ArticlePediatric radiology2014
Selective ultrasound screening for developmental hip dysplasia: effect on management and late detected cases. A prospective survey during 1991-2006.
Article in Pediatric radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 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
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Genetics of hip dysplasia - a systematic literature review.BMC musculoskeletal disorders · 2024Pooled 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
- Effectiveness of different types of ultrasonography screening for developmental dysplasia of the hip: A meta-analysis.Medicine · 2020Pooled it
- Early abduction treatment versus observation in Barlow-positive and mildly unstable hips.BMC pediatrics · 2025Article
- The Relationship Between Developmental Dysplasia of the Hip (DDH) and Congenital Talipes Equinovarus (CTEV)-A Retrospective Case Series.Journal of paediatrics and child health · 2025Article
- Developmental Dysplasia of the Hip and Laterality: The Importance of Graded Severity of the Contralateral Hip.Indian journal of orthopaedics · 2024Article
- Globally inconsistent: Countries with top health indices erratic developmental hip dysplasia screening protocols.Journal of children's orthopaedics · 2024Article
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- The Influence of Risk Factors in the Early Detection of Developmental Dysplasia of the Hip in a Country with Limited Material Resources.Healthcare (Basel, Switzerland) · 2023Article
- Hip morphology on initial ultrasound predicts hip morphology at one year in developmental dysplasia of the hip.Journal of children's orthopaedics · 2023Article
- Known risk factors of the developmental dysplasia of the hip predicting more severe clinical presentation and failure of Pavlik harness treatment.BMC pediatrics · 2023Article
- Costs of abduction treatment in developmental dysplasia of the hip. Analysis of 900 patients.Annals of medicine · 2023Article
- The role of social, demographic and territorial factors in the late detection of hip dysplasia in children in the Republic of Kazakhstan.Italian journal of pediatrics · 2022Article
- Comparison of treatment outcomes of stable and unstable developmental dysplasia of the hip with the Tübingen splint.Frontiers in pediatrics · 2022Article
- Four decades of the Graf method in screening for developmental dysplasia of the hip (part I): Rightly the gold standard or of dubious benefit?Frontiers in pediatrics · 2022Article
- Screening of Newborns and Infants for Developmental Dysplasia of the Hip: A Systematic Review.Indian journal of orthopaedics · 2021Review
- Effects of developmental dysplasia of the hip screening program on the treatment strategies: A retrospective study from a tertiary care hospital in the southeast region of Turkey.Acta orthopaedica et traumatologica turcica · 2021Article
- Exploring infant hip position and muscle activity in common baby gear and orthopedic devices.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- Diagnostic Accuracy of Ultrasonography Method of Graf in the detection of Developmental Dysplasia of the Hip: A Meta-Analysis and Systematic Review.The archives of bone and joint surgery · 2021Review
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly treatment is considered essential for developmental dysplasia of the hip (DDH), but the choice of screening strategy is debated.
objectiveWe evaluated the effect of a selective ultrasound (US) screening programme. MATERIALS AND
methodsAll infants born in a defined region during 1991-2006 with increased risk of developmental dysplasia of the hip, i.e. clinical hip instability, breech presentation, congenital foot deformities or a family history of DDH, underwent US screening at age 1-3 days. Severe sonographic dysplasia and dislocatable/dislocated hips were treated with abduction splints. Mild dysplasia and pathological instability, i.e. not dislocatable/dislocated hips were followed clinically and sonographically until spontaneous resolution, or until treatment became necessary. The minimum observation period was 5.5 years.
resultsOf 81,564 newborns, 11,539 (14.1%) were identified as at-risk, of whom 11,190 (58% girls) were included for further analyses. Of the 81,564 infants, 2,433 (3.0%) received early treatment; 1,882 (2.3%) from birth and 551 (0.7%) after 6 weeks or more of clinical and sonographic surveillance. An additional 2,700 (3.3%) normalised spontaneously after watchful waiting from birth. Twenty-six infants (0.32 per 1,000, 92% girls, two from the risk group) presented with late subluxated/dislocated hips (after 1 month of age). An additional 126 (1.5 per 1,000, 83% girls, one from the risk group) were treated after isolated late residual dysplasia. Thirty-one children (0.38 per 1,000) had surgical treatment before age 5 years. Avascular necrosis was diagnosed in seven of all children treated (0.27%), four after early and three after late treatment.
conclusionThe first 16 years of a standardised selective US screening programme for developmental dysplasia of the hip resulted in acceptable rates of early treatment and US follow-ups and low rates of late subluxated/dislocated hips compared to similar studies.
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