PMID: 9159989Apr 1, 1997Paper

Decline in the incidence of late diagnosed congenital dislocation of the hip

Irish Journal of Medical Science
H FerrisA McGuinness

Abstract

We reviewed the incidence of early and late diagnosed CDH over a 13 yr period in a single maternity with a well established follow-up program and a stable population base. In March 1991, all newborn infants were nursed in the lateral or supine position, having previously been nursed prone. In addition, a dedicated hip screener was appointed in October 1992. We wished to determine whether these changes could have led to a reduction in late diagnosed CDH. Babies with suspected CDH were seen by a single consultant orthopaedic surgeon within 1 week of birth. Splints were not applied until diagnosis was confirmed by the orthopaedic surgeon. The study period was from January 1983 to December 1995, inclusive. 37,383 babies were born during the study period, an average of 2,876 births per annum. The average rate of babies referred to the orthopaedic surgeon was 12.8 per 1,000 (range 5.5-28.2 per 1,000). The average incidence of babies splinted early was 7.19 per 1,000 (range 4.0-14.1 per 1,000) with no discernible increase or decrease over the yrs. In contrast, there was a clear reduction in the incidence of late diagnosed CDH; 42/24,713 births (January 1983-February 1992) compared to only 2/12,673 births (March 1992-December 1995; p <...Continue Reading

References

Aug 22, 1992·BMJ : British Medical Journal·N M Clarke
May 6, 1992·JAMA : the Journal of the American Medical Association·W G Guntheroth, P S Spiers
Jan 16, 1989·The Medical Journal of Australia·C BowerC Stanton
Sep 1, 1986·Journal of Pediatric Orthopedics·N M Clarke
Nov 27, 1982·British Medical Journal·J C CatfordJ A Wilkinson

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Citations

Mar 2, 2005·Irish Journal of Medical Science·R GulA J McGuinness
Jan 1, 2011·ISRN Orthopedics·Randall T Loder, Elaine N Skopelja

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