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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2008

01-04-2008 | Symposium: Developmental Dysplasia of the Hip

Neonatal Incidence of Hip Dysplasia

Ten Years of Experience

Authors: Eli Peled, MD, Mark Eidelman, MD, Alexander Katzman, MD, Viktor Bialik, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2008

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Abstract

The advantages of sonographic examination are well known, but its main disadvantage is that it might lead to overdiagnosis, which might cause overtreatment. Variations in the incidence of developmental dysplasia of the hip are well known. We ascertained the incidence of neonatal sonographic developmental dysplasia of the hip without considering the development of those joints during followup. All 45,497 neonates (90,994 hips) born in our institute between January 1992 and December 2001 were examined clinically and sonographically during the first 48 hours of life. Sonography was performed according to Graf’s method, which considers mild hip sonographic abnormalities as Type IIa. We evaluated the different severity type incidence pattern and its influence on the total incidence during and between the investigated years. According to our study, sonographic Type IIa has major effects on the incidence of overall developmental dysplasia of the hip with a correlation coefficient of 0.95, whereas more severe sonographic abnormalities show relatively stable incidence patterns.
Level of Evidence: Level I, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
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Metadata
Title
Neonatal Incidence of Hip Dysplasia
Ten Years of Experience
Authors
Eli Peled, MD
Mark Eidelman, MD
Alexander Katzman, MD
Viktor Bialik, MD
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0132-8

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