Universal or selective ultrasound screening for developmental dysplasia of the hip? A discussion of the key issues

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Developmental dysplasia of the hip: universal or selective ultrasound screening?

Developmental dysplasia of the hip (DDH) is an intriguing condition that evolves during infancy. It would be thus foolhardy to expect a screening tool at birth to be both highly sensitive and specific. Uncertainty regarding an optimal screening method is compounded by a general lack of sound epidemiological data. Clinical screening remains widely used. Some reports estimated that it did not pic...

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Effectiveness of ultrasound screening for developmental dysplasia of the hip.

OBJECTIVE To determine the effectiveness of ultrasound screening for developmental dysplasia of the hip (DDH) after the neonatal period. DESIGN Prospective cohort study. SETTING Child health care centres. PARTICIPANTS Infants attending the child health care centres. INTERVENTIONS The intervention group (n = 5170) was screened by ultrasound at 1, 2, and 3 months of age. The control group...

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Ultrasound in the selective screening of developmental dysplasia of the hip.

INTRODUCTION Developmental dysplasia of the hip (DDH) can result in chronic pain, gait abnormalities and degenerative arthritis. Infants with a family history, Breech delivery or unstable/"clicking" of the hip on examination are at higher risk. The goal is to detect cases early enough for normal hip development and function by the end of adolescence, but clinical examination alone is ineffectiv...

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Screening for developmental dysplasia of the hip.

The reported prevalence of established dislocation the hip in an unscreened population varies from 0.7 to 1.6 / 1000 children in European and American white populations. In clinically screened populations neonatal hip instability is reported to occur in 3 to 30 / 1000 newborns while established congenital dislocation has a prevalence of 0.1- 4/1000 of which 1/1000 is judged to be in need for su...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2018

ISSN: 1863-2521,1863-2548

DOI: 10.1302/1863-2548.12.180063