Skip to main content
PMC home page
American Journal of Public Health logoLink to American Journal of Public Health
. 1998 Feb;88(2):285–288. doi: 10.2105/ajph.88.2.285

Early detection of developmental dysplasia of the hip in The Netherlands: the validity of a standardized assessment protocol in infants.

M M Boere-Boonekamp 1, T H Kerkhoff 1, P B Schuil 1, G A Zielhuis 1
PMCID: PMC1508179  PMID: 9491024

Abstract

OBJECTIVES: This study evaluated the validity of the traditionally recommended screening protocol for developmental dysplasia of the hip in infants. METHODS: Study children (n = 1968) underwent a standardized screening examination. RESULTS: The incidence of developmental dysplasia of the hip was 3.7%. The sensitivity of the test protocol was 86%, the specificity was 82%, and the predictive values of positive and negative tests were 16% and 99%, respectively. CONCLUSIONS: The validity of the screening protocol for developmental dysplasia of the hip is disappointingly low. The yield of adding an ultrasonographic examination to current screening activities needs further study.

Full text

PDF
287

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aronsson D. D., Goldberg M. J., Kling T. F., Jr, Roy D. R. Developmental dysplasia of the hip. Pediatrics. 1994 Aug;94(2 Pt 1):201–208. [PubMed] [Google Scholar]
  2. Boeree N. R., Clarke N. M. Ultrasound imaging and secondary screening for congenital dislocation of the hip. J Bone Joint Surg Br. 1994 Jul;76(4):525–533. [PubMed] [Google Scholar]
  3. Bon R. A., Exner G. U. Frühdiagnose der Hüftdysplasie--Argumente für ein generelles sonographisches Screening in der Schweiz. Schweiz Rundsch Med Prax. 1992 Apr 14;81(16):519–523. [PubMed] [Google Scholar]
  4. Catford J. C., Bennet G. C., Wilkinson J. A. Congenital hip dislocation: an increasing and still uncontrolled disability? Br Med J (Clin Res Ed) 1982 Nov 27;285(6354):1527–1530. doi: 10.1136/bmj.285.6354.1527. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Coleman S. S. Developmental dislocation of the hip: evolutionary changes in diagnosis and treatment. J Pediatr Orthop. 1994 Jan-Feb;14(1):1–2. doi: 10.1097/01241398-199401000-00001. [DOI] [PubMed] [Google Scholar]
  6. Dunn P. M., Evans R. E., Thearle M. J., Griffiths H. E., Witherow P. J. Congenital dislocation of the hip: early and late diagnosis and management compared. Arch Dis Child. 1985 May;60(5):407–414. doi: 10.1136/adc.60.5.407. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Palmén K. Prevention of congenital dislocation of the hip. The Swedish experience of neonatal treatment of hip joint instability. Acta Orthop Scand Suppl. 1984;208:1–107. [PubMed] [Google Scholar]
  8. Rosendahl K., Markestad T., Lie R. T., Sudmann E., Geitung J. T. Cost-effectiveness of alternative screening strategies for developmental dysplasia of the hip. Arch Pediatr Adolesc Med. 1995 Jun;149(6):643–648. [PubMed] [Google Scholar]
  9. Rosendahl K., Markestad T., Lie R. T. Ultrasound screening for developmental dysplasia of the hip in the neonate: the effect on treatment rate and prevalence of late cases. Pediatrics. 1994 Jul;94(1):47–52. [PubMed] [Google Scholar]
  10. de Raadt R. J., Diepstraten A. F., Meradji M., Robben S. F. Echografie kan röntgenonderzoek onder bepaalde voorwaarden vervangen als eerste beeldvormend onderzoek bij vermoeden van congenitale heupdysplasie. Ned Tijdschr Geneeskd. 1992 May 16;136(20):982–985. [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES