Ultrasound and neonatal hip screening. A prospective study of 'high risk' babies

Jones, Dai Anthony; Powell, Niels

doi:10.1302/0301-620x.72b3.2187878

Cited by 67 publications

(22 citation statements)

References 12 publications

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“…Causes of oligohydramnios are thought to be reduced in other, movement restriction, and being a first-born child. Extreme hip flexion with knee extension, as in the breech position, tends to promote femoral head dislocation and leads to the shortening and contracting of the iliopsoas muscle [8] [9].…”

Section: Introductionmentioning

confidence: 99%

Role of Ultrasound in Evaluation of Developmental Dysplasia of the Hip in Infants

Ali¹,

Al-Zahrani²,

Elsayed³

et al. 2017

OJPed

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Background/Aim: The present study was directed to investigate the accuracy of ultrasound (USG) in early detection of developmental dysplasia of the hip (DDH) to prevent permanent complications. Material & Methods: A total of 276 infants was investigated; their ages range from 1 -6 months. Patients referred from the clinic based on clinical assessment (mainly Barlo & Ortolani maneuvers). Then the patient's hips were examined by expert radiologists in USG scan. After that, dynamic (coronal and transverse) & static ultrasound views evaluated by the same radiologist using Graf's criteria. Infants with abnormal ultrasound findings suggestive of DDH were followed up after 4 -6 weeks by the same investigator to monitor the progress. At the same time, the patient referred to a specialist for conservative management from the first positive findings. Results: Among the 276 referred patients, infants with normal stable hips (Graf Type I and Type II a+) were 221 (80%), 155 of them were female and 66 male infants. Infants with unstable hips based on Graf's criteria (Type II a-, II b, II c and Type III a) were 55 (20%). Out of 55 with abnormal findings, the affected hips on both sides, right and left were: 5 cases (1.8%), 7 (2.5%) and 43 hips (15.5%) consecutively. Out of 55 infants affected; 3 referred to tertiary centers for further surgical management while 52 managed conservatively. Conclusion: Delayed treatment rates of DDH and complications could be reduced by the usage of the USG after the first month of life. In addition to physical assessment, USG for high-risk infants will provide more accurate diagnosis and minimize complications.

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Section: Introductionmentioning

confidence: 99%

Role of Ultrasound in Evaluation of Developmental Dysplasia of the Hip in Infants

Ali¹,

Al-Zahrani²,

Elsayed³

et al. 2017

OJPed

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“…There is considerable controversy with regard to selective ultrasound screening of so called 'at risk' newborns or the general ultrasound screening of all newborns. [2][3][4] Several authors have reported that selective screening of 'at risk' babies fails to avoid late presentations, while others report a reduction in the numbers. [3][4][5][6] General ultrasound screening of the hips of all newborns has been shown to result in a lower rate of missed hips and surgical procedures but a higher treatment rate.…”

mentioning

confidence: 99%

“…9,18 Selective screening programmes report a rate of treatment with splintage of 3.9 to 10.8 per 1000. 3,19,20 For general screening the splintage rates reported are 31, 33, and 66 per 1000. 7,14,21 In our study the splintage rate was 49 per 1000 life births.…”

mentioning

confidence: 99%

Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening

Wirth

Stratmann

Hinrichs

2004

The Journal of Bone and Joint Surgery. British volume

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Between 1985 and 1998, 12 331 patients were included in the general neonatal ultrasound hip screening programme for developmental dysplasia of the hip (DDH). Patients who needed treatment (604) were compared with a second group of 73 unscreened children treated conservatively and surgically for DDH.The incidence of Graf sonographic hip types IIc to IV varied throughout the observation period. Femoral and pelvic osteotomies were almost entirely restricted to the unscreened group of patients. The six to ten per year recorded in the period 1985 to 1990 declined subsequently to three or less per year. The yearly admissions to hospital fell noticeably after six years of screening. Late presentations of DDH were reduced to three or less per year from 1990 to 1994, none between 1995 and 1998 and one or two per year from 2000.We conclude that general neonatal sonographic hip screening can reduce significantly surgical procedures, hospitalisation and late presentation of DDH.

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“…При проведении пла-нового осмотра новорожденного для исключения ортопедической патологии недостаточно внима-ния уделялось детям из групп риска. По современ-ным данным, наиболее значимыми факторами, об-условливающими повышенный риск в отношении дисплазии и вывиха бедра, являются: отягощен-ный семейный анамнез (заболевания тазобедрен-ных суставов у близких родственников), тазовое предлежание, женский пол, первый ребенок, круп-ный плод (вес более 4000 г), маловодие, токсикоз, задержка внутриутробного развития, мышечная кривошея и косолапость [5,[17][18][19][20][21][22][23].…”

Section: период новорожденностиunclassified

Errors of diagnosis and the initiation of conservative treatment in children with congenital hip dislocation

Pozdnikin

Baskov

Евгеньевич³

et al. 2017

Pediatr Traum Orthop Reconstr Surg

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Актуальность. Дисплазия тазобедренных суставов и врожденный вывих бедра -часто встречающаяся ано-малия развития у новорожденных. По-прежнему не редки случаи позднего выявления заболевания, неудачи в лечении и развитие осложнений, что не находит должного отражения в современной литературе. Цель исследования -выявить наиболее распространенные ошибки на этапах диагностики и начала лечения детей первого года жизни с врожденным вывихом бедра. Материалы и методы. Работа основана на ретроспективном анализе данных анамнеза: истории диагности-ки и предшествующего лечения, а также клинического, сонографического, лучевого, магнитно-резонансно-го методов обследования 250 пациентов от 5 мес. до 2 лет, поступивших в специализированное отделение патологии тазобедренного сустава ФГБУ «НИДОИ им. Г.И. Турнера» с диагнозом «врожденный вывих бедра» в 2005-2015 гг. Результаты. Наиболее распространенными причинами ошибок на этапе диагностики врожденного вывиха бедра у детей являются отсутствие осмотра новорожденного ортопедом в роддоме и проведения сонографи-ческого скрининга, а также погрешности в его выполнении. При начале лечения отмечалось использование конструкций, не обеспечивающих оптимальное положение для вправления головки бедра, а также поздняя установка показаний к первичному хирургическому лечению в случаях невправимых вывихов бедра.Ключевые слова: врожденный вывих бедра, дисплазия тазобедренных суставов, диагностика, лечение.

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Ultrasound and neonatal hip screening. A prospective study of 'high risk' babies

Cited by 67 publications

References 12 publications

Role of Ultrasound in Evaluation of Developmental Dysplasia of the Hip in Infants

Role of Ultrasound in Evaluation of Developmental Dysplasia of the Hip in Infants

Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening

Errors of diagnosis and the initiation of conservative treatment in children with congenital hip dislocation

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