Document Detail

Controlled trial of immediate splinting versus ultrasonographic surveillance in congenitally dislocatable hips.
MedLine Citation:
PMID:  1979376     Owner:  NLM     Status:  MEDLINE    
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.
H M Gardiner; P M Dunn
Related Documents :
10904906 - Racial and geographic differences of wiberg's angle from 400 ultrasonographic normal hi...
25264266 - Hypothesis: high levels of maternal adrenal androgens are a major cause of miscarriage ...
7166506 - The otto aufranc award paper. infant hip screening.
12636966 - Antecedents of newborn hearing loss.
24730636 - Biotin and carnitine deficiency due to hypoallergenic formula nutrition in infants with...
18657866 - Walking and periventricular leukomalacia: locomotor characteristics and brain imaging (...
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    
Institute of Child Health, Southmead Hospital, Bristol University, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Hip Dislocation, Congenital / therapy*,  ultrasonography
Infant, Newborn
Random Allocation
Risk Factors

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

Previous Document:  Neonatal screening and staggered early treatment for congenital dislocation or dysplasia of the hip.
Next Document:  Trends in prescribing of antihypertensive drugs in Australia, 1977-1987.