[Subsequent fate of hip joints after triple screening following neonatal screening.].
The author describes the long-term results of screening of neonatal hip joints on account of congenital dysplasia, using the method of three screening in 1987 and 1988. He examined at the beginning of school attendance clinically and by measuring the angles of the hip joints 94 children with an original post-partum finding or risk children delivered by breech presentation or with a history of inborn dysplasia, and compared the results with those of a control group of 50 healthy hip joints. He found that children with a post-partum finding and those born by breech presentation differed as to the angles of the hip joint significantly from children with normal hip joints. This was not the case in children with a history of inborn dysplasia and those delivered by breech presentation but without a post-partum finding. Of 10 children with a post-partum finding in seven instances Wiberg's angle remained above normal and four times the colodiaphyseal angle was above normal values. Catamnestically the author found on X-rays made at the age of three months a limital angle of the tectum which obviously needed further treatment. The author concludes that the method of three screenings supplemented by sonography is reliable and adequate. For further improvement of results the author recommends dynamic sonography and follow up the mobility of the head of the joint. In case of an uncertain interpretation of the sonogram classical X-ray examination at the end of the third month, and if necessary later, is indicated. The author recommends a check-up examination in all children with post-partum findings and treated inborn dysplasias at the beginning and end of compulsory school attendance to record residual findings. He emphasize not only the therapeutic but also the economic effect of this procedure. Key words: inborn dysplasia of the hip joint, neonatal screening of the hip joints, assessment of the angles of the hip joints.
Skrabal
J
J
Ortopedická ambulance, Jablunkov.