ArticleJournal of children's orthopaedics2018
Universal or selective ultrasound screening for developmental dysplasia of the hip? A discussion of the key issues.
Article in Journal of children's orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- Review
- Genetics of morphological hip abnormalities and their implications for osteoarthritis: a scoping review.Journal of hip preservation surgery · 2025Review
- Knowledge and Awareness of Family Physicians as Key Stakeholders Regarding Developmental Dysplasia of the Hip and the Nationwide Screening Program.Acta orthopaedica et traumatologica turcica · 2025Observational
- Incidence of hip problems in developmental central hypotonia: A scoping review.Developmental medicine and child neurology · 2025Article
- An Eastern Europe and Middle East multinational expert Delphi consensus study on the prevention, diagnosis, and treatment of developmental dysplasia of the hip before walking age.International orthopaedics · 2024Article
- Article
- Comment on: Universal in-house neonatal hips ultrasonography screening in the United Arab Emirates.Saudi medical journal · 2024Article
- The incidence of late-detected developmental dysplasia of the hip and its functional outcomes: a 17-year cohort study using selective ultrasound screening.Acta orthopaedica · 2023Article
- Developmental Dysplasia of the Hip - Part 1.Revista brasileira de ortopedia · 2023Article
- [Hip dysplasia].Radiologie (Heidelberg, Germany) · 2023Review
- [Clinical aspects of imaging the hip in infants, children and adolescents].Radiologie (Heidelberg, Germany) · 2023Review
- Fifty percent of patients undergoing periacetabular osteotomy for hip dysplasia showed normal findings upon neonatal ultrasound screening : Symptomatic hip dysplasia in adulthood despite inconspicuous neonatal hip ultrasound.Orthopadie (Heidelberg, Germany) · 2023Article
- Intra- and interobserver variability of novel magnetic resonance imaging parameters for hip screening and treatment outcomes at age 5 years.Pediatric radiology · 2023Article
- Diagnosis and Treatment Planning of Developmental Hip Dysplasia: Evaluation of Care Practices of the Members of the Turkish Pediatric Orthopedics Association.Turkish archives of pediatrics · 2023Article
- Reforms Needed.Deutsches Arzteblatt international · 2023Article
- The management of developmental dysplasia of the hip in children aged under three months : a consensus study from the British Society for Children's Orthopaedic Surgery.The bone & joint journal · 2023Article
- Assessment for late developmental hip dysplasia in a cohort of infants with risk factors and normal hip ultrasound.Frontiers in pediatrics · 2023Article
- Clinical examination and patients' history are not suitable for neonatal hip screening.Journal of children's orthopaedics · 2022Article
- Progress in screening strategies for neonatal developmental dysplasia of the hip.Frontiers in surgery · 2022Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo summarize recent developments and provide recommendations as to whether universal or selective programmes are advisable.
methodsA literature review was performed and preference given to studies with higher levels of evidence. All programmes reviewed included clinical screening.
resultsRecent studies underline the need for high quality screening programmes to promote the early detection of developmental dysplasia of the hip (DDH). A small number of cases may be missed clinically but with universal ultrasound screening programmes the late presentation rates appear to be virtually zero. Contemporary studies show treatment rates with universal screening programmes which are now lower than those with selective ultrasound. There is little agreement over the criteria used for selective programmes. Alternative outcome measures, such as the first operation rate or the percentage undergoing major (open) surgery are both lowest with universal ultrasound screening programmes. Furthermore, a significant reduction in the rate of surgery for DDH later in life was seen after the introduction of universal ultrasound screening, whereas the defined criteria for selective screening may not detect the majority of patients who require late surgery. Abduction bracing with modern orthoses is associated with a zero rate of avascular necrosis (AVN), whereas closed reduction techniques have an overall risk of 10%.
conclusionOn clinical grounds, if future studies confirm that hip abduction in flexible orthoses is not associated with AVN, it may be time for a paradigm shift of screening for DDH towards a universal ultrasound protocol. The costs associated both with each type of screening programme and with the management of late presenting cases are also important but may be secondary to clinical benefit.
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