Document Detail


Comparison of clinical and sonographic prevalence of developmental dysplasia of the hip.
MedLine Citation:
PMID:  21425067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Developmental dysplasia of the hip (DDH) is one of the most widely discussed abnormalities in neonates. The advantages of sonographic examination are well known, but its main disadvantage is that it might lead to over diagnosis, which might cause over treatment. Variations in the incidence of developmental dysplasia of the hip are well known. During six months study since September 2006 all 1300 neonates (2600 hips) were born in our hospital examined clinically and sonographically (587 hips) in the first 48 hours of life. Sonography was performed according to Graf's method, which considers mild hip sonographic abnormalities as type II a. Type IIb Graf were considered pathologic. Sonography screening of 587 hips detected 36 instances of deviation from normal indicating a sonographic DDH incidence of 12.5%. However, only 8 neonates remained abnormal and required treatment, indicating a true DDH incidence of 6 per 1000 live birth. Risk of diagnosis clinically and sonographicaly were 2.5 and 4.5 percent respectively and was significant (P<0.00001, x(2)=1170). In order to avoid over diagnosis in first days examination, repeated clinical and sonographic examination is required.
Authors:
Mohammad Gharedaghi; Ashraf Mohammadzadeh; Behrooz Zandi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta medica Iranica     Volume:  49     ISSN:  1735-9694     ISO Abbreviation:  Acta Med Iran     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-22     Completed Date:  2011-07-01     Revised Date:  2011-08-05    
Medline Journal Info:
Nlm Unique ID:  14540050R     Medline TA:  Acta Med Iran     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  25-7     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Neonatal Research Center, School of Medicine, Mashhad, University of Medical Science, Iran.
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MeSH Terms
Descriptor/Qualifier:
Female
Hip Dislocation, Congenital / pathology*,  ultrasonography*
Humans
Infant, Newborn
Male
Prevalence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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