Research Institute of Orthopedics, Jiangnan Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, China.
Clin Genet. 2025 Jan;107(1):3-12. doi: 10.1111/cge.14618. Epub 2024 Sep 22.
Developmental dysplasia of the hip (DDH) is one of the most prevalent skeletal deformities, primarily due to the incompatibility between the acetabulum and femoral head. It includes complete dislocation, partial dislocation, instability with femoral head subluxation, and a range of imaging abnormalities that reflect inadequate acetabular formation. Known risk factors for DDH include positive family history, sex, premature birth, non-cephalic delivery, oligohydramnios, gestational diabetes mellitus, maternal hypertension, associated anomalies, swaddling clothes, intrauterine space restriction, and post-term pregnancy. Various research designs have been employed in DDH studies to identify relevant genes, including candidate gene association studies (CGAS), genome-wide association studies (GWAS), restriction fragment length polymorphism (RFLP), and whole exome sequencing (WES). To date, multiple DDH-associated genes have been identified in various populations. Despite extensive research into the epidemiology, risk factors, and genes associated with DDH, its pathogenesis remains unclear. This study provides a comprehensive summary of DDH research designs and evidence for relevant gene mutations through a PubMed search.
发育性髋关节发育不良(DDH)是最常见的骨骼畸形之一,主要是由于髋臼和股骨头之间的不匹配。它包括完全脱位、部分脱位、股骨头半脱位的不稳定以及一系列反映髋臼形成不足的影像学异常。DDH 的已知危险因素包括阳性家族史、性别、早产、非头位分娩、羊水过少、妊娠期糖尿病、母亲高血压、相关畸形、襁褓、宫内空间限制和过期妊娠。DDH 研究中采用了各种研究设计来鉴定相关基因,包括候选基因关联研究(CGAS)、全基因组关联研究(GWAS)、限制片段长度多态性(RFLP)和全外显子组测序(WES)。迄今为止,在不同人群中已经发现了多个与 DDH 相关的基因。尽管对 DDH 的流行病学、危险因素和相关基因进行了广泛的研究,但其发病机制仍不清楚。本研究通过 PubMed 检索,对 DDH 研究设计和相关基因突变的证据进行了全面总结。