General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study

Kries, Rüdiger von; Ihme, N.; Altenhofen, L; Niethard, Fritz U.; Krauspe, Rüdiger; Rückinger, Simon

doi:10.1016/j.jpeds.2011.08.037

Cited by 44 publications

(25 citation statements)

References 21 publications

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“…This recommendation is also supported by von Kries et al [13] and Grill et al [32]. At that time, it is easy to provide a universal high-quality sonographic examination because the babies can be brought to selected screening centers with specifically trained staff.…”

Section: Discussionmentioning

confidence: 86%

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Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program

Thallinger

Pospischill

Rudolf

et al. 2014

Journal of Children's Orthopaedics

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BackgroundDiagnosis and early treatment of developmental dysplasia of the hip (DDH) continue to be issues of discussion. In 1992, a nationwide general ultrasound screening program using Graf technique was introduced to detect DDH in Austria. We investigated the effects of this program on the rates of operative and conservative interventions and the influence of the program on the number of hospital admissions for the treatment of DDH.MethodsAll cases of DDH documented in Austrian hospitals from 1992 to 2008 were included in this retrospective study. The database of the Austrian Ministry of Health was used to extract documented diagnoses and treatments.ResultsSince the introduction of the screening program, the number of patients who require pelvic surgery to treat DDH has decreased by 46 % and the number of open reductions is as low as 0.16 per 1,000 live births. Hospital admissions for the treatment of DDH decreased from 9.5 to 3.6 per 1,000 live births. All noted results gained statistical significance.ConclusionCompared with routine clinically based screening programs, our results confirm low numbers of open reductions and pelvic surgeries. We, therefore, advocate a standardized nationwide general ultrasound screening program to reduce the rates of operative interventions and hospital admissions associated with the treatment of DDH.Level of evidenceLevel III, diagnostic

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Section: Discussionmentioning

confidence: 86%

“…The main reason, however, for the significant reduction is that neonatal ultrasound screening allows early diagnosing hip pathology, which results in shorter and less invasive kinds of treatment [13, 25, 30]. …”

Section: Discussionmentioning

confidence: 99%

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program

Thallinger

Pospischill

Rudolf

et al. 2014

Journal of Children's Orthopaedics

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show abstract

“…Phelan et al [3] have shown that DDH is an important condition in Ireland with a high incidence of late diagnosis leading to poorer outcomes for children. Arianna's hip disorder was not found to be on the severe end of the DDH spectrum but could have affected hip development giving rise to hip deformity or osteoarthritis in the future [1]. The case also highlighted that children such as Arianna's younger sister Millie, who should have had a DDH screening appointment, because of family history can still fall through the gaps in the health services.…”

Section: Community Based Level Of Practicementioning

confidence: 97%

“…The musculoskeletal disorder may be present at birth or it may develop later. Early detection and treatment is considered essential to avoid impaired hip function and premature degenerative joint disease [1]. The use of ultrasound as a screening method for DDH was first described by Graf in the 1980's [2].…”

Section: Introductionmentioning

confidence: 99%

Developmental Dysplasia of the Hip: A Case Study to Illustrate Public Health Nursing practice

Mulcahy¹,

Day²,

Coleman³

et al. 2016

Adv Practice Nurs

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“…The results of another study from Austria revealed that universal hip screening significantly reduced the initial treatment age, made more simple treatment methods available, shortened the treatment time and decreased the rate of avascular necrosis of the femoral head following primary treatment in the unstable hips [41]. Universal screening was found to decrease the rate of first operative procedures, including closed or open reduction or osteotomy, to 52 % in a recent report from Germany [42]. In another study from Germany, it was noted that a universal screening programme reduced the rate of late detected DDH as well as the number of surgically treated hips [43].…”

Section: Medical Aspects Of Ultrasonographic Newborn Hip Screeningmentioning

confidence: 99%

Use of ultrasonography in developmental dysplasia of the hip

Ömeroğlu

2014

Journal of Children's Orthopaedics

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PurposeUltrasonography has been used as a diagnostic tool in developmental dysplasia of the hip (DDH) during early infancy since the early 1980s. The aim of this review article is to summarise the technique, benefits and shortcomings of four infantile hip ultrasonography methods, focusing mainly on the Graf method, and to assess the effectiveness of ultrasonographic newborn hip screening programmes.MethodsSeveral infantile hip ultrasonography methods have been defined to assess the relationship between the femoral head and acetabulum. The Graf, Harcke, Terjesen and Suzuki methods are the universally known ones. The Graf method is composed of a quantitative classification system, while the Harcke and Suzuki methods have qualitative definitions and the Terjesen method contains both quantitative and qualitative descriptions.ResultsAlthough the results of several studies assessing the sensitivity and consistency of the ultrasonography methods have still not proven a clear dominance of one of these techniques, the primary advantage of the Graf method is that it has a standardised examination technique, as well as a very well defined numeric hip typing system. The importance of newborn hip screening has been universally accepted, but there is still no strong evidence regarding the superiority of either universal (screening of all newborns) or selective (screening of high-risk newborns) ultrasonographic newborn hip screening programmes.ConclusionsAn effective ultrasonographic method should include simple, precise, quantitative and consistent definitions for a proper examination and diagnosis. Both universal and selective ultrasonographic newborn hip screening programmes have significantly decreased the rate of late detected DDH and lessened the need for surgical treatment.

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General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study

Cited by 44 publications

References 21 publications

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program

Developmental Dysplasia of the Hip: A Case Study to Illustrate Public Health Nursing practice

Use of ultrasonography in developmental dysplasia of the hip

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