Screening of Children with Congenital Dislocation of the Hip Joint on the Maternity Wards in Sweden
作者:
Göran Hansson,
Alf Nachemson,
Kurt Palmén,
期刊:
Journal of Pediatric Orthopaedics
(OVID Available online 1983)
卷期:
Volume 3,
issue 3
页码: 271-279
ISSN:0271-6798
年代: 1983
出版商: OVID
关键词: Congenitally dislocated hips;Screening;Sweden;Failure;Heredity;X-ray examination;von Rosen splint
数据来源: OVID
摘要:
In Sweden screening for congenital dislocation of the hip joint (CDH) on the maternity wards was commenced in the 1950s. Of the estimated number of cases with CDH approximately 50% are diagnosed on the maternity wards and 80% during the first 6 months of life. Of the children “missed” at the primary screening on the maternity wards a substantial number have been premature babies treated at the intensive care unit postpartum. X-ray examination at the age of 1.5–3 months has been a helpful tool to reveal failure of early abduction treatment, which has been difficult to detect by clinical examination. Children with neonatal hip instability and a family history of CDH seem to represent a subgroup with an increased risk of failure of primary treatment and may need prolonged abduction treatment. The von Rosen splint has proved to be a reliable brace if used properly. If abduction treatment is commenced already during the first few days of life the risk for avascular necrosis is very low—1%.
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