Ultrasonography screening for developmental dysplasia of the hip joint.
The use of ultrasonography as a complement to clinical examination will increase the reliability of the evaluation of unstable hips in newborn infants. In particular, the number of false-positive Ortolani and Barlow tests will decrease. However, the interpretation of the ultrasonogram in newborn infants has a steep learning curve with considerable risk of a high number of false-positive hips being diagnosed. Therefore, universal screening for developmental dysplasia of the hip by ultrasonography cannot yet be recommended from a cost-benefit point of view.
Hansson
G
G
Department of Orthopaedics, Central Hospital, Halmstad, Sweden.
Jacobsen
S
S
D003362:Cost-Benefit Analysis; D005260:Female; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000191:economics / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening / Q000191:economics; D012306:Risk; D012680:Sensitivity and Specificity; D013548:Sweden; D014463:Ultrasonography / Q000191:economics