| Neonatal screening for hip joint instability. Its clinical and economic relevance. | |
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MedLine Citation:
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PMID: 1499229 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Effort to determine the efficacy of neonatal hip examination began in 1967. During the subsequent 23 years, there have been three analyses of the study's data: (1) a retrospective review reported in 1981, (2) a prospective examination in 1989, and (3) an economic evaluation in 1990. The retrospective review concluded that a neonatal hip screening program effectively screens for acetabular dysplasia, and early treatment seems to alter the outcome of congenital dislocation of the hip. The prospective examination, involving 62 newborns diagnosed as having dislocated or dislocatable hips, established that such cases can be effectively treated from birth with flexion/abduction splints monitored by routine clinical and follow-up examinations. An economic evaluation of the data demonstrated an economic benefit of more than $15,000 Cdn per 1000 infants screened. This study, through these three analyses, presents a compelling argument in favor of a routine, standardized neonatal hip examination. |
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Authors:
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S J Tredwell |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: - ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 1992 Aug |
Date Detail:
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Created Date: 1992-09-14 Completed Date: 1992-09-14 Revised Date: 2005-03-03 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 63-8 Citation Subset: AIM; IM |
Affiliation:
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British Columbia Children's Hospital, Vancouver. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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False Negative Reactions Hip Dislocation, Congenital / diagnosis*, therapy Humans Infant, Newborn Neonatal Screening* / economics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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