Screening for developmental dysplasia of the hip: Results of a 7-year follow-up study
| Autor: | Sabahat Tezcan, Ufuk Beyazova, Aysima Akturk, Selcuk Bolukbasi, Figen Sahin, Banu Cakir, Oznur Boyunaga, Ulunay Kanatli |
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| Rok vydání: | 2004 |
| Předmět: |
musculoskeletal diseases
Male Pediatrics medicine.medical_specialty Time Factors Physical examination Swaddling Neonatal Screening Predictive Value of Tests Risk Factors Positive predicative value Hip Dislocation Humans Medicine Medical history Family history Risk factor Medical History Taking Physical Examination Retrospective Studies Bone Diseases Developmental medicine.diagnostic_test business.industry Infant Newborn Infant Reproducibility of Results Pediatrics Perinatology and Child Health Orthopedic surgery Physical therapy Female business Follow-Up Studies Hip examination |
| Zdroj: | Pediatrics International. 46:162-166 |
| ISSN: | 1442-200X 1328-8067 |
| DOI: | 10.1046/j.1442-200x.2004.01855.x |
| Popis: | Background: Screening for developmental dysplasia of the hip (DDH) is widely recommended for all infants to prevent disability from late diagnosis of dislocation of the hip. The present study evaluates the results of screening for developmental dislocation of hip in a clinic in Turkey over the course of 7 years. Methods: Hospital records of 5798 infants who were examined regularly until walking age at Gazi University well child clinics between January 1995 and December 2001 were reviewed. Infants with known risk factors for DDH such as breech presentation, family history of DDH or swaddling, and of infants with physical examination findings suggestive of DDH, were referred to orthopedic surgeons for diagnosis. Based on this final diagnosis, sensitivity, specificity, positive and negative predictive values of risk factors and physical examination findings were calculated. Results: Of the 5798 infants, risk factors were detected in the medical history of 111 infants, and in 14 infants a musculoskeletal deformity was detected. In 606 infants the physical examination findings were suggestive of DDH. Ten patients were subsequently diagnosed with DDH. The sensitivity, specificity, positive predictive value and negative predictive values of having a risk factor for DDH in history were 10.0%, 98.1%, 0.9%, 99.8%, and having abnormal hip examination findings were 100.0%, 88.9%, 1.6% and 100.0%, respectively. Conclusion: A careful history and physical examination is the cornerstone of DDH screening. Serial hip examinations performed during health examination visits provide an opportunity to identify DDH cases. The sensitivity of risk factors in history and physical examination findings together is high enough to be accepted as a screening tool. |
| Databáze: | OpenAIRE |
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