| Paediatric hip--ultrasound screening for developmental dysplasia of the hip: a review. | |
| | |
MedLine Citation:
|
PMID: 11567854 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
P Tomà; M Valle; U Rossi; G M Brunenghi |
Related Documents
:
|
18663294 - Optimizing otoacoustic emission protocols for a unhs program. 9832584 - The newborn with hearing loss: detection in the nursery. 23582164 - Early surgical excision of giant congenital hemangiomas of the scalp in newborns: clini... 16489864 - A multisite study to examine the efficacy of the otoacoustic emission/automated auditor... 23631984 - Functional connectivity of the cortex of term and preterm infants and infants with down... 12705624 - Epidemiology of respiratory syncytial virus bronchiolitis in hospitalized infants in gr... |
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 |
Affiliation:
|
Radiology/Orthopaedy II. G. Gaslini Institute, Largo Gaslini 5, I-16148 Genoa, Italy. paolotoma@ospedale-gaslini.ge.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cost-Benefit Analysis Hip Dislocation, Congenital / epidemiology, therapy, ultrasonography* Humans Infant Infant, Newborn Neonatal Screening Risk Factors Ultrasonography / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ultrasound of the hand.
Next Document: Ultrasound of the ankle.