[Sonographic neonatal screening of the hip joint--luxury or necessity?].
Based on the ultrasound investigation of 19,666 babies (1981-1988), 6341 of them directly at the maternity ward, we picked out the group of sonographically unstable or decentered hip joints, which must be treated instantly. Almost 50% of these hips did not show any clinical signs of instability! At follow-up the subgroup of sonographically screened hip joints showed optimal results after consequent earliest treatment: 100% physiological results of CE-angle (Wiberg and Engelhardt), no femoral head necrosis. Ultrasound screening is the only tool to detect definitely all newborn hips requiring therapy. Earliest treatment is the pre-condition of anatomical healing up. Thus--a general sonographic newborn screening is indispensable.
Tschauner
C
C
Landessonderkrankenhaus Stolzalpe/Osterreich.
Klapsch
W
W
Graf
R
R
D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000145:classification / Q000000981:diagnostic imaging* / Q000628:therapy; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007593:Joint Instability / Q000000981:diagnostic imaging; D008137:Longitudinal Studies; D014463:Ultrasonography
Das sonographische Neugeborenen-Screening des Hüftgelenkes--Luxus oder Notwendigkeit?