Early detection and risk factors of congenital hip dislocation in Morocco
Background and Objective: Congenital dislocation of the hip is a malformation of the lower limbs that could be complicated by a disabling physical handicap with long-term psychological and social repercussions if detected late. This study aims to describe the screening for congenital hip disloca...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-11-01
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| Series: | Journal of Public Health in Africa |
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| Online Access: | https://publichealthinafrica.org/jphia/article/view/2589 |
| _version_ | 1797363982952038400 |
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| author | Ilham Adri Oulaid Touloun Samia Boussaa |
| author_facet | Ilham Adri Oulaid Touloun Samia Boussaa |
| author_sort | Ilham Adri |
| collection | DOAJ |
| description |
Background and Objective: Congenital dislocation of the hip is a malformation of the lower limbs that could be complicated by a disabling physical handicap with long-term psychological and social repercussions if detected late.
This study aims to describe the screening for congenital hip dislocation and to investigate the association between the occurrence of this anomaly and possible risk factors in Morocco.
Methods: The study was based on the exploitation of the records of children treated at the trauma and orthopedics department of the Mohammed VI University Hospital in Marrakech, Morocco. It concerned 160 cases with a 5-year follow-up from January 2016 to March 2021.
Results: The results of the study showed that 56.7% of the affected children had a bilateral dislocation and 25.8% of the cases had a left-sided dislocation. The malformation occurred more frequently in females 69.2%. A familial disposition to the malformation was found in about 22% of the cases. The diagnosis was late (at walking age) in 61% of children following the onset of lameness with or without pain in 91% of children. In 41.87% of the hips, the reduction was surgical, with 28% failure dominated by acetabular dysplasia in 11%. Conclusion: The risk factors for congenital hip dislocation identified in our setting were dominated by sex, primiparity, consanguineous marriage, and the presence of a family history of dislocation. Communication of risk factors specific to our setting to healthcare personnel will allow them to guide the diagnosis and increase vigilance in the at-risk population for management that prevents the development of complications.
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| first_indexed | 2024-03-08T16:28:50Z |
| format | Article |
| id | doaj.art-fa67076420174c3ab5eb3bb7ac0552ee |
| institution | Directory Open Access Journal |
| issn | 2038-9922 2038-9930 |
| language | English |
| last_indexed | 2024-03-08T16:28:50Z |
| publishDate | 2023-11-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Journal of Public Health in Africa |
| spelling | doaj.art-fa67076420174c3ab5eb3bb7ac0552ee2024-01-06T10:39:01ZengPAGEPress PublicationsJournal of Public Health in Africa2038-99222038-99302023-11-01141110.4081/jphia.2023.2589Early detection and risk factors of congenital hip dislocation in MoroccoIlham Adri0Oulaid Touloun1Samia Boussaa2Université Sultan Moulay Slimane, Beni Mellal, MoroccoUniversité Sultan Moulay Slimane, Beni Mellal, MoroccoHigher Institute of Nursing Professions and Health Techniques, Ministry of Health and Social Protection, Rabat, Morocco Background and Objective: Congenital dislocation of the hip is a malformation of the lower limbs that could be complicated by a disabling physical handicap with long-term psychological and social repercussions if detected late. This study aims to describe the screening for congenital hip dislocation and to investigate the association between the occurrence of this anomaly and possible risk factors in Morocco. Methods: The study was based on the exploitation of the records of children treated at the trauma and orthopedics department of the Mohammed VI University Hospital in Marrakech, Morocco. It concerned 160 cases with a 5-year follow-up from January 2016 to March 2021. Results: The results of the study showed that 56.7% of the affected children had a bilateral dislocation and 25.8% of the cases had a left-sided dislocation. The malformation occurred more frequently in females 69.2%. A familial disposition to the malformation was found in about 22% of the cases. The diagnosis was late (at walking age) in 61% of children following the onset of lameness with or without pain in 91% of children. In 41.87% of the hips, the reduction was surgical, with 28% failure dominated by acetabular dysplasia in 11%. Conclusion: The risk factors for congenital hip dislocation identified in our setting were dominated by sex, primiparity, consanguineous marriage, and the presence of a family history of dislocation. Communication of risk factors specific to our setting to healthcare personnel will allow them to guide the diagnosis and increase vigilance in the at-risk population for management that prevents the development of complications. https://publichealthinafrica.org/jphia/article/view/2589screeningrisk factorscongenital hip dislocationmanagementMorocco |
| spellingShingle | Ilham Adri Oulaid Touloun Samia Boussaa Early detection and risk factors of congenital hip dislocation in Morocco Journal of Public Health in Africa screening risk factors congenital hip dislocation management Morocco |
| title | Early detection and risk factors of congenital hip dislocation in Morocco |
| title_full | Early detection and risk factors of congenital hip dislocation in Morocco |
| title_fullStr | Early detection and risk factors of congenital hip dislocation in Morocco |
| title_full_unstemmed | Early detection and risk factors of congenital hip dislocation in Morocco |
| title_short | Early detection and risk factors of congenital hip dislocation in Morocco |
| title_sort | early detection and risk factors of congenital hip dislocation in morocco |
| topic | screening risk factors congenital hip dislocation management Morocco |
| url | https://publichealthinafrica.org/jphia/article/view/2589 |
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