[Screening of congenital dislocation of the hip in the newborn. A systematic and rigorous clinical examination. A restricted use of imaging].
(1) Clinical examination of the hips should be systematically performed in the newborn, in order to detect a possible congenital dislocation. This translates into hip joint instability, which can be evidenced by both Ortolani's and Barlow's signs, the latter being more sensitive. Special attention should be paid for abduction range, as limited abduction is a warning sign. (2) Use of imaging, especially sonography will be restricted to specific cases only. It's prescription, technical realization as well as interpretation have to be carefully done, so that it is actually relevant to uncertain or "at risk" situations. (3) Treatment if needed, should be ideally managed by a paediatric orthopaedic surgeon.
Kohler
R
R
Service de chirurgie infantile, pavillon Tbis, hôpital Edouard-Herriot, 69437 Lyon cedex 03, France. remi.kohler@chu-lyon.fr
Dohin
B
B
Canterino
I
I
Pouillaude
J M
JM
D003937:Diagnosis, Differential; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening; D019637:Orthopedic Procedures; D011859:Radiography; D012307:Risk Factors; D014463:Ultrasonography