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Screening for the coexistence of congenital muscular torticollis and developmental dysplasia of hip.
MedLine Citation:
PMID:  22506163     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the coexistence rate and related factors of developmental dysplasia of the hip (DDH) and congenital muscular torticollis (CMT), and to determine whether ultrasonography (US) gives good value for screening of DDH in CMT.
METHOD: We prospectively examined 121 infants (73 males and 48 females) diagnosed with CMT to determine the incidence of DDH by US. We also assessed the relationship between neck US findings and DDH occurrence, and investigated the clinical features of CMT related to DDH.
RESULTS: 18 patients (14.9%) were diagnosed as having DDH by US. However, most DDH was subclinical and spontaneously resolved. Only 2 patients (1.7%) needed to be treated with a harness. The positive predictive value of clinical examinations for DDH was 52.6% and patients treated by harness were all clinically positive. DDH was more common in the left side (13 left, 4 right, 1 both), but 6 out of 18 DDH (33.3%) cases presented on the contralateral side of CMT. Sex difference was not observed. Breech presentation and oligohydramnios were not related to DDH occurrence. Neck US findings did not correlate with DDH occurrence.
CONCLUSION: The coexistence rate of CMT and DDH was concluded to be 14.9%. If only DDH cases that required treatment were included, the coexistence rate of these two disorders would be lowered to 1.7%. All of these patients showed positive findings in clinical examination. Therefore, hip US should not be recommended routinely for patients with CMT.
Authors:
Sung Nyun Kim; Yong Beom Shin; Wan Kim; Hwi Suh; Han Kyeong Son; Young Sun Cha; Jae Hyeok Chang; Hyun-Yoon Ko; In Sook Lee; Min Jeong Kim
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Publication Detail:
Type:  Journal Article     Date:  2011-08-31
Journal Detail:
Title:  Annals of rehabilitation medicine     Volume:  35     ISSN:  2234-0653     ISO Abbreviation:  Ann Rehabil Med     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2012-04-16     Completed Date:  2012-08-24     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101573065     Medline TA:  Ann Rehabil Med     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  485-90     Citation Subset:  -    
Affiliation:
Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan 602-739, Korea.
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