Screening for developmental dysplasia of the hip: current practices in Ireland.
Affiliation
Department of Paediatrics, Mayo General Hospital, Castlebar, Co, Mayo, Republic, of Ireland. michael_ogrady2001@hotmail.comIssue Date
2012-01-31T15:55:17ZMeSH
FemaleHealth Care Surveys/statistics & numerical data
Hip Dislocation, Congenital/*diagnosis/pathology/radiography/ultrasonography
Hip Injuries/*diagnosis/pathology/radiography/ultrasonography
Hip Joint/*pathology
Humans
Infant, Newborn
Ireland
Male
*Neonatal Screening
Pediatrics
Prospective Studies
Questionnaires
Retrospective Studies
Risk Factors
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Ir J Med Sci. 2010 Jun;179(2):279-83. Epub 2009 May 2.Journal
Irish journal of medical scienceDOI
10.1007/s11845-009-0339-zPubMed ID
19408041Abstract
OBJECTIVE: To ascertain the current approach to screen for developmental dysplasia of the hip in the Republic of Ireland. METHODS: Two-pronged prospective and retrospective study. (1) Postal questionnaire to consultant paediatricians responsible for the routine neonatal care of infants in the Irish Republic in June 2006. (2) Retrospective database review to identify infants undergoing radiological follow-up and their outcome. RESULTS: All maternity units surveyed responded. Most units (84%) were dependent on radiographs at 4-6 months for imaging hips, only two units primarily used ultrasound (10.5%). We estimate that neonatal hip examination is performed by an experienced examiner in less than 30% of routine newborn examinations. On retrospective analysis, 94% of radiographs performed were normal. CONCLUSIONS: The most effective interventions, selective ultrasound and examination by an experienced clinician are not widely practiced. There is a need for the development of national guidelines based on available resources.Language
engISSN
1863-4362 (Electronic)0021-1265 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s11845-009-0339-z
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