Trial reportArchives of disease in childhood. Fetal and neonatal edition2005
The hip trial: psychosocial consequences for mothers of using ultrasound to manage infants with developmental hip dysplasia.
Trial report in Archives of disease in childhood. Fetal and neonatal edition, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Developmental Dysplasia of the Hip in Saudi Arabia and the Gulf Countries:Saudi medical journal · 2026Pooled it
- Splinting for the non-operative management of developmental dysplasia of the hip (DDH) in children under six months of age.The Cochrane database of systematic reviews · 2022Pooled it
- Screening programmes for developmental dysplasia of the hip in newborn infants.The Cochrane database of systematic reviews · 2011Pooled it
- Ultrasonography in screening for developmental dysplasia of the hip in newborns: systematic review.BMJ (Clinical research ed.) · 2005Pooled it
- The Evaluation Measure for BRACe Experience (EMBRACE): developing a patient-reported outcome measure for infants with hip dysplasia.Bone & joint open · 2025Article
- Article
- Parental experiences of children with developmental dysplasia of the hip: a qualitative study.BMJ open · 2022Article
- Utility of Clinical and Ultrasonographic Hip Screening in Neonates for Developmental Dysplasia of the Hip.Cureus · 2021Article
- Article
- Examining the Short-Term Natural History of Developmental Dysplasia of the Hip in Infancy: A Systematic Review.Indian journal of orthopaedics · 2020Review
- Developmental Dysplasia of Hip: Perspectives in Genetic Screening.Medical sciences (Basel, Switzerland) · 2019Review
- The epidemiology and demographics of hip dysplasia.ISRN orthopedics · 2011Review
- Ultrasound screening for developmental dysplasia of the hip in the newborn: a population-based study in the Maribor region, 1997-2005.Wiener klinische Wochenschrift · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe hip trial aimed to assess clinical effectiveness, economic and psychosocial costs, and benefits of ultrasound imaging (US) compared with conventional clinical assessment alone to guide the management of infants with neonatal hip instability.
objectiveTo report on psychosocial consequences for mothers and the developing mother-child relationship of US, and associations between abduction splinting and maternal psychosocial distress.
designMulticentre randomised controlled trial.
settingThirty three hospitals in the United Kingdom and Ireland. PARTICIPANTS,
interventionsA total of 629 infants with neonatal hip instability randomised to US examination or clinical assessment alone before treatment decision. Questionnaires were completed by 561 (89%) mothers at 8 weeks and 494 (79%) at 1 year.
main outcome measuresAnxiety, postnatal depression, parenting stress assessed by standardised questionnaires. Maternal concerns about hip problems were assessed using the Infant hip worries inventory.
resultsAt 8 weeks, there were no differences between US and non-US groups of the trial in maternal anxiety (mean difference (MD) -1.2, 95% confidence interval (CI) -3.2 to 0.8), depression (MD 0.0, 95% CI -0.7 to 0.8), parenting stress (MD -1.2, 95% CI -2.8 to 0.4), or other measures. The same pattern was evident at 1 year. In an explanatory analysis, early splinting was associated with increased anxiety at 8 weeks (MD 3.8, 95% CI 1.7 to 5.9) and increased level of hip worries at 8 weeks (MD 6.8, 95% CI 5.6 to 7.9) and 1 year (MD 1.3, 95% CI 0.3 to 2.4).
conclusionsAlthough early splinting is associated with maternal anxieties, US is not associated with any increase or reduction in psychosocial effects on mothers. Together with the clinical findings, this suggests that the use of US allows reduction in splinting rates without increased risk of adverse clinical or psychosocial outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.