Document Detail

Screening and treatment in developmental dysplasia of the hip-where do we go from here?
MedLine Citation:
PMID:  21553044     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Developmental dysplasia of the hip (DDH) is a leading cause of disability in childhood and early adult life. Clinical and sonographic screening programmes have been used to facilitate early detection but the effectiveness of both screening strategies is unproven. This article discusses the role for screening in DDH and provides an evidence-based review for early management of cases detected by such screening programmes.
METHODS: We performed a literature review using the key words 'hip dysplasia,' 'screening,' 'ultrasound,' and 'treatment.'
RESULTS: The screening method of choice and its effectiveness in DDH still needs to be established although it seems essential that screening tests are performed by trained and competent examiners. There is no level 1 evidence to advise on the role of abduction splinting in DDH although clinicians feel strongly that hip instability does improve with such a treatment regime. The definition of what constitutes a pathological dysplasia and when this requires treatment is also poorly understood.
CONCLUSION: Further research needs to establish whether early splintage of clinically stable but sonographically dysplastic hips affects future risk of late-presenting dysplasia/dislocation and osteoarthritis. There is a need for high quality studies in the future if these questions are to be answered.
Mathew D Sewell; Deborah M Eastwood
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-05-07
Journal Detail:
Title:  International orthopaedics     Volume:  35     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-22     Completed Date:  2011-12-15     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1359-67     Citation Subset:  IM    
The Catterall Unit, The Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
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MeSH Terms
Dislocations / etiology,  pathology
Early Diagnosis
Hip Dislocation, Congenital / complications,  diagnosis*,  therapy*
Mass Screening / methods*
Osteoarthritis, Hip / etiology,  pathology
Splints* / adverse effects
Treatment Outcome
Comment In:
Int Orthop. 2012 Jul;36(7):1529   [PMID:  22539161 ]

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

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