The results of early treatment of typical congenital dislocation of the hip in Malmo

Fredensborg, N

doi:10.1302/0301-620x.58b3.956242

Cited by 84 publications

(44 citation statements)

References 6 publications

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“…Cyvin (1977) found residual radiographic changes in children after treatment with the Freika pillow; some needed additional treatment with casts or operations. This is in contrast to Fredensborg's ( 1976) observation that CDH children developed completely normal hips: only in two cases were there suspected radiographic changes in the course of the treatment, but these were without harmful consequences for the further development of the hips.…”

contrasting

confidence: 95%

Attitudes to CDH

Danielsson

Nilsson

1984

Acta Orthopaedica Scandinavica

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contrasting

confidence: 95%

Attitudes to CDH

Danielsson

Nilsson

1984

Acta Orthopaedica Scandinavica

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“…No cases of femoral head necrosis were seen. It has been shown that this is an extremely rare complication when the von Rosen splint is used, 3 probably because this splint permits a certain degree of movement in the flexed and abducted hips. Six children who have reached walking age have been lost to follow-up.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Screening for Hip Instability: Five Years' Experience

et al. 1988

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All newborn infants delivered at King Fahd Hospital of the University in Al-Khobar between June 1982 and May 1987 were subjected to routine physical examinations, including the Ortolani and Barlow maneuvers for detection of hip instability. A total of 12,733 neonates were screened, and a positive test was found in 62 (0.49%). Infants with a positive test were placed in a von Rosen splint for 6 to 8 weeks. Five "missed" cases were diagnosed later, all of whom were born during the first year of the study. Male-to-female ratio was 1:4.2. Bilateral hip instability was seen more commonly in males than females. Known factors that increase the risk of hip instability include breech presentation and large weight for gestation. Follow-up was possible in 47 patients; all were asymptomatic except for one with poor compliance who required further surgical intervention. The importance of neonatal screening and continued follow-up for detection of hip instability among all hospital-delivered babies is stressed to prevent the hazards of late diagnosis.

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“…Other studies have shown the von Rosen splint to be effective, [14][15][16] but the use of the Pavlik harness has become more widespread in recent years. There is no previous published comparison of the von Rosen splint and the Pavlik harness.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of the Pavlik harness, the Craig splint and the von Rosen splint in the management of neonatal dysplasia of the hip

Wilkinson

Sherlock

Murray

2002

The Journal of Bone and Joint Surgery. British volume

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After many years of research into the detection and management of neonatal hip dysplasia there is a growing consensus that ultrasound is useful in the selection of hips which require splintage. It can detect some dysplastic hips which are missed on clinical examination 1-3 and exclude significant dysplasia in some hips which are thought to be abnormal clinically. 4 There is, however, relatively little information in the published literature on the use of ultrasound to assess the outcome and compare splinted hips with those without splintage and the effectiveness of different splints. As a result a variety of protocols for splintage is in use. In our hospital babies presenting with clinical instability of the hip may be treated by observation and no splintage or splinted using either a Pavlik harness, a Craig splint or a von Rosen splint. The management is determined by the orthopaedic consultant in charge of the patient, and this depends on which day of the week that the request for an opinion is received. Ultrasound assessment of babies with clinically suspected instability of the hip began in our hospital in 1993 and thereafter most hips were morphologically classified using the classification of Graf 5 before being seen in the orthopaedic clinic. Their progress is monitored by ultrasound. The radiologist (AGW) noted that dysplasia in babies treated with the von Rosen splint appeared to resolve more quickly than that which had other protocols of treatment. We have therefore reviewed the imaging and clinical outcome of all babies presenting with Graf type-III and type-IV dysplasia in order to assess the effectiveness of the different protocols of management. Patients and MethodsThe ultrasound reports of all babies who were imaged for clinically suspected neonatal dysplasia of the hip between 1993 and 1998 were reviewed and those classified as Graf type III or type IV formed the basis of the study. Babies had been referred because of clinically suspected instability or the presence of risk factors for hip dysplasia. The scans were reassessed and those in which the quality of the image was inadequate (incorrect plane of imaging), or were not unequivocally Graf type III or type IV, were excluded from the study. Babies who were first imaged over the age of three months and those with a neurological abnormality were also excluded. A total of 134 hips in 96 babies (84 girls and 12 boys) was included in the study.The imaging was reviewed with particular attention to the first ultrasound examination, that carried out at 12 to 20

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The results of early treatment of typical congenital dislocation of the hip in Malmo

Cited by 84 publications

References 6 publications

Attitudes to CDH

Attitudes to CDH

Neonatal Screening for Hip Instability: Five Years' Experience

The efficacy of the Pavlik harness, the Craig splint and the von Rosen splint in the management of neonatal dysplasia of the hip

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