Khan M R, Benjamin B
Division of Orthopedics, Department of Surgery, and Department of Child Health, College of Medicine, King Saud University-Abha Branch, Abha, Saudi Arabia.
Ann Saudi Med. 1992 Mar;12(2):184-7. doi: 10.5144/0256-4947.1992.184.
In a prospective screening of 2222 consecutive live hospital births over a ten-month period in Abha, there was an incidence of 3.6% for congenital hip instability by examination within 48 hours of delivery. This is a higher incidence than that reported from most parts of the world and is comparable to earlier Japanese figures. This suggests a regional variation in the incidence of his instability within the Kingdom of Saudi Arabia. Bilateral instability was found in 32% and there was a left lateral dominance. There was a significantly higher incidence in female babies, in the local Saudi population and in first degree relatives of affected babies. Hip instability was noted in 8% of breech deliveries. No association was demonstrable with maternal age, birth order, size of the baby or gestation. Our findings are compared with other published data from Saudi Arabia and the West. The need for continued appropriate neonatal screening for early diagnosis of congenital hip instability is emphasized.
在阿卜哈为期十个月的时间里，对连续2222例活产医院分娩进行前瞻性筛查，分娩后48小时内通过检查发现先天性髋关节不稳定的发生率为3.6%。这一发生率高于世界上大多数地区报道的发生率，与早期日本的数据相当。这表明沙特阿拉伯王国内部这种不稳定的发生率存在地区差异。发现双侧不稳定的比例为32%，且左侧占优势。女婴、当地沙特人群以及受影响婴儿的一级亲属中发生率显著更高。臀位分娩中有8%被发现存在髋关节不稳定。未发现与产妇年龄、产次、婴儿大小或孕周有明显关联。我们的研究结果与沙特阿拉伯和西方其他已发表的数据进行了比较。强调了持续进行适当的新生儿筛查以早期诊断先天性髋关节不稳定的必要性。
