Document Detail


Controlled trial of immediate splinting versus ultrasonographic surveillance in congenitally dislocatable hips.
MedLine Citation:
PMID:  1979376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
79 infants with congenitally dislocatable hips diagnosed clinically soon after birth were examined sonographically and randomised in a controlled trial to immediate splinting (n = 41) or sonographic surveillance for 2 weeks (38). Infants from this second group were splinted at age 2 weeks if instability persisted (11 of 38) or if sonographic abnormality had shown no improvement (4 of 38). Sonographic findings or clinical outcome did not differ between the two groups at birth or at 6 and 12 months' follow-up. We conclude that dislocatable hips may be safely watched for 2 weeks after birth to allow spontaneous resolution, but that this approach requires considerable resources and attention to detail. Our experience confirms the importance of the dynamic sonographic scan. The low specificity (70%) of sonographic examination in the first week of life makes it an unsatisfactory primary method of screening at birth, but it is a most useful adjunct to the clinical screening and management of congenital dislocation of the hip.
Authors:
H M Gardiner; P M Dunn
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  336     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:    1990 Dec 22-29
Date Detail:
Created Date:  1991-01-24     Completed Date:  1991-01-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1553-6     Citation Subset:  AIM; IM    
Affiliation:
Institute of Child Health, Southmead Hospital, Bristol University, UK.
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MeSH Terms
Descriptor/Qualifier:
Hip Dislocation, Congenital / therapy*,  ultrasonography
Humans
Infant, Newborn
Random Allocation
Risk Factors
Splints*

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


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