Positive predictive values in clinical screening for developmental dysplasia of the hip
نویسندگان
چکیده
Aim To establish the positive predictive value (PPV) of clinical hip examinations performed by referrers in Danish screening programme for Developmental Dysplasia Hip (DDH) utilising three definitions true DDH diagnosis. Methods We retrospectively identified 290 children (169 female) referred during a 4-year period to orthopaedic outpatient clinic at our institution with examination. Positive was calculated across examination all and subgroups consisting general practitioners, midwives paediatricians. The PPV paediatric surgeons using one definitions. Results were 5.4%, 3.6% 1.8% definition diagnosis defined as instability found surgeon, ultrasound classification ?Graf IIc or both combined, respectively. 33.3% an IIc. Conclusion conclude that made is low.
منابع مشابه
Screening for developmental dysplasia of the hip.
The reported prevalence of established dislocation the hip in an unscreened population varies from 0.7 to 1.6 / 1000 children in European and American white populations. In clinically screened populations neonatal hip instability is reported to occur in 3 to 30 / 1000 newborns while established congenital dislocation has a prevalence of 0.1- 4/1000 of which 1/1000 is judged to be in need for su...
متن کاملReconstruction of the Acetabulum in Developmental Dysplasia of the Hip in Total Hip Replacement
Developmental dysplasia of the hip (DDH) or congenital hip dysplasia (CDH) is the most prevalent developmental childhood hip disorder. It includes a wide spectrum of hip abnormalities ranging from dysplasia to subluxation and complete dislocation of the hip joint. The natural history of neglected DDH in adults is highly variable. The mean age of onset of symptoms is 34.5 years for dysplastic DD...
متن کاملScreening for developmental dysplasia of the hip in Hong Kong.
PURPOSE To review records of children referred to our hospital for developmental dysplasia of the hip (DDH) and evaluate the effectiveness of hip screening in Hong Kong. METHODS Records of children suspected of DDH and referred to our hospital between 1 January 2005 and 31 March 2010 were reviewed. The diagnosis was based on static and dynamic ultrasonography of the hips and/or radiographic f...
متن کاملEffectiveness of ultrasound screening for developmental dysplasia of the hip.
OBJECTIVE To determine the effectiveness of ultrasound screening for developmental dysplasia of the hip (DDH) after the neonatal period. DESIGN Prospective cohort study. SETTING Child health care centres. PARTICIPANTS Infants attending the child health care centres. INTERVENTIONS The intervention group (n = 5170) was screened by ultrasound at 1, 2, and 3 months of age. The control group...
متن کاملScreening for developmental dysplasia of the hip: recommendation statement.
THE US PREVENTIVE Services Task Force (USPSTF) concludes that evidence is insufficient to recommend routine screening for developmental dysplasia of the hip (DDH) in infants as a means to prevent adverse outcomes (I recommendation).* The pathophysiology and natural history of DDH are poorly understood. There is evidence that screening leads to earlier identification; however, 60% to 80% of the ...
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ژورنال
عنوان ژورنال: Acta Paediatrica
سال: 2021
ISSN: ['0803-5253', '1651-2227']
DOI: https://doi.org/10.1111/apa.15896