Document Detail

Paediatric hip--ultrasound screening for developmental dysplasia of the hip: a review.
MedLine Citation:
PMID:  11567854     Owner:  NLM     Status:  MEDLINE    
This paper will try to deal with the following questions: Which is the correct screening model for the developmental dysplasia of the hip (DDH)? What is the clinical significance of "sonographic" DDH? Can overtreatment produced by ultrasound (US) screening cause a waste of resources and eventually morbidity? We reviewed the literature since January, 1996 through December, 2000. To compare our experience with the literature, we analysed the results of the US examinations of the hip performed in our Institute. Over 4 years of US screening 11326 infants (22652 hips), aged 3 days to 4 months, were examined consecutively. Sonographic hip findings were abnormal in 531 infants (4.7%). The screening showed 381 subjects (3.36% of the population) with a type IIa hip (bilateral or unilateral); 65% of these infants were normal at follow up and only 35% worsened. On the whole we treated 282 infants (2.5%). No open reduction was performed. Avascular necrosis appeared in 2/282 treated cases (1.06%). We support the routine generalised US screening of neonatal hips. The excess of doubtful cases and, consequently, of the extra referrals may be limited, and the overtreatment decreased to the lowest rates reported by optimisation of everyone's approach.
P Tomà; M Valle; U Rossi; G M Brunenghi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology     Volume:  14     ISSN:  0929-8266     ISO Abbreviation:  Eur J Ultrasound     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-09-24     Completed Date:  2001-12-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9440414     Medline TA:  Eur J Ultrasound     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  45-55     Citation Subset:  IM    
Radiology/Orthopaedy II. G. Gaslini Institute, Largo Gaslini 5, I-16148 Genoa, Italy.
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MeSH Terms
Cost-Benefit Analysis
Hip Dislocation, Congenital / epidemiology,  therapy,  ultrasonography*
Infant, Newborn
Neonatal Screening
Risk Factors
Ultrasonography / methods

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

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