In the present investigation the additional value of ultrasound screening of newborns for congenital dysplasia of the hip, over routine clinical examination was studied. The main question that has led to this prospective study was, whether neonatal ultrasonography could detect cases of hip dysplasia that would be missed by clinical examination of the newborn alone. In order to answer this question, an unselected group of 357 newborns was examined clinically and by ultrasound by two independent investigators. In this group, 116 hips showed an abnormal, or potentially abnormal ultrasound examination ( Graf type Ila, III or IV). Fifteen of these hips had a positive Ortolani/Barlow sign at birth, so 101 hips with an unremarkable neonatal clinical examination had ultrasound abnormalities. These infants were not treated, but reexamined clinically, by ultrasound and pelvic radiography at an age of at least six months.

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Erasmus University Rotterdam
B. van Linge , M. de Vlieger (Marinus)
hdl.handle.net/1765/50970
Erasmus MC: University Medical Center Rotterdam

Castelein, R. M. (1989, May 31). The value of ultrasonography as a screening procedure for congenital dysplasia of the hip in newborn. Retrieved from http://hdl.handle.net/1765/50970