Observational studyInternational orthopaedics2021
Early neonatal universal ultrasound screening for developmental dysplasia of the hip: a single institution observational study.
Observational study in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Risk Factors for Developmental Dysplasia of the Hip Before 3 Months of Age: A Meta-Analysis.JAMA network open · 2025Pooled 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
- Learning curves and training thresholds for paediatricians performing neonatal hip ultrasound using the Graf method in a universal screening program.European journal of pediatrics · 2026Observational
- Article
- Effectiveness of incorporating the graf method into a universal neonatal ultrasound screening program for early diagnosis of developmental dysplasia of the hip in the Taiwanese population.BMC musculoskeletal disorders · 2025Article
- Ultrasonic measurement of acetabular alpha angle to evaluate developmental dysplasia of the hip: differences between AIUM guideline and European consensus.European journal of medical research · 2025Article
- Globally inconsistent: Countries with top health indices erratic developmental hip dysplasia screening protocols.Journal of children's orthopaedics · 2024Article
- Universal ultrasound screening and early treatment of developmental dysplasia of the hip: a critical review.Journal of medicine and life · 2024Review
- Screening of Developmental Dysplasia of the Hip in Europe: A Systematic Review.Children (Basel, Switzerland) · 2024Review
- Clinical Examination Findings Can Accurately Diagnose Developmental Dysplasia of The Hip-A Large, Single-Center Cohort.Children (Basel, Switzerland) · 2023Article
- Progress in screening strategies for neonatal developmental dysplasia of the hip.Frontiers in surgery · 2022Review
- Developmental Hip Dysplasia: An Epidemiological Nationwide Study in Italy from 2001 to 2016.International journal of environmental research and public health · 2021Article
- Central and Eastern Europe actual orthopaedics profile.International orthopaedics · 2021Article
- Examining the Short-Term Natural History of Developmental Dysplasia of the Hip in Infancy: A Systematic Review.Indian journal of orthopaedics · 2020Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe evaluated the effect of early universal ultrasound (US) screening program for developmental dysplasia of the hip (DDH).
methodsA total of 21,676 newborns between 2006 and 2015 were included in the study. All hips were examined by US within the first week of life. The incidence of sonographic hip-types according to the Graf method was analyzed, and then followed prospectively. Risk factors for DDH and treatment measures were also recorded, together with the number of first surgical procedures before the age of three years.
resultsOverall, 92.5% of hips were mature (Graf types Ia, Ib) at first examination, 7.2% were mature (Graf type IIa) and 0.3% were pathological (Graf types IIc to IV). A total of 146 pathological hips were detected in 118 of newborns (0.6%). Only 0.26% of screened population was treated with an orthosis. The rate of first surgical procedures and the rate of late detected DDH were 0.23 and 0.09 per 1000 live births, respectively. Regarding risk factors, positive family history, female gender, breech presentation, and high birth weight were significantly more common in newborns with pathological hips.
conclusionEarly neonatal universal US screening using Graf method is recommended to timely detect DDH and to provide the optimal conservative approach of management. It seems to be effective in reducing the overall treatment rate, together with the rate of surgical procedures and late detected cases.
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