Late dislocation of the hip following normal neonatal clinical and ultrasound examination.
نویسندگان
چکیده
We present a case of late dislocation of the hip in a 30-month-old girl. Her hip was clinically stable at birth and an ultrasound scan at six weeks was normal. She had no additional risk factors for developmental dysplasia. She underwent anterior open reduction with a femoral osteotomy.
منابع مشابه
Disparity between Clinical and Ultrasound Examinations in Neonatal Hip Screening
BACKGROUND For early detection of developmental dysplasia of the hip (DDH), neonatal hip screening using clinical examination and/or ultrasound has been recommended. Although there have been many studies on the reliability of both screening techniques, there is still controversy in the screening strategies; clinical vs. selective or universal ultrasound screening. To determine the screening str...
متن کاملUniversal or selective screening of the neonatal hip using ultrasound? A prospective, randomised trial of 15,529 newborn infants.
The aim of this study was to evaluate whether universal (all neonates) or selective (neonates belonging to the risk groups) ultrasound screening of the hips should be recommended at birth. We carried out a prospective, randomised trial between 1988 and 1992, including all newborn infants at our hospital. A total of 15 529 infants was randomised to either clinical screening and ultrasound examin...
متن کاملFrom DEPARTMENT OF WOMAN AND CHILD HEALTH Karolinska Institutet, Stockholm, Sweden DYNAMIC ULTRASONOGRAPHY IN NEONATAL HIP INSTABILITY AND ACETABULAR DYSPLASIA
The clinical hip examination, although highly sensitive in expert hands in detecting neonatal hip instability, can lead to considerable overtreatment. Ultrasound is increasingly being used to complement the clinical examination in assessing neonatal hip instability and acetabular dysplasia, often leading to increased treatment rate. Several different ultrasound methods are in use. In this thesi...
متن کاملProblems in the early recognition of hip dysplasia.
Ten children who had clinically stable hips at birth were radiographed at one month because they had factors predisposing to hip dislocation. In all cases one or both hips gave rise to a suspicion of dysplasia, though clinical abnormalities were slow to appear. Four of these hips subsequently dislocated. We believe that infants with late presentation of acetabular dysplasia and clinical abnorma...
متن کاملThe effectiveness of a programme for neonatal hip screening over a period of 40 years: a follow-up of the New Plymouth experience.
Since September 1964, neonates born in New Plymouth have undergone clinical examination for instability of the hip in a structured clinical screening programme. Of the 41 563 babies born during this period, 1639 were diagnosed as having unstable hips and 663 (1.6%) with persisting instability were splinted, five of which failed. Also, three unsplinted hips progressed to congenital dislocation, ...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 92 10 شماره
صفحات -
تاریخ انتشار 2010