Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips
Hip flexion and abduction is fundamental for developmental dysplasia of the hip (DDH) treatment. At present, double diaper treatment has been inappropriately adopted when DDH is suspected. The aim of this study was to verify whether double diapers influence a newborn’s hip position. Here, we studied...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/3/179 |
| _version_ | 1797395152080207872 |
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| author | Maurizio De Pellegrin Chiara Maria Damia Lorenzo Marcucci Desiree Moharamzadeh |
| author_facet | Maurizio De Pellegrin Chiara Maria Damia Lorenzo Marcucci Desiree Moharamzadeh |
| author_sort | Maurizio De Pellegrin |
| collection | DOAJ |
| description | Hip flexion and abduction is fundamental for developmental dysplasia of the hip (DDH) treatment. At present, double diaper treatment has been inappropriately adopted when DDH is suspected. The aim of this study was to verify whether double diapers influence a newborn’s hip position. Here, we studied 50 children (23 female; 27 male; average age 62.33 ± 20.50 days; average birth weight 3230 ± 447 g) with type I hips according to Graf. At the same time of the ultrasound (US) examination, the following hip positions were measured using a manual protractor: (1) spontaneous position, supine on the outpatient bed without a diaper; (2) spontaneous position, with a double diaper; and (3) squatting position on the caretakers’ side. Statistical analysis was performed with a <i>t</i>-test to compare between (1) the spontaneous position without a diaper and with double diapers; (2) the spontaneous position with double diapers as well as the squatting position on the caretakers’ side with a diaper. The comparison between the hip position without diaper and with double diapers was statistically not significant for all measurements, i.e., right hip flexion (<i>p</i> < 0.33), left hip flexion (<i>p</i> < 0.34), and right and left hip abduction (<i>p</i> < 0.87). The comparison between the hip position with double diapers and on the caretakers’ side was statistically significant for all measurements, i.e., right hip flexion (<i>p</i> < 0.001), left hip flexion (<i>p</i> < 0.001) and right and left hip abduction (<i>p</i> < 0.001). We found that the use of double diapers did not affect hip position, while the position formed on the caretaker’s side shows favorable influence. |
| first_indexed | 2024-03-09T00:30:19Z |
| format | Article |
| id | doaj.art-3bf71db5bc77486e919a1dfa173e1fa3 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T00:30:19Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-3bf71db5bc77486e919a1dfa173e1fa32023-12-11T18:34:35ZengMDPI AGChildren2227-90672021-02-018317910.3390/children8030179Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns HipsMaurizio De Pellegrin0Chiara Maria Damia1Lorenzo Marcucci2Desiree Moharamzadeh3Pediatric Orthopedic Unit, San Raffaele Hospital (IRCCS Ospedale San Raffaele), 20132 Milan, ItalyResidency Program Pediatrics, Vita-Salute San Raffaele University, 20132 Milan, ItalyPediatric Orthopedic Unit, San Raffaele Hospital (IRCCS Ospedale San Raffaele), 20132 Milan, ItalyDepartment of Orthopedic and Traumatology, San Raffaele Hospital, 20132 Milan, ItalyHip flexion and abduction is fundamental for developmental dysplasia of the hip (DDH) treatment. At present, double diaper treatment has been inappropriately adopted when DDH is suspected. The aim of this study was to verify whether double diapers influence a newborn’s hip position. Here, we studied 50 children (23 female; 27 male; average age 62.33 ± 20.50 days; average birth weight 3230 ± 447 g) with type I hips according to Graf. At the same time of the ultrasound (US) examination, the following hip positions were measured using a manual protractor: (1) spontaneous position, supine on the outpatient bed without a diaper; (2) spontaneous position, with a double diaper; and (3) squatting position on the caretakers’ side. Statistical analysis was performed with a <i>t</i>-test to compare between (1) the spontaneous position without a diaper and with double diapers; (2) the spontaneous position with double diapers as well as the squatting position on the caretakers’ side with a diaper. The comparison between the hip position without diaper and with double diapers was statistically not significant for all measurements, i.e., right hip flexion (<i>p</i> < 0.33), left hip flexion (<i>p</i> < 0.34), and right and left hip abduction (<i>p</i> < 0.87). The comparison between the hip position with double diapers and on the caretakers’ side was statistically significant for all measurements, i.e., right hip flexion (<i>p</i> < 0.001), left hip flexion (<i>p</i> < 0.001) and right and left hip abduction (<i>p</i> < 0.001). We found that the use of double diapers did not affect hip position, while the position formed on the caretaker’s side shows favorable influence.https://www.mdpi.com/2227-9067/8/3/179douple diaperingneonatal hipDDH preventionhip positioninghip extensionhip adduction |
| spellingShingle | Maurizio De Pellegrin Chiara Maria Damia Lorenzo Marcucci Desiree Moharamzadeh Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips Children douple diapering neonatal hip DDH prevention hip positioning hip extension hip adduction |
| title | Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips |
| title_full | Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips |
| title_fullStr | Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips |
| title_full_unstemmed | Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips |
| title_short | Double Diapering Ineffectiveness in Avoiding Adduction and Extension in Newborns Hips |
| title_sort | double diapering ineffectiveness in avoiding adduction and extension in newborns hips |
| topic | douple diapering neonatal hip DDH prevention hip positioning hip extension hip adduction |
| url | https://www.mdpi.com/2227-9067/8/3/179 |
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