Selective ultrasound screening for developmental hip dysplasia: effect on management and late detected cases. A prospective survey during 1991-2006

Pediatric Radiology
Lene Bjerke LaborieK Rosendahl

Abstract

Early treatment is considered essential for developmental dysplasia of the hip (DDH), but the choice of screening strategy is debated. We evaluated the effect of a selective ultrasound (US) screening programme. All infants born in a defined region during 1991-2006 with increased risk of developmental dysplasia of the hip, i.e. clinical hip instability, breech presentation, congenital foot deformities or a family history of DDH, underwent US screening at age 1-3 days. Severe sonographic dysplasia and dislocatable/dislocated hips were treated with abduction splints. Mild dysplasia and pathological instability, i.e. not dislocatable/dislocated hips were followed clinically and sonographically until spontaneous resolution, or until treatment became necessary. The minimum observation period was 5.5 years. Of 81,564 newborns, 11,539 (14.1%) were identified as at-risk, of whom 11,190 (58% girls) were included for further analyses. Of the 81,564 infants, 2,433 (3.0%) received early treatment; 1,882 (2.3%) from birth and 551 (0.7%) after 6 weeks or more of clinical and sonographic surveillance. An additional 2,700 (3.3%) normalised spontaneously after watchful waiting from birth. Twenty-six infants (0.32 per 1,000, 92% girls, two from t...Continue Reading

References

Nov 1, 1989·The Journal of Bone and Joint Surgery. British Volume·T TerjesenV Berg
Jan 1, 1980·Archives of Orthopaedic and Trauma Surgery·R Graf
Jun 1, 1995·Archives of Pediatrics & Adolescent Medicine·K RosendahlJ T Geitung
Sep 1, 1996·Pediatric Radiology·K RosendahlR T Lie
Jan 26, 1999·Pediatrics·V BialikM Berant
Feb 26, 1999·Zeitschrift für Orthopädie und ihre Grenzgebiete·L AltenhofenF U Niethard
Apr 16, 1999·The Journal of Bone and Joint Surgery. British Volume·R W PatonS Hollis
Jan 1, 2000·The Journal of Bone and Joint Surgery. British Volume·P Williams
Sep 25, 2001·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·P TomàG M Brunenghi
Sep 5, 2002·The Journal of Bone and Joint Surgery. British Volume·K J HolenT Terjesen
Feb 25, 2003·Lancet·Deborah M Eastwood
Aug 23, 2003·The Journal of Bone and Joint Surgery. British Volume·H HamiltonP Rapley
Jun 3, 2005·BMJ : British Medical Journal·Nerys F WoolacottJos Kleijnen
Mar 14, 2012·Archives of Disease in Childhood·Nicholas M P ClarkeThomas Bochmann
May 19, 2012·European Journal of Clinical Investigation·Dongquan ShiQing Jiang

❮ Previous
Next ❯

Citations

Feb 20, 2016·Clinical Orthopaedics and Related Research·Kishore MulpuriUNKNOWN IHDI Study Group
Jan 6, 2016·Clinical Orthopaedics and Related Research·Kishore MulpuriUNKNOWN IHDI Study Group
Mar 7, 2018·The Journal of Bone and Joint Surgery. American Volume·Zhendong ZhangHong Zhang
Jun 2, 2016·Clinics in Orthopedic Surgery·Bong Soo KyungSi Young Park
Nov 22, 2018·Journal of Pediatric Orthopedics. Part B·Si Heng Sharon TanJames Hoipo Hui
Aug 30, 2018·Journal of Children's Orthopaedics·R Sakkers, V Pollet
Feb 14, 2018·Archives of Disease in Childhood·David A McAllisterRachael Wood
Aug 23, 2017·Journal of Children's Orthopaedics·A W LindbergK K White
May 3, 2018·The Medical Journal of Australia·Emily K SchaefferKishore Mulpuri

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Disease in Childhood. Fetal and Neonatal Edition
E A RooversT H Kerkhoff
Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie
M A PuhanJ Steurer
© 2021 Meta ULC. All rights reserved