NEONATAL HIP INSTABILITY - SCREENING WITH ANTERIOR-DYNAMIC ULTRASOUND METHOD

被引:39
作者
ANDERSSON, JE [1 ]
FUNNEMARK, PO [1 ]
机构
[1] CTY HOSP NORRA ALVSBORG,DEPT CLIN PHYSIOL,TROLLHATTAN,SWEDEN
关键词
CDH; HIP; INSTABILITY; NEONATAL; SCREENING; ULTRASONIC;
D O I
10.1097/01241398-199505000-00012
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The anterior-dynamic ultrasound method was used for screening 4,430 children for hip dislocation. The frequency of treatment for unstable hip joints was reduced to 0.18%, having been 1.7% without ultrasound screening. No cases of late-diagnosed dislocation were registered. The sensitivity of the pediatricians' clinical examination screening was low, only 24%. After intensive training over several years and improved clinical examination methods, our five technicians managed to increase the sensitivity to 53%. With clinical examination methods, cases of totally dislocated hips can be difficult to diagnose, and only two of four such hips were clinically diagnosed; the proportion of false-positive cases, 0.7%, was also considerable. The anterior-dynamic ultrasound method could optimize the screening results of many clinics.
引用
收藏
页码:322 / 324
页数:3
相关论文
共 14 条
[1]
Barlow T.G., Early diagnosis and treatment of congenital dislocation of the hip, J Bone Joint Surg [Br], 44, pp. 292-301, (1962)
[2]
Bjerkreim I., Congenital dislocation of the hip joint in Norway, Acta Orthop Scand 1974
[3]
(Suppl, 157
[4]
De Pellegrin M., Ultrasound screening for congenital dislocation of the hip, Ital J Orthop, 17, pp. 547-553, (1991)
[5]
Fredensborg N., Congenital Dislocation of the Hip [Thesis], (1975)
[6]
Hansson G., Neonatal Hip Instability in Góteborg, Sweden, between 1961 and 1970, (1980)
[7]
Ortolani M., The classic: Congenital hip dysplasia in the light of early and very early diagnosis, Clin Orthop, 119, pp. 6-10, (1976)
[8]
Palmen K., Sent diagnostiserad hoftledsluxation, Lakartid-Ningen, 77, pp. 2786-2789, (1980)
[9]
Palmen K., Prevention of congenital dislocation of the hip. The Swedish experience of neonatal treatment of hip joint instability, Acta Orthop Scand, 55, pp. 13-102, (1984)
[10]
Palmen K., Hip joint instability in newborns-Follow-up of treatment, Congenital Hip Dislocation: Today. Int. Symp. Montegrotto Terme