Clinical features and management of the developmental dysplasia of the hip in congenital muscular torticollis

作者全名："Gou, Pan; Li, Jun; Li, Xiang; Shi, Mingyan; Zhang, Man; Wang, Peikang; Liu, Xing"

作者地址："[Gou, Pan; Li, Jun; Li, Xiang; Shi, Mingyan; Zhang, Man; Wang, Peikang; Liu, Xing] Chongqing Med Univ, Chongqing Key Lab Pediat,Dept Orthoped,Minist Edu, Childrens Hosp,Natl Clin Res Ctr Child Hlth & Dis, Key Lab Child Dev & Disorders,China Int Sci & Tec, Chongqing 400014, Peoples R China"

通信作者："Liu, X (通讯作者)，Chongqing Med Univ, Chongqing Key Lab Pediat,Dept Orthoped,Minist Edu, Childrens Hosp,Natl Clin Res Ctr Child Hlth & Dis, Key Lab Child Dev & Disorders,China Int Sci & Tec, Chongqing 400014, Peoples R China."

来源：INTERNATIONAL ORTHOPAEDICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000740138100002

JCR分区：Q1

影响因子：2.7

年份：2022

卷号：46

期号：4

开始页：883

结束页：887

文献类型：Article

关键词：Congenital muscular torticollis; Developmental dysplasia of the hip; Features; Management

摘要："Purpose A consistent relationship between CMT and DDH has been established. However, whether the presence of CMT has effect on clinical outcomes of DDH remains unanswered. This study aimed to evaluate clinical features and management of DDH in patients with CMT. Methods We reviewed the medical records of 54 patients (91 hips) simultaneously diagnosed with DDH and CMT and included 54 patients (97 hips) with only DDH by random number method as the control group. Clinical and examination outcomes were recorded and compared, respectively. Results The mean follow-up was 18.1 +14.5 months (range, 2 to 72 mo). In the DDH and CMT group, the age of initial treatment was lower (100.8 +/- 92.3 vs. 229.0 +/- 157.4 d, P < 0.001), and the rate of male significantly increased (42.6% vs. 11.1%, P < 0.001). Before treatment, development degree of hip was better than that of the DDH group. Therefore, patients with CMT had approximately 14 times greater odds of conservative treatment success than children in the DDH group (OR, 13.84; 95% CI, 3.16 to 60.60). Conclusion We concluded that CMT was not the risk factor for the failure of treatment. On the contrary, the identification of CMT may be beneficial to early discovery and treatment of DDH when we remain vigilant to perform physical exam and screen imaging of DDH for patients with CMT."

基金机构：Chongqing Science and Technology Commission Basic and Frontier Exploration General Project [csct2018jcyjA0259]; Key Project of Chongqing Health Planning Commission of Research Fund [2019ZDXM047]; Yuzhong Science and Technology Commission Basic and Frontier Exploration General Project [20180115]

基金资助正文：This work was supported by Chongqing Science and Technology Commission Basic and Frontier Exploration General Project (No. csct2018jcyjA0259); the Key Project of Chongqing Health Planning Commission of Research Fund (No.2019ZDXM047); and Yuzhong Science and Technology Commission Basic and Frontier Exploration General Project (No.20180115).