The incidence of late-detected developmental dysplasia of the hip and its functional outcomes: a 17-year cohort study using selective ultrasound screening.
In: Acta Orthopaedica, Jg. 94 (2023), S. 588-593
Online
academicJournal
Zugriff:
Background and purpose -- We aimed to establish the incidence of late-detected developmental dysplasia of the hip (DDH) with a selective ultrasound (US) examination over 17 years using the femoral head coverage (FHC) as a US measurement. The secondary aim was to establish the everyday function using patient-reported outcome measures (PROMs). Patients and methods -- The incidence of late-detected DDH was based on 60,844 children. Patients diagnosed for the first time after 3 months and before the age of 8 years were included. In the second part of the study, consent to participate was mandatory. PROMIS-25 Pediatric, PROMIS-25 Parent, and EQ-5D-5L were used according to the patient's age to assess everyday function. Results -- The incidence of late-detected DDH was 0.48/1,000. The median age at diagnosis was 8 months (range 4-41 months), with a tendency to require repeated treatment with open surgery if DDH was diagnosed later. Most children reported no or minor health problems with a mean of 18 years' follow-up. Conclusion -- We found that selective US examination of the hips by measuring the FHC is a reliable method to examine newborns for DDH resulting in a low incidence of latedetected DDH amounting to 0.48/1,000 newborn children. [ABSTRACT FROM AUTHOR]
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The incidence of late-detected developmental dysplasia of the hip and its functional outcomes: a 17-year cohort study using selective ultrasound screening.
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Autor/in / Beteiligte Person: | HÅBERG, Øyvind ; FOSS, Olav Andreas ; GUNDERSEN, Trude ; BJERKESTRAND LIAN, Øystein ; SLETTVÅG HOEL, Myrthle ; HOLEN, Ketil J. |
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Zeitschrift: | Acta Orthopaedica, Jg. 94 (2023), S. 588-593 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 1745-3674 (print) |
DOI: | 10.2340/17453674.2023.24578 |
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