Ultrasonographic screening for developmental dysplasia of the hip in infants

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Ultrasonographic screening for developmental dysplasia of the hip in infants. Reproducibility of assessments made by radiographers.

We studied the reproducibility of ultrasonographic screening examination of the hip when read by diagnostic radiographers. In order to determine interobserver variability, 200 ultrasonograms were classified according to Graf's method by five observers (four radiographers and one radiologist). The kappa values for interobserver variability indicated moderate agreement (kappa 0.47) for the exact ...

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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...

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Reconstruction 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...

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Auditing hip ultrasound screening of infants at increased risk of developmental dysplasia of the hip.

BACKGROUND Clinical examination, while useful, has been shown to be insufficient as the sole screening method in infants. Ultrasound examination at 8 weeks in high risk infants is an integral part of the screening process in some units. AIMS To show the efficiency of hip sonography in detection of developmental dysplasia of the hips in those without clinically dislocated hips. METHODS All i...

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Cochrane Review: Screening programmes for developmental dysplasia of the hip in newborn infants.

BACKGROUND Uncorrected developmental dysplasia of the hip (DDH) is associated with long-term morbidity such as gait abnormalities, chronic pain and degenerative arthritis. OBJECTIVES To determine the effect of different screening programmes for DDH on the incidence of late presentation of congenital hip dislocation. SEARCH METHODS Searches were performed in CENTRAL (The Cochrane Library), M...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 2003

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.85b5.13893