      • ↵** p-value of 0.182,

      • ↵†† p-value of 0.14,

      • ↵§§ p-value of 0.009,

      • §§ p-value of 0.01, and

      • ↵*** p-value of 0.42.

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    Saudi Medical Journal: 44 (11)
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    1 Nov 2023
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    Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates
    Nina Đorđević
    Saudi Medical Journal Nov 2023, 44 (11) 1120-1126; DOI: 10.15537/smj.2023.44.11.20230444

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    Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates
    Nina Đorđević
    Saudi Medical Journal Nov 2023, 44 (11) 1120-1126; DOI: 10.15537/smj.2023.44.11.20230444
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    Keywords

    • universal DDH screening
    • Graf technique
    • neonate
    • United Arab Emirates

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