Evidence map›Paper›PMID 39195187›Full record

ArticleDiseases (Basel, Switzerland)2024

The Feasibility of Prenatal Ultrasonic Screening for Developmental Dysplasia of the Hip.

Claudia Bevilacqua, Virginia Boscarato, Giovanni Pieroni, Eva Fraternali, Giuliano Lattanzi, Simone Domenico Aspriello, Antonio Pompilio Gigante, Alessandro Cecchi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diseases (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Claudia BevilacquaAdult and Pediatric Orthopedic Clinic, Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona, Via Conca 71, 60126 Torrette, Italy.
Virginia BoscaratoSecond-Level Prenatal Diagnosis, Ospedale di Comunità di Loreto, AST Ancona, Via F. D'Assisi 1, 60025 Loreto, Italy.
Giovanni PieroniRadiological Sciences, SOD Radiologia Materno Infantile, Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona, Via F. Corridoni 11, 60123 Ancona, Italy.
Eva FraternaliAdult and Pediatric Orthopedic Clinic, Dip. Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona, Via Conca 71, 60126 Torrette, Italy.ORCID 0009-0007-4838-3011
Giuliano LattanziAdult and Pediatric Orthopedic Clinic, Dip. Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona, Via Conca 71, 60126 Torrette, Italy.ORCID 0000-0002-5742-8599
Simone Domenico AsprielloASD Dental Clinic, 61121 Pesaro, Italy.
Antonio Pompilio GiganteAdult and Pediatric Orthopedic Clinic, Dip. Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona, Via Conca 71, 60126 Torrette, Italy.
Alessandro CecchiSecond-Level Prenatal Diagnosis, Ospedale di Comunità di Loreto, AST Ancona, Via F. D'Assisi 1, 60025 Loreto, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgrounddevelopmental dysplasia of the hip (DDH) is a condition characterized by abnormal hip development in infancy. Early diagnosis allows for effective treatment, while late presentation often necessitates complex surgical interventions. Current recommendations advise screening between the 6th and 8th week postnatal using an ultrasound, typically employing the Graf method. However, there is no universal consensus on whether ultrasound screening significantly increases treatment likelihood compared to clinical examination-guided ultrasound. This study aims to explore the feasibility of prenatal ultrasound for the early identification of DDH risk.

methodsThis prospective observational study involved 100 pregnant women undergoing fetal hip ultrasounds during the second and third trimesters. Using the modified Graf method, alpha and beta angles were calculated on the fetus. Postnatally, alpha and beta angles were compared with the prenatal values.

resultsPrenatal ultrasound at the 24th week showed inconclusive results because of the difficulty in identification of Graf landmarks, while ultrasound at the 34th week proved to be a reliable and safe method for the quantitative determination of alpha and beta angles. Significant correlations were found between prenatal and postnatal alpha and beta angles. Moreover, significant differences in prenatal alpha and beta values were observed in patients developing mature/immature hips postnatally.

conclusionsPrenatal diagnostics show promise for predicting infant hip development. Further research is warranted to validate correlation strength and clinical applicability.

Indexed as

alpha anglebeta anglecongenital dislocation of the hipDDHdevelopmental dysplasia of the hipGraf techniquenewborn hip screeningprenatal ultrasound screening of the hip

Identifiers

PMID39195187
PMCPMC11353302

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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.