The natural history of developmental dysplasia of the hip: sonographic findings in infants of 1-3 months of age.
The natural history of sonographic developmental dysplasia of the hip was determined in a population-based study in which 5170 infants were screened by ultrasound using Graf's method. Of the normal hips at the age of 1 month, 99.6% were still normal at the age of 3 months. Of the immature type IIa/IIa+ and type IIa- hips, if untreated, 95.3 and 84.4% had become normal, respectively. Of the infants with type IIc, D and III/IV hips at the age of 1 month 70, 58.3 and 90.9% were treated, respectively. This study shows that normal hips remain normal in nearly 100% of cases, but development to abnormality is possible. It shows also that most of the immature hips at the age of 1 month become normal without treatment. Although treatment seems to be indicated in the majority of sonographically abnormal hips, the occurrence of overtreatment could not be excluded in our study.
Roovers
Elisabeth A
EA
Centre for Health Care Research, University of Twente, Enschede, and Department of Orthopaedic Surgery, Isala Clinics, Location Weezenlanden, Zwolle, The Netherlands.
Boere-Boonekamp
Magda M
MM
Mostert
Adriaan K
AK
Castelein
René M
RM
Zielhuis
Gerhard A
GA
Kerkhoff
Toon H M
TH
D003657:Decision Making; D018450:Disease Progression; D005260:Female; D006618:Hip Dislocation, Congenital / Q000145:classification / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening; D012017:Referral and Consultation; D017678:Sex Distribution; D014463:Ultrasonography