The results of an universal ultrasonographic hip screening program of a single institution

Güler, Olcay

doi:10.3944/aott.2015.15.0024

Cited by 9 publications

(14 citation statements)

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“…13 In Norway, Engesaeter et al 14 found late presentation (after 1 month) in 0.32/1,000 newborns based on neonatal ultrasonography screening of a large group of newborns with risk factors and/or clinical findings. Güler et al 15 reported a prevalence of 9.9% in Turkey.…”

Section: Discussionmentioning

confidence: 99%

Prevalência de displasia do desenvolvimento do quadril em uma maternidade de São Paulo, Brasil

Motta

Chiovatto²,

Chiovatto³

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar a prevalência de displasia de desenvolvimento de quadril (DDQ), ou seja, quadris de tipo de Graf IIc ou maior, em amostra da população de recém-nascidos de 0 a 3 dias de vida, e correlacionar os achados com os principais fatores de risco descritos na literatura. Métodos Estudo observacional, transversal e prospectivo em amostra de recém-nascidos, em um hospital maternidade em São Paulo, para avaliar a prevalência da DDQ diagnosticada pelo método de Graf e verificar sua correlação com os fatores de risco. Resultados Um total de 678 recém-nascidos foram submetidos a ultrassonografia de quadril (1.356 quadris). A prevalência de DDQ (quadris tipo IIc, D, IIIa, IIIb, e IV de Graf) foi de 5,46%. A análise de regressão logística mostrou razões de chances (RCs) com significância estatística para os parâmetros etnia branca (RC = 2.561; intervalo de confiança de 95% [IC95%]: 1,07 a 6,11), multiparidade (RC = 3,50; IC95%: 1,62 a 7,38), sexo feminino (RC = 4,95; IC95%: 1,86 a 13,13), e apresentação pélvica (RC = 2,03; IC95%: 1,01 a 4,11). Conclusão A prevalência de DDQ na amostra foi de 5,45% usando a ultrassonografia como método de diagnóstico. Este resultado é diferente do dos estudos que avaliam a prevalência exclusivamente do exame físico (manobra de Ortolani). Os principais fatores de risco associados ao maior risco de DDQ foram recém-nascidos do sexo feminino, com apresentação pélvica, primogênitos, e de etnia branca.

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Section: Discussionmentioning

confidence: 99%

Prevalência de displasia do desenvolvimento do quadril em uma maternidade de São Paulo, Brasil

Motta

Chiovatto²,

Chiovatto³

et al. 2021

Rev Bras Ortop (Sao Paulo)

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“…Therefore, they were also in favor of universal screening. Guler et al [88] from Turkey reported on their population of babies who underwent US screening with satisfactory results and thus recommended its use.…”

Section: Selective Vs Universal Us Screeningmentioning

confidence: 99%

International Interdisciplinary Consensus Meeting on the Evaluation of Developmental Dysplasia of the Hip

O’Beirne

Chlapoutakis²,

Alshryda³

et al. 2019

Ultraschall in Med

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In September 2018, an international meeting of doctors of various disciplines, with expertise in the detection and treatment of DDH, was held in Csolyospalos, Hungary. The aim was to achieve consensus on the detection and early treatment of the condition and to develop a standardized system of teaching and training for hip ultrasound. There was strong agreement that US screening is essential. Specifically the Graf technique was selected as the technique of choice. Universal US screening was strongly favored. Screening should be carried out as soon as possible, but not later than the sixth week of age. US screening is cost-effective, does not result in overtreatment, and contributes to a reduction of long-term consequences. The essential principle of treatment is timely application of a device to achieve reduction, retention and maturation, by holding the hips in flexion, and a safe degree of abduction. It was agreed that the effectiveness of any screening policy depends on the correct scanning technique. Therefore, standardization of teaching and training of the Graf technique is mandatory. A unified teaching policy and materials should be developed for this purpose. Certification, re-certification and audit were discussed. The group, which has been formalized as the International Interdisciplinary Consensus Committee On DDH Evaluation (ICODE), will continue to meet and work towards establishing international consensus on DDH, standardizing and developing teaching and training of the Graf technique for hip US, and maintaining standards for detection and management.

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“…Given the differences in study populations, outcome measures and discrepant results reporting, resolution rates are difficult to compare or combine across the severity spectrum. For example, seven of the included studies examined only Graf 2A hips in their natural history population [22][23][24][25][26][27]33]. Graf 2A hips are typically recognized as physiologically immature hips, not necessarily pathologically DDH hips.…”

Section: Discussionmentioning

confidence: 99%

Examining the Short-Term Natural History of Developmental Dysplasia of the Hip in Infancy: A Systematic Review

Zomar

Mulpuri

Schaeffer

2021

JOIO

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Background This study was an update on the AAOS clinical practice guideline’s analysis of the natural history of developmental dysplasia of the hip (DDH). The objective was to delineate the natural history of clinical instability or radiologic abnormalities of the hip in infants by identifying the proportion of cases that resolved without treatment compared to cases that progressed and/or required treatment. Methods We performed a literature search of PUBMED to identify studies which evaluated the natural history of DDH. We used the same search strategy as that utilized in the previous AAOS guidelines, updated to include articles published between September 2013 and May 2021. We assessed the quality of included articles using the Oxford Centre for Evidence-Based Medicine level of evidence and reported study demographics and outcomes using summary statistics. Results Twenty-four articles met our eligibility criteria. Most included studies were retrospective (14/24), investigated either the incidence of DDH (8/24) or assessed screening programs (7/24). The most prevalent study population followed were Graf 2A hips (7/24). Most studies were low quality with level of evidence 3 (13/24) or 4 (7/24). Sample sizes ranged from 9 to 3251. Twenty studies reported the number of cases resolved over the follow-up period with a mean rate of 84.3% (95% confidence interval 76.1, 92.6). Conclusion We found most mild-to-moderate DDH can resolve without treatment in early infancy, especially in physiologically immature (Graf 2A) hips. More high-quality evidence is needed to properly assess the natural history of DDH as only one included study was a randomized trial.

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The results of an universal ultrasonographic hip screening program of a single institution

Cited by 9 publications

References 0 publications

Prevalência de displasia do desenvolvimento do quadril em uma maternidade de São Paulo, Brasil

Prevalência de displasia do desenvolvimento do quadril em uma maternidade de São Paulo, Brasil

International Interdisciplinary Consensus Meeting on the Evaluation of Developmental Dysplasia of the Hip

Examining the Short-Term Natural History of Developmental Dysplasia of the Hip in Infancy: A Systematic Review

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