General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study

Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for...

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Veröffentlicht in:	The Journal of pediatrics 2012-02, Vol.160 (2), p.271-275
Hauptverfasser:	von Kries, Rüdiger, MD, MSc, Ihme, Nicola, MD, Altenhofen, Lutz, PhD, Niethard, Fritz Uwe, MD, Krauspe, Rüdiger, MD, PhD, Rückinger, Simon, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	adverse effects Biological and medical sciences Case-Control Studies Child, Preschool children Diseases of the osteoarticular system Female General aspects Germany - epidemiology Hip - abnormalities Hip - diagnostic imaging Hip - surgery Hip Dislocation, Congenital - diagnostic imaging Hip Dislocation, Congenital - epidemiology Hip Dislocation, Congenital - surgery hip dysplasia hips hospitals Humans Incidence Infant Infant, Newborn Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences monitoring necrosis Neonatal Screening - methods Orthopedic Procedures - statistics & numerical data orthopedics osteotomy Pediatrics Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine screening surveys ultrasonics Ultrasonography
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Zusammenfassung:	Objectives To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design We conducted a case-control study in a population in which general ultrasound screening supplementing clinical screening is recommended and offered free of charge for all children. Participation in ultrasound screening before week 7 as recommended in Germany was the exposure of interest. Case ascertainment was based on active surveillance in orthopedic hospitals. The case definition was: first operative procedure for developmental dysplasia of the hip (closed reduction, open reduction, or osteotomy) in children >9 weeks old and
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2011.08.037