Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, AL-Majmaah, 11952, Saudi Arabia.
Department of Physical Therapy, College of Applied Medical Sciences, Northern Border University, Arar, Saudi Arabia.
J Epidemiol Glob Health. 2024 Sep;14(3):549-560. doi: 10.1007/s44197-024-00217-5. Epub 2024 Mar 14.
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.
We synthesized the current evidence regarding incidence, prevalence, risk factors, and clinical treatment for children with DDH in Saudi Arabia.
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.
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.
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).
发育性髋关节发育不良（DDH）可导致疼痛、关节不稳定和早期退行性关节疾病。DDH 的发病率、患病率和管理策略在多个国家已有详细记录，但在沙特阿拉伯却没有。
我们综合了沙特阿拉伯儿童 DDH 的发病率、患病率、危险因素和临床治疗的现有证据。
我们搜索了 3 个数据库以定位研究。纳入沙特阿拉伯儿童患有 DDH 的研究；报告发病率、患病率、危险因素和/或临床实践的研究；并提供英文或阿拉伯文的研究。我们排除了综述、病例研究或动物研究。两名独立作者审查了潜在的研究，并评估了研究的质量。
我们的搜索结果产生了 67 项潜在的研究，其中 16 项研究被纳入（总 DDH 样本量为 3127 例；年龄范围为 2.5 至 86.4 个月）。有 3 项研究报告的发病率为每 1000 例活产 3.1 至 4.9 例，有 3 项研究报告的患病率为 6 至 78%。有 9 项研究报告女性、臀位、家族史和年龄小于 3 岁是与 DDH 相关的危险因素。有 4 项研究报告支具应用和闭合复位是保守治疗，有 9 项研究报告切开复位、内收肌切断术和/或骨盆截骨术是治疗 DDH 的手术方法。
在沙特阿拉伯，DDH 的发病率和患病率分别为每 1000 例活产 3.1 至 4.9 例和 6-78%（与其他国家报告的不同），但沙特阿拉伯 DDH 的危险因素与其他国家相似（女性、臀位、DDH 家族史）。
