Common orthopedic problems in the neonate: a comparative study of 2 periods at a tertiary-care hospital

Sirisabya, Anongnart; Tooptakong, Tanteera; Limpaphayom, Noppachart

doi:10.1515/abm-2019-0047

Cited by 3 publications

(7 citation statements)

References 13 publications

(26 reference statements)

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“…Our initial search retrieved 1899 results, and we assessed 203 full texts. Ultimately, 76 studies 1 , 4 , 5 , 6 , 8 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , …”

Section: Resultsunclassified

“…A total of 60 studies 1 , 4 , 5 , 8 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 including 8 670 492 newborns assessed the incidence of early-detected DDH. Of these, 10 studies…”

Section: Resultsmentioning

confidence: 99%

“…Our initial search retrieved 1899 results, and we assessed 203 full texts. Ultimately, 76 studies with 16 901 079 patients were included for analysis (eTable 1 in Supplement 1). Of these studies, 15 concerned clinical screening, 29 concerned selective ultrasound, and 32 concerned universal ultrasound (eTable 2 in Supplement 1).…”

Section: Resultsmentioning

confidence: 99%

“…[36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54] with 7 884 989 newborns used selective screening, and 29 studies1,8,[18][19][20][21][22][23] with 233 609 newborns used universal ultrasonographic screening. The highest reported incidence was 120.3 (95% CI, 110.9-130.5) infants with DDH per 1000 newborns, and the lowest was 0.2 (95% 0.1-0.4) infants with DDH per 1000 newborns (Figure1).…”

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confidence: 99%

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Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy

et al. 2022

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ImportanceUniversal ultrasonographic screening for developmental dysplasia of the hip (DDH) has gained increasing popularity despite the lack of benefit in terms of reducing the rates of late-detected cases (age ≥12 weeks) in randomized clinical trials.ObjectiveTo report the reported incidence of DDH in the English scientific literature and compare rates of late-detected cases in settings with different DDH screening strategies.Data SourcesPubMed, Scopus, and Web of Science databases were searched on November 25 and 27, 2021. No time filters were used in the search.Study SelectionAll observational studies reporting the incidence of early-detected or late-detected (age ≥12 weeks) DDH were included. Non-English reports were excluded if the abstract did not include enough information to be included for analysis.Data Extraction and SynthesisThe number of newborns screened and the detection rates were extracted. Meta-analysis calculated the pooled incidence of DDH per 1000 newborns with 95% CIs using a random- or fixed-effects model. This study is reported according to the PRISMA and MOOSE guidelines.Main Outcomes and MeasuresThe main outcome measures were early detection, early treatment, late detection, and operative treatment incidences.ResultsA total of 1899 studies were identified, 203 full texts were assessed, and 76 studies with 16 901 079 infants were included in final analyses. The early detection rate was 8.4 (95% CI, 4.8-14.8) infants with DDH per 1000 newborns with clinical screening, 4.4 (95% CI, 2.4-8.0) infants with DDH per 1000 newborns with selective ultrasonographic screening, and 23.0 (95% CI, 15.7-33.4) infants with DDH per 1000 newborns with universal ultrasonographic screening. Rates for nonoperative treatment were 5.5 (95% CI, 2.1-14) treatments per 1000 newborns with clinical screening, 3.1 (95% CI, 2.0-4.8) treatments per 1000 newborns with selective ultrasonographic screening, and 9.8 (95% CI, 6.7-14.4) treatments per 1000 newborns with universal ultrasonographic screening. The incidence of late-detected DDH was 0.5 (95% CI, 0.2-1.5) infants with DDH per 1000 newborns with clinical screening, 0.6 (95% CI, 0.3-1.3) infants with DDH per 1000 newborns with selective ultrasonographic screening, and 0.2 (95% CI, 0.0-0.8) infants with DDH per 1000 newborns with universal ultrasonographic screening. The corresponding incidences of operative treatment were 0.2 (95% CI, 0.0-0.9) operations per 1000 newborns with clinical screening, 0.5 (95% CI, 0.4-0.7) operations per 1000 newborns with selective ultrasonographic screening, and 0.4 (95% CI, 0.2-0.7) operations per 1000 newborns with universal ultrasonographic screening.Conclusions and RelevanceThis meta-analysis found that early detection rates and nonoperative treatments were higher with universal screening. The late detection and operative treatment rates with universal screening were similar to those among selectively and clinically screened newborns. Based on these results, universal screening may cause initial overtreatment without reducing the rates of late detection and operative treatment.

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Section: Resultsunclassified

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confidence: 99%

Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy

et al. 2022

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“…Calcaneovalgus foot deformity is the second most common foot deformity with an incidence of 0.93 per 1,000 live births. It is thought to result from an intrauterine packaging disorder and thus has an association with hip dysplasia 6 . It presents as a soft tissue contracture of the foot distinguished by hindfoot eversion and dorsiflexion.…”

Section: Introductionmentioning

confidence: 99%

A rare case of calcaneoplanovalgus foot deformity in a toddler with aggressive lipofibromatosis

Nikkhahmanesh

Vij

Ezeh

et al. 2022

Foot & Ankle Surgery: Techniques, Reports & Cases

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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A comparison of different selective ultrasound screening strategies for developmental dysplasia of the hip

et al. 2023

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AimsTo analyze whether the addition of risk-based criteria to clinical examination-based selective ultrasound screening would increase the rates of early detected cases of developmental dysplasia of the hip (DDH) and decrease the rate of late detected cases.MethodsA systematic review with meta-analysis was performed. The initial search was performed in the PubMed, Scopus, and Web of Science databases in November 2021. The following search terms were used: (hip) AND (ultrasound) AND (luxation or dysplasia) AND (newborn or neonate or congenital).ResultsA total of 25 studies were included. In 19 studies, newborns were selected for ultrasound based on both risk factors and clinical examination. In six studies, newborns were selected for ultrasound based on only clinical examination. We did not find evidence indicating that there are differences in the incidence of early- and late-detected DDH, or in the incidence of nonoperatively treated DDH between the risk-based and clinical examination-based groups. The pooled incidence of operatively treated DDH was slightly lower in the risk-based group (0.5 (95% confidence interval (CI) 0.3 to 0.7)) compared with the clinical examination group (0.9 per 1,000 newborns, (95% CI 0.7 to 1.0)).ConclusionThe use of risk factors in conjunction with clinical examination in the selective ultrasound screening of DDH might lead to fewer operatively treated cases of DDH. However, more studies are needed before stronger conclusions can be drawn.Cite this article: Bone Joint J 2023;105-B(3):247–253.

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Common orthopedic problems in the neonate: a comparative study of 2 periods at a tertiary-care hospital

Cited by 3 publications

References 13 publications

Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy

Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy

A rare case of calcaneoplanovalgus foot deformity in a toddler with aggressive lipofibromatosis

A comparison of different selective ultrasound screening strategies for developmental dysplasia of the hip

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