Optimizing the Time for Developmental Dysplasia of the Hip Screening

Gökharman, Fatma Dilek; Aydın, Sonay; Fatihoğlu, Erdem; Ergün, Elif; Koşar, Pınar Nercis

doi:10.1097/ruq.0000000000000348

Cited by 16 publications

(20 citation statements)

References 19 publications

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“…This finding is in accordance with the only two other studies that were published regarding the timing of ultrasound screening for DDH [7,8]. Gokharman et al [7] compared the results of ultrasound screening at the fourth week of life to those at the 12th week of life, and found that ultrasound screening findings at the fourth week of life could successfully predict ultrasound findings at the 12th week of life. Similarly to our study, they found that ultrasound screening at the eighth week of life was more successful in predicting the results at the 12th week of life than ultrasound screening at the fourth week of life [7].…”

Section: Discussionsupporting

confidence: 86%

“…However, the timing of ultrasound screening as part of the neonatal screening programme for DDH remains an ongoing topic of debate [6-9]. Ultrasound screenings that are performed too early can lead to a high incidence of false-positive or false-negative results, resulting in unnecessary anxiety, follow-up examinations, and financial burden [7,8]. In contrast, ultrasound screenings that are performed too late can result in delayed treatment, increasing the need for more invasive management, such as surgery, as well as imposing a financial burden [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasound screenings that are performed too early can lead to a high incidence of false-positive or false-negative results, resulting in unnecessary anxiety, follow-up examinations, and financial burden [7,8]. In contrast, ultrasound screenings that are performed too late can result in delayed treatment, increasing the need for more invasive management, such as surgery, as well as imposing a financial burden [7,8]. Despite the extensive literature available on ultrasound screening for DDH, no consensus exists regarding the ideal timing for ultrasound screening to be performed [8].…”

Section: Introductionmentioning

confidence: 99%

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The earliest timing of ultrasound in screening for developmental dysplasia of the hips

et al. 2019

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Purpose: The current study aimed to evaluate the results of ultrasound screening for developmental dysplasia of the hips (DDH) done at various weeks of life, to determine the earliest time that ultrasound screening can be performed reliably. Methods: In this 17-year cohort study, all neonates who underwent ultrasound screening prior to the 12th week of life with subsequent follow-up radiography done at 1 year of life were included. The ultrasound images were evaluated according to the Graf classification, Harcke's dynamic ultrasound screening method, and Terjesen's femoral head coverage method. The radiographic images were evaluated according to the acetabular index and the femoral head position. The accuracy and correlation between the ultrasound findings from various weeks of life with the radiographic findings at 1 year of life were evaluated. Results: A total of 348 neonates were included in the study, of whom 92 had abnormal ultrasound findings and 42 had abnormal radiographic findings at 1 year. Significant differences were identified between the findings of ultrasound screening examinations performed prior to the fourth week of life (day 21 and before) and the radiographic findings at 1 year of life (P<0.05). In contrast, no significant differences were identified when ultrasound screening was performed between the fourth and 12th weeks of life (day 22 and beyond) (P>0.05). The accuracy of ultrasound screening was 79.2% or higher when performed during or after the fourth week of life (day 22 and beyond). Conclusion: The earliest that ultrasound screening for DDH can be performed reliably is during the fourth week of life (day 22 and beyond).

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The earliest timing of ultrasound in screening for developmental dysplasia of the hips

et al. 2019

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“…In a study published recently, Gokharman et al has investigated the same question as our study using a different method and they found 8th week as the ideal time for screening which is a similar to the result of our study [18]. In total, 128 hips, 18% of all hips did not come for control.…”

Section: Discussionsupporting

confidence: 90%

What is the ideal time for hip sonography screening?

2020

Ann Clin Anal Med

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Aim: The necessity of hip sonography scan is accepted by all authors. However, there is no clear information about when the scan is required. In this study, we tried to find out the most appropriate time for screening and reported our results of hip sonography performed in our clinic. Materials and Methods: Records of 351 infants were retrospectively investigated, and spontaneous correction in developmentally retarded hips was evaluated by Graf's method. Ages of infants were between 3-29 days; the average age was 11 days. Results: Three hundred and eighty hips were evaluated as type 1 (%54). Babies who were evaluated at three and four weeks of age, the ones that assessed as types 2c, d, 3 and 4 got initial treatment. Fourteen hips of 11 babies received treatment. All of the type 2a+ (71 hips) and all but two of type 2a-(82, %97.6) had become type 1 without treatment. Among 11 hips that were type 3 at week one, 3 type 3 hips of two babies that came back for control, returned to normal without treatment. Even the hips considered type 2c in this age group can return to normal without treatment. Discussion: According to our dataset, because hips that were evaluated as undeveloped at the first screening returned to normal at an average of 7 weeks, the ideal time for screening is 7th week of life.

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“…Studies have been conducted to identify the earliest possible time that ultrasound screening can be performed reliably for DDH. Gokharman et al [16] chose the fourth and eighth weeks of life as the timepoints for their study because of the observation from their clinical practice that most of ultrasound examinations performed during the first 4 -8 weeks of life. While, Lussier et al [11] chose the threshold of 28 days for their study because most screenings at their institutions were performed either in the first week of life or after 28 days of life.…”

Section: Ultrasound Screening For Ddhmentioning

confidence: 99%

Developmental Dysplasia of the Hip: Management of Graf IIa Dysplastic Hip

Raba¹,

Gasibat²

2020

OJPed

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Developmental Dysplasia of the Hip (DDH) describes a wide range of anatomic abnormalities of the growing hips which might result in permanent abnormal gait. Therefore, early detection and management is crucial to improve the outcome and minimise the risk of osteoarthritis in later life. Hip ultrasound is used to evaluate DDH based on Graf classification. Graf score is a widely used ultrasound grading score to evaluate DDH in infants. There is conflicting evidence regarding the management of the developmentally immature Graf type IIa hip. Some physicians adopt watchful waiting for natural maturation of hips while other early treatment. This article will provide an evidence-based review on the management modalities of the Graf type IIa hip.

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Optimizing the Time for Developmental Dysplasia of the Hip Screening

Cited by 16 publications

References 19 publications

The earliest timing of ultrasound in screening for developmental dysplasia of the hips

The earliest timing of ultrasound in screening for developmental dysplasia of the hips

What is the ideal time for hip sonography screening?

Developmental Dysplasia of the Hip: Management of Graf IIa Dysplastic Hip

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