Value of limited hip abduction in developmental dysplasia of the hip
Background : Developmental dysplasia of the hip (DDH) continues to be missed by routine physical examination in up to 50% of cases. Ultrasound (US) supplementation is the best method of screening for DDH, but the resources required should not be underestimated. Limited abduction of the hip (LHA) in...
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| Veröffentlicht in: | Pediatrics international 2004-08, Vol.46 (4), p.456-458 |
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| creator | Şenaran, Hakan Özdemir, H Mustafa Ögün, Tunç Cevat Kapicioglu, M I Safa |
| description | Background
: Developmental dysplasia of the hip (DDH) continues to be missed by routine physical examination in up to 50% of cases. Ultrasound (US) supplementation is the best method of screening for DDH, but the resources required should not be underestimated. Limited abduction of the hip (LHA) in an infant triggers suspicion, and often an urge to treat, in most orthopaedic surgeons and pediatricians alike. This study aimed to document the value of unilateral LHA in the diagnosis and decision making of DDH, and the correlation between LHA and US.
Methods
: In total, 464 infants referred from the pediatrics clinic with LHA, aged between 30 and 120 days, were included in the study.
Results
: Physical examination revealed LHA in 186 (41%) infants, 26 of which were unilateral and 160 were bilateral. US examination showed that 13 (8.1%) patients in the bilateral LHA group and 18 (69.2) patients in the unilateral LHA group, had DDH (total number 31, 7%).
Conclusion
: Unilateral limitation of hip abduction was found to be a sensitive sign for developmental hip dysplasia, but US could be defined once again as the best golden standard before initiating treatment. |
| doi_str_mv | 10.1111/j.1442-200x.2004.01931.x |
| format | Article |
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: Developmental dysplasia of the hip (DDH) continues to be missed by routine physical examination in up to 50% of cases. Ultrasound (US) supplementation is the best method of screening for DDH, but the resources required should not be underestimated. Limited abduction of the hip (LHA) in an infant triggers suspicion, and often an urge to treat, in most orthopaedic surgeons and pediatricians alike. This study aimed to document the value of unilateral LHA in the diagnosis and decision making of DDH, and the correlation between LHA and US.
Methods
: In total, 464 infants referred from the pediatrics clinic with LHA, aged between 30 and 120 days, were included in the study.
Results
: Physical examination revealed LHA in 186 (41%) infants, 26 of which were unilateral and 160 were bilateral. US examination showed that 13 (8.1%) patients in the bilateral LHA group and 18 (69.2) patients in the unilateral LHA group, had DDH (total number 31, 7%).
Conclusion
: Unilateral limitation of hip abduction was found to be a sensitive sign for developmental hip dysplasia, but US could be defined once again as the best golden standard before initiating treatment.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/j.1442-200x.2004.01931.x</identifier><identifier>PMID: 15310313</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>abduction ; Bone Diseases, Developmental - diagnosis ; Bone Diseases, Developmental - diagnostic imaging ; developmental dysplasia ; Female ; hip ; Hip - diagnostic imaging ; Hip - pathology ; Humans ; Infant ; Infant, Newborn ; limitation ; Male ; Mass Screening - methods ; Sensitivity and Specificity ; Ultrasonography ; ultrasound</subject><ispartof>Pediatrics international, 2004-08, Vol.46 (4), p.456-458</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4561-c2e74cbe0c14c5fed05a0d77601237395eb0760d6d2ceb89ba2134c3f45584fb3</citedby><cites>FETCH-LOGICAL-c4561-c2e74cbe0c14c5fed05a0d77601237395eb0760d6d2ceb89ba2134c3f45584fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-200x.2004.01931.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-200x.2004.01931.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15310313$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Şenaran, Hakan</creatorcontrib><creatorcontrib>Özdemir, H Mustafa</creatorcontrib><creatorcontrib>Ögün, Tunç Cevat</creatorcontrib><creatorcontrib>Kapicioglu, M I Safa</creatorcontrib><title>Value of limited hip abduction in developmental dysplasia of the hip</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background
: Developmental dysplasia of the hip (DDH) continues to be missed by routine physical examination in up to 50% of cases. Ultrasound (US) supplementation is the best method of screening for DDH, but the resources required should not be underestimated. Limited abduction of the hip (LHA) in an infant triggers suspicion, and often an urge to treat, in most orthopaedic surgeons and pediatricians alike. This study aimed to document the value of unilateral LHA in the diagnosis and decision making of DDH, and the correlation between LHA and US.
Methods
: In total, 464 infants referred from the pediatrics clinic with LHA, aged between 30 and 120 days, were included in the study.
Results
: Physical examination revealed LHA in 186 (41%) infants, 26 of which were unilateral and 160 were bilateral. US examination showed that 13 (8.1%) patients in the bilateral LHA group and 18 (69.2) patients in the unilateral LHA group, had DDH (total number 31, 7%).
