Developmental dysplasia of the hip: real world data from a retrospective analysis to evaluate the effectiveness of universal screening.
DDH
Hip ultrasound
Ortolani-barlow
Universal screening
Journal
Journal of ultrasound
ISSN: 1876-7931
Titre abrégé: J Ultrasound
Pays: Italy
ID NLM: 101315005
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
18
02
2020
accepted:
09
04
2020
pubmed:
2
5
2020
medline:
26
11
2021
entrez:
2
5
2020
Statut:
ppublish
Résumé
Developmental dysplasia of the hip is an important cause of disability in children and young adult and it also has a significant socio-economic impact in our society. The main objective of our study is to evaluate, in our hospital, the effectiveness of a universal ultrasound screening protocol and to assess the general knowledge about the theme of pediatricians and neonatologists. Retrospective study of infants born from January 2016 to April 2019, evaluated with hip ultrasound (Graf method). Risk factors assessed were female gender, breech presentation at birth, positive family history and twin birth. For the secondary objective, an anonymous and validated questionnaire was distributed to all pediatricians and neonatologists. Among the 4000 hips analyzed, on ultrasound examination, 98.8% hips resulted mature or immature but appropriate for age, while 1,2% hips were pathological. Analyzing the mature or immature hips, 2,4% were positive on clinical examination and 97,6% were negative. In relation to ultrasound pathological hips, 33,3% have positive clinical examination, while 66,7% negative. From the analysis of risk factors a significant association emerged between female sex, breech presentation and family history with the ultrasound pathological findings. The results of Survey showed that inadequate training about developmental dysplasia of the hip is done during medical school. A universal ultrasound screening allowed us to identify developmental dysplasia of the hip in a number of children with normal clinical examination and no risk factors. Specific training courses should be implemented regarding Developmental Dysplasia of the Hip for neonatologists and pediatricians.
Identifiants
pubmed: 32356221
doi: 10.1007/s40477-020-00463-w
pii: 10.1007/s40477-020-00463-w
pmc: PMC8572248
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
403-410Informations de copyright
© 2020. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).
Références
J Bone Joint Surg Am. 2005 Nov;87(11):2472-9
pubmed: 16264123
Ultraschall Med. 2019 Aug;40(4):454-464
pubmed: 31195424
Int Orthop. 1996;20(2):80-2
pubmed: 8739698
Eur J Pediatr. 2017 Sep;176(9):1193-1200
pubmed: 28717864
Pediatrics. 2006 Mar;117(3):e557-76
pubmed: 16510634
J Clin Orthop Trauma. 2012 Jun;3(1):10-4
pubmed: 25983450
J Pediatr Orthop. 1990 Mar-Apr;10(2):145-52
pubmed: 2179267
J Bone Joint Surg Br. 1999 Sep;81(5):852-7
pubmed: 10530849
Arch Dis Child. 2012 May;97(5):423-9
pubmed: 22412044
Pediatrics. 2000 Apr;105(4 Pt 1):896-905
pubmed: 10742345
Pediatrics. 2016 Dec;138(6):
pubmed: 27940740
Arch Orthop Trauma Surg. 1980;97(2):117-33
pubmed: 7458597
J Bone Joint Surg Am. 2000 Jul;82-A(7):1004-18
pubmed: 10901315
N C Med J. 2014 Mar-Apr;75(2):142-5
pubmed: 24663141
J Ultrasound. 2019 Dec;22(4):491-502
pubmed: 30414082
Pediatr Ann. 2006 Feb;35(2):92-101
pubmed: 16493916
J Bone Joint Surg Br. 2011 Aug;93(8):1126-30
pubmed: 21768641
Eur J Radiol. 2012 Mar;81(3):e344-51
pubmed: 22119556
J Child Orthop. 2018 Aug 1;12(4):296-301
pubmed: 30154918
Arch Dis Child Fetal Neonatal Ed. 1997 Mar;76(2):F94-100
pubmed: 9135287
J Child Orthop. 2011 Dec;5(6):415-24
pubmed: 23205143
Acta Orthop. 2011 Apr;82(2):149-54
pubmed: 21434808