Another Clinical Test for Congenital Dislocation of the Hip

Stone, M.H.; Richardson, JB; Bennet, G.C.

doi:10.1016/s0140-6736(87)90296-0

Cited by 11 publications

(16 citation statements)

References 3 publications

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“…The reliability of clinical maneuvers and testing sound transmission was not measured in previous studies [2] [4] [6], which is something important that is obtained in this study. The intra observer reliability is better than inter observer reliability.…”

Section: Discussionmentioning

confidence: 73%

“…A clinical method described by Stone et al, [6] for the diagnosis of the DDH is comparative tests of the sound transmission, based on bone sound transmission properties that allow the detection of the physiological immaturity, subluxation, luxable or dislocation of the hip, where a tuning fork and stethoscope [2] [4] [6] is used.…”

Section: Introductionmentioning

confidence: 99%

“…The sounds compared transmission tests detect the physiological immaturity, subluxation, luxable or dislocation of hip, but they are totally subjective and dependent hearing examiner and the training that he received [2] [4] [6].…”

Section: Introductionmentioning

confidence: 99%

“…Neither Stone et al, [6] nor Padilla et al [2] [4] calculated reliability of testing sound transmission.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis of Developmental Dysplasia of the Hip Using Sound Transmission in Neonates

Padilla-Raygoza¹,

Medina-Alvarez²,

Ruiz-Paloalto³

et al. 2014

Health

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The developmental dysplasia of the hip disease is in 1% of newborns, and it is a risk factor for dislocation of the hip; only 1 from 7000 newborns develops dislocation of the hip. Newborns were selected from public and private hospitals in Celaya, Guanajuato. Parents were asked to sign informed consent. Clinical maneuvers were applied for diagnosis of developmental dysplasia of the hip, on three consecutive occasions, two by the same investigator and the third by a different observer: Ortolani, Barlow, Piston, Galeazzi, Peter Baden, the comparative sound transmission test, and comparative sound transmission with extension/flexion test were applied. The diagnosis was confirmed with ultrasound of hip, technique Graf, I healthy hip, II functionally immature, III subluxation, and IV dislocation. Sample size was 8 affected hips and 56 healthy hips. Kappa for intra observer and inter observer reliability were measured; the validity was measured by sensitivity, specificity, positive and negative predictive values, using the ultrasound diagnosis as the gold standard. The sample consisted of 78 neonates hips with female's predominance. With comparative sound transmission test was obtained Kappa intra observer 0.80, Kappa inter observer 0.93, sensitivity 45.45%, specificity 96.27%, positive predictive value 66.67% and negative predictive value 91.49%; with comparative sound transmission with extension/flexion, was 0.83, 0.92, 72.73%, 95.52%, 72.73%, and 95.52%, respectively. The tests compared the sound transmission help better diagnose developmental dysplasia disease of the hip.

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Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Neither Stone et al, [6] nor Padilla et al [2] [4] calculated reliability of testing sound transmission.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis of Developmental Dysplasia of the Hip Using Sound Transmission in Neonates

Padilla-Raygoza¹,

Medina-Alvarez²,

Ruiz-Paloalto³

et al. 2014

Health

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“…The clinical diagnosis is made by performing clinical maneuvers such as Ortolani, Barlow, limitation of abduction, asymmetric folds, Galeazzi, and Piston, but these only detect hip subluxation or dislocation [1,5,6] and it is intended to achieve an early diagnose using the physical properties of the bone for sound transmission [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of electroacoustic probe for diagnosis of developmental dysplasia of the hip

et al. 2017

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Background: Sound transmission is used in the diagnosis of hip dysplasia since the end of the 80's. Aim of this study is to quantify the validity and reliability of electroacoustic probe for the diagnosis of hip dysplasia in neonates. Methods: Diagnostic study included neonates aged 4-28 days, whose parents signed an informed consent. The probe was used three times for comparative sound transmission and with extension/flexion; hip ultrasound was performed with Graf technique as gold standard. Kappa was determined for intraobserver and interobserver reliability; validity was calculated with sensitivity, specificity, and predictive values.

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