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Pediatric Radiology

Erschienen in:

01.07.2003 | Original Article

Ultrasound screening for developmental dysplasia of the hip

verfasst von: Giuseppe Riboni, Aldo Bellini, Sergio Serantoni, Elena Rognoni, Luigi Bisanti

Erschienen in: Pediatric Radiology | Ausgabe 7/2003

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Abstract

Background

Clinical examination of newborns has been shown to be inadequate for the early detection of developmental dysplasia of the hip (DDH). It is debatable whether US examination is a valid alternative.

Objective

To contribute further knowledge to the natural history of DDH; to examine the distribution of hip morphology as classified by Graf according to sex and risk factors in an unselected Italian population; to propose a temporal pattern of US screening of all newborns to detect DDH.

Materials and methods

All newborns (n=8,896) sequentially delivered in the Maternal and Child Health Hospital of Milan underwent US examination in the first week of life and, when findings were within normal limits, in the third month of life. Subjects categorised at birth as Graf type 2a with α angle between 50° and 52°, underwent a further US examination at the end of the first month of life. Subjects with ambiguous findings at the 3-month examination were re-examined at the end of the fourth month of life. All infants with abnormal hips abandoned the screening process and underwent treatment.

Results

Overall, 56 cases of DDH were identified: 34 in the first week of life examination, 10 at 1 month; 10 at 3 months and 2 at 4 months.

Conclusions

A two-step US screening of newborns is recommended: at the end of the first month and within the fourth month of life.

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Titel: Ultrasound screening for developmental dysplasia of the hip
verfasst von: Giuseppe Riboni
Aldo Bellini
Sergio Serantoni
Elena Rognoni
Luigi Bisanti
Publikationsdatum: 01.07.2003
Verlag: Springer-Verlag
Erschienen in: Pediatric Radiology / Ausgabe 7/2003
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-003-0940-7

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Ultrasound screening for developmental dysplasia of the hip

Abstract

Background

Objective

Materials and methods

Results

Conclusions

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Abstract

Background

Objective

Materials and methods

Results

Conclusions

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