Consanguinity and family history as risk factors for developmental dysplasia of the hip in Omani children
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20262018Keywords:
Developmental dysplasia of the hip, Consanguinity, Genetic predisposition, Pediatric orthopedicsAbstract
Background: Developmental dysplasia of the hip (DDH) is a multifactorial disorder influenced by genetic and environmental factors, with variation in risk profiles across populations, particularly in regions with high consanguinity rates. This study aimed to evaluate risk factors associated with DDH among Omani children.
Methods: This retrospective hospital-based case-control study included children born at Khoula Hospital between 2009 and 2019. Of 567 screened children, 100 confirmed DDH cases were included. A control group of 200 children was matched for age and sex. Univariable and multivariable logistic regression analyses were performed.
Results: Family history (OR 4.38, 95% CI 1.81–10.55; p=0.001) and consanguinity (OR 2.02, 95% CI 1.19–3.46; p=0.010) were independent predictors of DDH. Other factors were not statistically significant.
Conclusions: Family history and consanguinity are significant independent risk factors for DDH in this population, supporting targeted screening strategies.
Metrics
References
Harsanyi S, Zamborsky R, Krajciova L, Kokavec M, Danisovic L. Developmental dysplasia of the hip: a review of etiopathogenesis, risk factors, and genetic aspects. Medicina (Kaunas). 2020;56(4):153. DOI: https://doi.org/10.3390/medicina56040153
Kuitunen I, Uimonen MM, Haapanen M, Sund R, Helenius I, Ponkilainen VT. Incidence of neonatal developmental dysplasia of the hip and late detection rates based on screening strategy: a systematic review and meta-analysis. JAMA Netw Open. 2022;5(8):e2227638. DOI: https://doi.org/10.1001/jamanetworkopen.2022.27638
Tirta M, Rahbek O, Kold S, Husum HC. Risk factors for developmental dysplasia of the hip before 3 months of age: a meta-analysis. JAMA Netw Open. 2025;8(1):e2456153. DOI: https://doi.org/10.1001/jamanetworkopen.2024.56153
Kural B, Devecioglu Karapinar E, Yilmazbas P, Eren T, Gokcay G. Risk factor assessment and a ten-year experience of DDH screening in a well-child population. Biomed Res Int. 2019;2019:7213681. DOI: https://doi.org/10.1155/2019/7213681
Lankinen V, Helminen M, Bakti K, Valipakka J, Laivuori H, Hyvarinen A. Known risk factors of the developmental dysplasia of the hip predicting more severe clinical presentation and failure of Pavlik harness treatment. BMC Pediatr. 2023;23(1):148. DOI: https://doi.org/10.1186/s12887-023-03935-0
Dib T, Nanni M, Sanzarello I, Salvatori G, Marletta DA, Zampogna B, et al. Risk factors for developmental dysplasia of the hip: a critical analysis about an unclear relationship. J Clin Med. 2024;13(22):6898. DOI: https://doi.org/10.3390/jcm13226898
Zhao X, Liu S, Yang Z, Li Y. Molecular mechanisms and genetic factors contributing to the developmental dysplasia of the hip. Front Genet. 2024;15:1413500. DOI: https://doi.org/10.3389/fgene.2024.1413500
Rajab A, Patton MA. A study of consanguinity in the Sultanate of Oman. Ann Hum Biol. 2000;27(3):321-6. DOI: https://doi.org/10.1080/030144600282208
Islam MM. The practice of consanguineous marriage in Oman: prevalence, trends and determinants. J Biosoc Sci. 2012;44(5):571-94. DOI: https://doi.org/10.1017/S0021932012000016
Al Azri MS, Al Abdali MN, Taqi AM. Epidemiology of developmental dysplasia of the hip at a tertiary hospital in Oman. J Musculoskelet Surg Res. 2023;7:186-90. DOI: https://doi.org/10.25259/JMSR_45_2023