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

Journal of Children's Orthopaedics
R Biedermann, Deborah M Eastwood

Abstract

To summarize recent developments and provide recommendations as to whether universal or selective programmes are advisable. A literature review was performed and preference given to studies with higher levels of evidence. All programmes reviewed included clinical screening. Recent studies underline the need for high quality screening programmes to promote the early detection of developmental dysplasia of the hip (DDH). A small number of cases may be missed clinically but with universal ultrasound screening programmes the late presentation rates appear to be virtually zero. Contemporary studies show treatment rates with universal screening programmes which are now lower than those with selective ultrasound. There is little agreement over the criteria used for selective programmes. Alternative outcome measures, such as the first operation rate or the percentage undergoing major (open) surgery are both lowest with universal ultrasound screening programmes. Furthermore, a significant reduction in the rate of surgery for DDH later in life was seen after the introduction of universal ultrasound screening, whereas the defined criteria for selective screening may not detect the majority of patients who require late surgery. Abduction b...Continue Reading

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Citations

Aug 30, 2018·Journal of Children's Orthopaedics·T Terjesen
Jun 3, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jody LitrentaPablo Castaneda
Aug 10, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jody LitrentaPablo Castaneda
Aug 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Elizabeth J ScottStuart L Weinstein
Nov 10, 2020·Deutsches Ärzteblatt International·Bernhard Heimkes
Jan 26, 2021·Journal of Pediatric Orthopedics·Evelyn P MurphyPatrick J O'Toole
Mar 2, 2021·Journal of Children's Orthopaedics·Matías F SepúlvedaEstefanía A M Birrer
Jul 3, 2021·International Journal of Environmental Research and Public Health·Umile Giuseppe LongoVincenzo Denaro

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Methods Mentioned

BETA
total hip arthroplasty

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