Ultrasound screening for hip abnormalities: preliminary findings in 1001 neonates.
- 20 September 1986
- Vol. 293 (6549) , 719-722
- https://doi.org/10.1136/bmj.293.6549.719
Abstract
Several studies have documented the failure of neonatal clinical screening to reduce the incidence of hip dislocation later in infancy. In addition, the practice of splinting unstable hips is said to result in the treatment of many infants who would have developed normally if left unsplinted. Ultrasound provides a detailed image of the bony and cartilaginous neonatal hip. The results of conventional testing for hip instability were compared with ultrasound screening in 1001 neonates. As a result of the ultrasonic image 14 of 17 infants with hip instability were not splinted and developed normally. Two babies without detectable clinical signs were shown to have severe hip abnormalities. It is suggested that clinically normal but dysplastic hips do exist and that ultrasound will detect them. In addition, the overtreatment that is current practice might be avoided.Keywords
This publication has 8 references indexed in Scilit:
- An epidemiological assessment of neonatal screening for dislocation of the hip.1986
- Ultrasound of the hip: a review of the applications of a new techniqueThe British Journal of Radiology, 1986
- Congenital dislocation of the hip: early and late diagnosis and management compared.Archives of Disease in Childhood, 1985
- Classification of hip joint dysplasia by means of sonographyArchives of orthopaedic and trauma surgery, 1984
- Congenital hip dislocation: an increasing and still uncontrolled disability?BMJ, 1982
- Some effects of position on the roentgenographic diagnosis of dislocation at the infant hipSkeletal Radiology, 1981
- Surveillance of Congenital Malformations and Other Conditions of the NewbornInternational Journal of Epidemiology, 1975