During the decade 1970-9, 23 002 infants born in the University of Bristol Department of Obstetrics were examined for congenital dislocation of the hip by junior members of the paediatric staff on the first day of life and again on discharge from hospital. Suspected hip abnormality was checked by a senior member of the staff on the same day. A total of 445 (1.9%) infants were found to have a hi...

The importance of identifying this anomaly is that it is associated with other congenital malformations in over 20% of cases, most commonly being associated with cardiovascular anomalies and congenital dislocation of hip. Of the 44 infants with this syndrome, Pape and Pickering found 27 to have major anomaly of skeletal, genitourinary, respiratory and cardiovascular systems. The disorder most c...

Forty-four patients who had undergone 50 capsular arthroplasties for congenital dislocation of the hip were reviewed after a mean follow-up of 20 years. Their average age at operation was 5.9 years; 31 of the operations were undertaken because of late presentation, the remainder because of the failure of previous surgery. In all, 70% of the hips showed good function despite a reduced range of m...

In 1964, a screening programme was commenced in South Australia to diagnose and treat congenital dislocation of the hip in the neonatal period. The purpose of this paper is to present the findings of a statistical review of cases seen at the Queen Victoria Hospital during 1971 and 1972. Related factors, and the recommended method of treatment, are discussed, along with problems of early diagnos...

The hips of twenty full-term African neonates have been examined in detail to determine any anatomical factors which might explain the difference in the incidence of congenital dislocation of the hip in the African and in the Caucasian. Measurements included the degree of anteversion of the femoral neck and the acetabulum and the diameter and depth of the acetabulum. The acetabulum tended to be...

Fifty-four adults with eighty hips affected by congenital disease which had not been treated have been reviewed. Fifty-nine per cent of forty-two dislocated hips had fair or poor grading scores. The incidence of osteoarthritis was markedly increased in the presence of a well-developed false acetabulum. Unilateral dislocation led to valgus deformity and degenerative changes in the ipsilateral kn...

Present efforts to eradicate congenital dislocation of the hip are based on tests for neonatal laxity ofthejoint. It is hoped that by arresting the disorder at this stage established dislocation may be avoided. The Ortolani and Barlow tests are simple enough but difficult to standardise and not always easy to perform. The screening of all babies in a widespread community therefore presents many...

innovations occurring in these settings are more generally taken up? For new practices originating in private establishments it will be particularly difficult. We must have a system that recognises, assesses, and communicates these new practices for the benefit of all elderly people. The route for their dissemination should be through purchasing authorities ensuring that they have the means to ...