Diagnosing Developmental Dysplasia of the Hip Using the Graf Ultrasound Method: Risk and Protective Factor Analysis in 11,820 Universally Screened Newborns

Overview

Journal Eur J Pediatr

Specialty Pediatrics

Date 2017 Jul 19

PMID 28717864

Citations 15

Authors

Mohammad Schams

Rob Labruyere

Anne Zuse

Mikolaj Walensi

Affiliations

Soon will be listed here.

Abstract

Conclusion: The significance and the informative value of risk and protective factor combinations, e.g., for selective ultrasound surveys, are limited. Early universal ultrasound screening using the Graf method is advised to timely detect hip immaturity and pathologies and to provide the optimal approach for mature or immature but appropriate for age and pathologic hips. What is Known: • Ultrasound screening is essential for diagnosis and treatment of DDH in time while the weighting and correlation of protective factors and perinatal risk and their role for the ultrasound screening protocol still give rise to debate. What is New: • The effects of single risk and protective factors for DDH do not cumulate or counteract, resulting in a limited value of a selective screening protocol based on risk and protective factors. • A universal screening protocol using the Graf ultrasound method is recommended.

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