title: [Screening for congenital hip dysplasia in well-child clinics for infants. Current status].
abstract: The importance of early detection of congenital dysplasia of the hip (CDH) as well as the examination procedure to be followed is described. In 1984 a retrospective study was carried out among 38 physicians at well-baby clinics in the city and province of Groningen to investigate their method of examination and reasons for referral to the general practitioner for further investigation. CDH was proven in 86 of the 597 referred children (14.4%); this represents 2.7% of the total group of children examined at the clinics. A survey carried out in 1976 showed this number to be 41 of 251 referrals (16.4%) and 3.9% of the total examined group. In 1976 as well as in 1984 proven CDH was most positively correlated with positive signs at physical examination. A positive family history was the most frequent reason for referral, but was poorly correlated with proven CDH. The physicians at the well-baby clinics encountered the following problems: 1. Delay of treatment resulting from referral to a specialist other than the orthopaedic surgeon. 2. Incomplete registration of the total number of infants in care at several well-baby clinics. 3. The decision whether or not to refer a baby in case of minor physical abnormalities and/or a weak positive family history. Finally, recommendations are given for CDH-examinations at well-baby clinics and a suggestion is given for a nation-wide incidence study.
mesh_terms: D002662:Child Health Services; D006618:Hip Dislocation, Congenital / Q000175:diagnosis* / Q000235:genetics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007593:Joint Instability / Q000175:diagnosis; D010808:Physical Examination; D012017:Referral and Consultation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
vernacular_title: Opsporing van congenitale dysplasie van de heup op het consultatiebureau voor zuigelingen. Stand van zaken.