The Pavlik Harness and Developmental Dysplasia of the Hip: Has Ultrasound Changed Treatment Patterns?
Monitoring Pavlik harness therapy for developmental dysplasia of the hip (DDH) has been used at our institution since 1986. In this study, we compared Pavlik therapy for DDH without ultrasound monitoring (group A) to similar therapy with ultrasound monitoring (group B). Both groups had similar age a...
Gespeichert in:
| Veröffentlicht in: | Journal of pediatric orthopaedics 1995-11, Vol.15 (6), p.729-735 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 735 |
|---|---|
| container_issue | 6 |
| container_start_page | 729 |
| container_title | Journal of pediatric orthopaedics |
| container_volume | 15 |
| creator | Hangen, Donald H Kasser, James R Emans, John B Millis, Michael B |
| description | Monitoring Pavlik harness therapy for developmental dysplasia of the hip (DDH) has been used at our institution since 1986. In this study, we compared Pavlik therapy for DDH without ultrasound monitoring (group A) to similar therapy with ultrasound monitoring (group B). Both groups had similar age at diagnosis. Treatment failure was recognized earlier in group B than in group (4.9 vs. 9.3 weeks). The total number of radiographs was significantly decreased in group B. The duration of therapy was less in group B than in group A. Successfully treated hips had an average increase in α angle of 8.4° per month. The average failure rate in hips resting in a dislocated position at the onset of Pavlik therapy was unchanged by Pavlik monitoring. |
| doi_str_mv | 10.1097/01241398-199511000-00003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77785972</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>77785972</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3843-198c6e70c600fc78fcd9e4e2892fca7bef2ced7129b176f2bd2fcde6546306ce3</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi0EKkvhJyD5gLgF_JHENheEtsAiVYLD9mzNOmM21JsET9Kq_x6XXfbGwbLked4Z-zFjXIp3UjjzXkhVS-1sJZ1rpBRCVGUJ_YStZKNdpRojnrKVUEZWrXH2OXtB9EsIaXStL9iFbWrdCrFiuN0j_wF3qb_lG8gDEnEYOn6Fd5jG6YDDDIlfPdCUgHrgY-RzSWz66UPhid-kOQONS4ms9zD8xI5vM8L8GCx95xnzQB9fsmcREuGr037Jbr583q431fX3r9_Wn66roG2ty2NsaNGIUK4Wg7ExdA5rVNapGMDsMKqAnZHK7aRpo9p15bzDtqlbLdqA-pK9Pfad8vh7QZr9oaeAKcGA40LeGGMbZ1QB7REMeSTKGP2U-wPkBy-FfzTs_xn2Z8P-r-ESfX2asewO2J2DJ6Wl_uZUBwqQYoYh9HTGlLVOa1uw-ojdj6lIotu03GP2e4Q07_3__lf_AVlMk3U</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77785972</pqid></control><display><type>article</type><title>The Pavlik Harness and Developmental Dysplasia of the Hip: Has Ultrasound Changed Treatment Patterns?</title><source>MEDLINE</source><source>Journals@Ovid Ovid Autoload</source><creator>Hangen, Donald H ; Kasser, James R ; Emans, John B ; Millis, Michael B</creator><creatorcontrib>Hangen, Donald H ; Kasser, James R ; Emans, John B ; Millis, Michael B</creatorcontrib><description>Monitoring Pavlik harness therapy for developmental dysplasia of the hip (DDH) has been used at our institution since 1986. In this study, we compared Pavlik therapy for DDH without ultrasound monitoring (group A) to similar therapy with ultrasound monitoring (group B). Both groups had similar age at diagnosis. Treatment failure was recognized earlier in group B than in group (4.9 vs. 9.3 weeks). The total number of radiographs was significantly decreased in group B. The duration of therapy was less in group B than in group A. Successfully treated hips had an average increase in α angle of 8.4° per month. The average failure rate in hips resting in a dislocated position at the onset of Pavlik therapy was unchanged by Pavlik monitoring.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199511000-00003</identifier><identifier>PMID: 8543600</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Braces ; Diseases of the osteoarticular system ; Female ; Hip Dislocation, Congenital - diagnostic imaging ; Hip Dislocation, Congenital - therapy ; Humans ; Infant ; Infant, Newborn ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Monitoring, Physiologic ; Time Factors ; Treatment Failure ; Ultrasonography</subject><ispartof>Journal of pediatric orthopaedics, 1995-11, Vol.15 (6), p.729-735</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3843-198c6e70c600fc78fcd9e4e2892fca7bef2ced7129b176f2bd2fcde6546306ce3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2889338$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8543600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hangen, Donald H</creatorcontrib><creatorcontrib>Kasser, James R</creatorcontrib><creatorcontrib>Emans, John B</creatorcontrib><creatorcontrib>Millis, Michael B</creatorcontrib><title>The Pavlik Harness and Developmental Dysplasia of the Hip: Has Ultrasound Changed Treatment Patterns?</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>Monitoring Pavlik harness therapy for developmental dysplasia of the hip (DDH) has been used at our institution since 1986. In this study, we compared Pavlik therapy for DDH without ultrasound monitoring (group A) to similar therapy with ultrasound monitoring (group B). Both groups had similar age at diagnosis. Treatment failure was recognized earlier in group B than in group (4.9 vs. 9.3 weeks). The total number of radiographs was significantly decreased in group B. The duration of therapy was less in group B than in group A. Successfully treated hips had an average increase in α angle of 8.4° per month. The average failure rate in hips resting in a dislocated position at the onset of Pavlik therapy was unchanged by Pavlik monitoring.