Conclusion
: Unilateral limitation of hip abduction was found to be a sensitive sign for developmental hip dysplasia, but US could be defined once again as the best golden standard before initiating treatment.</description><subject>abduction</subject><subject>Bone Diseases, Developmental - diagnosis</subject><subject>Bone Diseases, Developmental - diagnostic imaging</subject><subject>developmental dysplasia</subject><subject>Female</subject><subject>hip</subject><subject>Hip - diagnostic imaging</subject><subject>Hip - pathology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>limitation</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography</subject><subject>ultrasound</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAQhi0EolD4CygTW4IdO7E7MKBSCgIBA19isRz7oro4TYgTaP89CS2w4uF8lp_nTnoRCgiOSHdO5hFhLA5jjJdRV1iEyYiSaLmF9n4-Xra7nsYiFDjlA7Tv_RxjLLhgu2hAEkowJXQPnT8p10JQ5oGzhW3ABDNbBSozrW5suQjsIjDwAa6sClg0ygVm5SunvFW908yg5w_QTq6ch8PNPUSPF5OH8WV4cze9Gp_dhJolKQl1DJzpDLAmTCc5GJwobDhPMYkpp6MEMtw9TGpiDZkYZSomlGmasyQRLM_oEB2v51Z1-d6Cb2RhvQbn1ALK1ss05YLjUdqBYg3quvS-hlxWtS1UvZIEyz5BOZd9ULJPsC9Mficol516tNnRZgWYP3ETWQecroFP62D178HyfnLed50frn3rG1j--qp-kymnPJHPt1N5_0riZzG-lrf0C9hvjl0</recordid><startdate>200408</startdate><enddate>200408</enddate><creator>Şenaran, Hakan</creator><creator>Özdemir, H Mustafa</creator><creator>Ögün, Tunç Cevat</creator><creator>Kapicioglu, M I Safa</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200408</creationdate><title>Value of limited hip abduction in developmental dysplasia of the hip</title><author>Şenaran, Hakan ; Özdemir, H Mustafa ; Ögün, Tunç Cevat ; Kapicioglu, M I Safa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4561-c2e74cbe0c14c5fed05a0d77601237395eb0760d6d2ceb89ba2134c3f45584fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>abduction</topic><topic>Bone Diseases, Developmental - diagnosis</topic><topic>Bone Diseases, Developmental - diagnostic imaging</topic><topic>developmental dysplasia</topic><topic>Female</topic><topic>hip</topic><topic>Hip - diagnostic imaging</topic><topic>Hip - pathology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>limitation</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Şenaran, Hakan</creatorcontrib><creatorcontrib>Özdemir, H Mustafa</creatorcontrib><creatorcontrib>Ögün, Tunç Cevat</creatorcontrib><creatorcontrib>Kapicioglu, M I Safa</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Şenaran, Hakan</au><au>Özdemir, H Mustafa</au><au>Ögün, Tunç Cevat</au><au>Kapicioglu, M I Safa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Value of limited hip abduction in developmental dysplasia of the hip</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2004-08</date><risdate>2004</risdate><volume>46</volume><issue>4</issue><spage>456</spage><epage>458</epage><pages>456-458</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background
: Developmental dysplasia of the hip (DDH) continues to be missed by routine physical examination in up to 50% of cases. Ultrasound (US) supplementation is the best method of screening for DDH, but the resources required should not be underestimated. Limited abduction of the hip (LHA) in an infant triggers suspicion, and often an urge to treat, in most orthopaedic surgeons and pediatricians alike. This study aimed to document the value of unilateral LHA in the diagnosis and decision making of DDH, and the correlation between LHA and US.
Methods
: In total, 464 infants referred from the pediatrics clinic with LHA, aged between 30 and 120 days, were included in the study.
Results
: Physical examination revealed LHA in 186 (41%) infants, 26 of which were unilateral and 160 were bilateral. US examination showed that 13 (8.1%) patients in the bilateral LHA group and 18 (69.2) patients in the unilateral LHA group, had DDH (total number 31, 7%).
Conclusion
: Unilateral limitation of hip abduction was found to be a sensitive sign for developmental hip dysplasia, but US could be defined once again as the best golden standard before initiating treatment.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>15310313</pmid><doi>10.1111/j.1442-200x.2004.01931.x</doi><tpages>3</tpages></addata></record> |
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| ispartof | Pediatrics international, 2004-08, Vol.46 (4), p.456-458 |
| issn | 1328-8067 1442-200X |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | abduction Bone Diseases, Developmental - diagnosis Bone Diseases, Developmental - diagnostic imaging developmental dysplasia Female hip Hip - diagnostic imaging Hip - pathology Humans Infant Infant, Newborn limitation Male Mass Screening - methods Sensitivity and Specificity Ultrasonography ultrasound |
| title | Value of limited hip abduction in developmental dysplasia of the hip |
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