Finding an Association Between Congenital Talipes Equinovarus (CTEV) and Developmental Dysplasia of Hip (DDH): Role of Early Ultrasonography

Introduction: Congenital talipes equinovarus (CTEV) and developmental dysplasia of the hip (DDH) are common congenital anomalies. An association between these two conditions has been proposed, but no consensus has been reached. Purpose: The purpose of this study was to determine the incidence of sonographic hip dysplasia in infants with idiopathic clubfoot.

Methods: All neonates with a confirmed diagnosis of CTEV who were referred to our paediatric orthopaedic service for two years were clinically examined and screened with ultrasound for DDH using the Graf method.

Result: A total of 50 babies with CTEV were identified, 47 patients had physiologic hip dysplasia and 3 were found to have dislocated hips. The incidence of DDH in babies with CTEV was found to be higher than the normal population in our region.

Conclusion: Our study indicates higher risk for DDH in presence of CTEV and CTEV patients should be considered particularly for selective hip screening in our population.

Abbreviations: Developmental dysplasia of the hip; Congenital talipes equinovarus; Clubfoot; CTEV; DDH