</description><subject>Biological and medical sciences</subject><subject>Braces</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hip Dislocation, Congenital - diagnostic imaging</subject><subject>Hip Dislocation, Congenital - therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic</subject><subject>Time Factors</subject><subject>Treatment Failure</subject><subject>Ultrasonography</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0EKkvhJyD5gLgF_JHENheEtsAiVYLD9mzNOmM21JsET9Kq_x6XXfbGwbLked4Z-zFjXIp3UjjzXkhVS-1sJZ1rpBRCVGUJ_YStZKNdpRojnrKVUEZWrXH2OXtB9EsIaXStL9iFbWrdCrFiuN0j_wF3qb_lG8gDEnEYOn6Fd5jG6YDDDIlfPdCUgHrgY-RzSWz66UPhid-kOQONS4ms9zD8xI5vM8L8GCx95xnzQB9fsmcREuGr037Jbr583q431fX3r9_Wn66roG2ty2NsaNGIUK4Wg7ExdA5rVNapGMDsMKqAnZHK7aRpo9p15bzDtqlbLdqA-pK9Pfad8vh7QZr9oaeAKcGA40LeGGMbZ1QB7REMeSTKGP2U-wPkBy-FfzTs_xn2Z8P-r-ESfX2asewO2J2DJ6Wl_uZUBwqQYoYh9HTGlLVOa1uw-ojdj6lIotu03GP2e4Q07_3__lf_AVlMk3U</recordid><startdate>199511</startdate><enddate>199511</enddate><creator>Hangen, Donald H</creator><creator>Kasser, James R</creator><creator>Emans, John B</creator><creator>Millis, Michael B</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</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>199511</creationdate><title>The Pavlik Harness and Developmental Dysplasia of the Hip: Has Ultrasound Changed Treatment Patterns?</title><author>Hangen, Donald H ; Kasser, James R ; Emans, John B ; Millis, Michael B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-198c6e70c600fc78fcd9e4e2892fca7bef2ced7129b176f2bd2fcde6546306ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Biological and medical sciences</topic><topic>Braces</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Hip Dislocation, Congenital - diagnostic imaging</topic><topic>Hip Dislocation, Congenital - therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic</topic><topic>Time Factors</topic><topic>Treatment Failure</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hangen, Donald H</creatorcontrib><creatorcontrib>Kasser, James R</creatorcontrib><creatorcontrib>Emans, John B</creatorcontrib><creatorcontrib>Millis, Michael B</creatorcontrib><collection>Pascal-Francis</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>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hangen, Donald H</au><au>Kasser, James R</au><au>Emans, John B</au><au>Millis, Michael B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Pavlik Harness and Developmental Dysplasia of the Hip: Has Ultrasound Changed Treatment Patterns?</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1995-11</date><risdate>1995</risdate><volume>15</volume><issue>6</issue><spage>729</spage><epage>735</epage><pages>729-735</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>Monitoring Pavlik harness therapy for developmental dysplasia of the hip (DDH) has been used at our institution since 1986. In this study, we compared Pavlik therapy for DDH without ultrasound monitoring (group A) to similar therapy with ultrasound monitoring (group B). Both groups had similar age at diagnosis. Treatment failure was recognized earlier in group B than in group (4.9 vs. 9.3 weeks). The total number of radiographs was significantly decreased in group B. The duration of therapy was less in group B than in group A. Successfully treated hips had an average increase in α angle of 8.4° per month. The average failure rate in hips resting in a dislocated position at the onset of Pavlik therapy was unchanged by Pavlik monitoring.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8543600</pmid><doi>10.1097/01241398-199511000-00003</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0271-6798 |
| ispartof | Journal of pediatric orthopaedics, 1995-11, Vol.15 (6), p.729-735 |
| issn | 0271-6798 1539-2570 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77785972 |
| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Biological and medical sciences Braces Diseases of the osteoarticular system Female Hip Dislocation, Congenital - diagnostic imaging Hip Dislocation, Congenital - therapy Humans Infant Infant, Newborn Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Monitoring, Physiologic Time Factors Treatment Failure Ultrasonography |
| title | The Pavlik Harness and Developmental Dysplasia of the Hip: Has Ultrasound Changed Treatment Patterns? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T11%3A50%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Pavlik%20Harness%20and%20Developmental%20Dysplasia%20of%20the%20Hip:%20Has%20Ultrasound%20Changed%20Treatment%20Patterns?&rft.jtitle=Journal%20of%20pediatric%20orthopaedics&rft.au=Hangen,%20Donald%20H&rft.date=1995-11&rft.volume=15&rft.issue=6&rft.spage=729&rft.epage=735&rft.pages=729-735&rft.issn=0271-6798&rft.eissn=1539-2570&rft.coden=JPORDO&rft_id=info:doi/10.1097/01241398-199511000-00003&rft_dat=%3Cproquest_cross%3E77785972%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77785972&rft_id=info:pmid/8543600&rfr_iscdi=true |