Cost of treatment of congenital dislocation of the hip

Kernohan, George; Trainor, B; Mollan, R. A. B.; Normand, Charles

doi:10.1002/hpm.4740060307

Cited by 4 publications

References 6 publications

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Ultrasound screening for developmental dysplasia of the hip

Riboni¹,

Bellini

Serantoni³

et al. 2003

Pediatric Radiology

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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 alpha angle between 50 degrees and 52 degrees, 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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Ultrasound screening for developmental dysplasia of the hip

Riboni¹,

Bellini

Serantoni³

et al. 2003

Pediatric Radiology

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Congenital dislocation of the hip

Leck¹

2000

Antenatal and Neonatal Screening

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High incidence of congenital dislocation of the hip in Northern Ireland

Patterson¹,

Kernohan

Mollan

et al. 1995

Paediatric Perinatal Epid

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To determine the incidence of congenital hip dislocation (CDH) a retrospective study was carried out of cases occurring in a defined population using multiple information sources. Of 138,600 children born in the period 1983-1987, a total of 243 were diagnosed with CDH, defined as those requiring splintage or surgery whose treatment extended beyond 6 months of age. Incidence and estimates of relative risks for pre-disposing factors were determined. The rate was 1.75 cases per 1000 livebirths. Major risk factors were female gender and breech presentation. The proportions of cases identified before 1, 3 and 6 months of age were 8, 14 and 35%, respectively. Despite using a restrictive definition, we have obtained an incidence rate among the highest reported in any United Kingdom population. Early detection is widely accepted as desirable, but neonatal screening has proved ineffective.

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Cost of treatment of congenital dislocation of the hip

Cited by 4 publications

References 6 publications

Ultrasound screening for developmental dysplasia of the hip

Ultrasound screening for developmental dysplasia of the hip

Congenital dislocation of the hip

High incidence of congenital dislocation of the hip in Northern Ireland

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