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BMC Musculoskeletal Disorders

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Open Access 01-12-2016 | Research article

The most relevant diagnostic criteria for developmental dysplasia of the hip: a study of British specialists

Authors: Daniel Williams, Evangelia Protopapa, Kuldeep Stohr, James B. Hunter, Andreas Roposch

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Abstract

Background

Developmental dysplasia of the hip (DDH) is the most common orthopaedic disorder in newborns. Despite this considerable variation in practice exists. The aim of this study was to determine the clinical relevance and a ranking order for the diagnostic criteria in DDH amongst paediatric orthopaedic surgeons practicing in the UK.

Method

One hundred members of the British Society of Children’s Orthopaedic Surgery (BSCOS) were asked to rate the importance of 37 criteria useful in the diagnosis of DDH in newborns, using a 10 cm visual analogue scale. We determined the consistency among specialists in rating the criteria with the intraclass correlation coefficient (ICC) and compared the results to a group of international peers.

Results

Ortolani/Barlow tests, asymmetry in abduction ≥20° and a first-degree relative treated for DDH ranked among the top ten. Participants demonstrated poor consistency in rating the 37 criteria (ICC 0.39; 95 % CI 0.29, 0.52), but for clinical examination criteria alone their consistency improved (ICC 0.52; 0.35, 0.75). The importance ratings of members of BSCOS and members of the European Paediatric Orthopaedic Society differed for 15/37 (41 %) criteria (p <0.05).

Conclusions

Members of BSCOS had a preference for criteria relating to clinical examination and ultrasound.

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Title: The most relevant diagnostic criteria for developmental dysplasia of the hip: a study of British specialists
Authors: Daniel Williams
Evangelia Protopapa
Kuldeep Stohr
James B. Hunter
Andreas Roposch
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-016-0867-4

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Springer Medicine

The most relevant diagnostic criteria for developmental dysplasia of the hip: a study of British specialists

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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