CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT

R W Paton; S Hossain; K Eccles

doi:10.1302/0301-620X.85BSUPP_II.0850109b

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CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT

R W Paton
S Hossain
K Eccles

CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT

Paton RW, Hossain S, Eccles K. CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT. Orthop Procs. 2003;85-B(SUPP_II):109-109. doi:10.1302/0301-620X.85BSUPP_II.0850109b

Paton, R W, et al. “CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT.” Orthopaedic Proceedings, vol. 85-B, no. SUPP_II, 2003, pp. 109-109., https://doi.org/10.1302/0301-620X.85BSUPP_II.0850109b

Paton, R. W., Hossain, S., & Eccles, K. (2003). CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT. Orthopaedic Proceedings, 85-B(SUPP_II), 109-109. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850109b

Paton, R. W., Hossain, S. and Eccles, K. (2003) “CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT.” Orthopaedic Proceedings, 85-B(SUPP_II), pp. 109-109. Available at: https://doi.org/10.1302/0301-620X.85BSUPP_II.0850109b

Paton, R W, S Hossain, and K Eccles. “CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT.” Orthopaedic Proceedings 85-B, no. SUPP_II (2003): 109-109. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850109b

Paton RW, Hossain S, Eccles K. CAN A TARGETED ULTRASOUND SCREENING PROGRAMME FOR DEVELOPMENTAL DYSPLASIA OF THE HIP BE JUSTIFIED ON A NATIONAL BASIS? RESULTS OF AN 8-YEAR PROSPECTIVE PROJECT. Orthop Procs. 2003 Feb 1;85-B(SUPP_II):109-109. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850109b

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Abstract

The use of targeted ultrasound screening for ‘at risk’ hips in order to reduce the rate of surgery in developmental dysplasia of the hip (DDH) is unproven. A prospective trial was undertaken in an attempt to clarify this matter.

Over an 8-year period, there were 28, 676 live births. Unstable and ‘at risk’ hips were routinely targeted for ultrasound examination. One thousand eight hundred and six infants were ultrasounded, 6. 3% of the birth population.

Twenty-six children (19 dislocations and 7 dysplasia) required surgical intervention (0. 91 per 1000 births for DDH/0. 66 per 1000 births for dislocation)

Targeted ultrasound screening does not reduce the overall rate of surgery compared with the best conventional clinical screening programmes. The development of a national targeted ultrasound screening programme for ‘at risk’ hips cannot be justified on a cost or result basis.

The abstracts were prepared by Mr Simon Donell. Correspondence should be addressed to him at the Department of Orthopaedics, Norfolk & Norwich Hospital, Level 4, Centre Block, Colney Lane, Norwich NR4 7UY, United Kingdom