title: Congenital dislocation of the hip: optimal screening strategies in 2014.
abstract: A prospective multi-centre nationwide study of patients with congenital dislocation of the hip (CDH) diagnosed after 3 months of age was conducted with support from the French Society for Paediatric Orthopaedics (Société Française d'Orthopédie Pédiatrique [SoFOP]), French Organisation for Outpatient Paediatrics (Association Française de Pédiatrie Ambulatoire [AFPA]), and French-Speaking Society for Paediatric and Pre-Natal Imaging (Société Francophone d'Imagerie Pédiatrique et Prénatale [SFIPP]). The results showed inadequacies in clinical screening for CDH that were patent when assessed quantitatively and probably also present qualitatively. These findings indicate a need for a communication and educational campaign aimed at highlighting good clinical practice guidelines in the field of CDH screening. The usefulness of routine ultrasound screening has not been established. The findings from this study have been used by the authors and French National Health Authority (Haute Autorité de Santé [HAS]) to develop recommendations about CDH screening. There is an urgent need for a prospective randomised multi-centre nationwide study, which should involve primary-care physicians.
authors.affiliation: 56, rue Boissonade, 75014 Paris, France; Université Paris Descartes, hôpital Necker Enfants Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France. Electronic address: p.wicart@nck.aphp.fr.
authors.forename: P
authors.initials: P
authors.lastname: Wicart
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: A
authors.initials: A
authors.lastname: Bocquet
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: N
authors.initials: N
authors.lastname: Gelbert
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: G
authors.initials: G
authors.lastname: Beley
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: R
authors.initials: R
authors.lastname: Proslier
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: P
authors.initials: P
authors.lastname: Pracos-Deffrenne
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: F
authors.initials: F
authors.lastname: Vie le Sage
authors.affiliation: AFPA, 15, rue Maurice Berteaux, 33400 Talence, France.
authors.forename: R
authors.initials: R
authors.lastname: Assathiany
authors.affiliation: 56, rue Boissonade, 75014 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Chapuis
authors.affiliation: 56, rue Boissonade, 75014 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Fron
authors.affiliation: 56, rue Boissonade, 75014 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Guillard
authors.affiliation: Service de radiologie, hôpital d'Enfants Armand-Trousseau, 28, avenue du Dr-Arnold-Netter, 75012 Paris, France; Service de radiologie, hôpital d'Enfants, allée du Morvan, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: L
authors.initials: L
authors.lastname: Mainard-Simard
authors.affiliation: Service de radiologie, hôpital d'Enfants Armand-Trousseau, 28, avenue du Dr-Arnold-Netter, 75012 Paris, France.
authors.forename: H
authors.initials: H
authors.lastname: Ducou le Pointe
authors.affiliation: 56, rue Boissonade, 75014 Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Kohler
authors.affiliation: 56, rue Boissonade, 75014 Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Seringe
authors.affiliation: 56, rue Boissonade, 75014 Paris, France; Institut Calot, Berck-sur-Mer, France.
authors.forename: C
authors.initials: C
authors.lastname: Morin
mesh_terms: D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D005602:France / Q000453:epidemiology; D006618:Hip Dislocation, Congenital / Q000175:diagnosis* / Q000453:epidemiology; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D008297:Male; D008403:Mass Screening / Q000379:methods*; D011446:Prospective Studies; D011859:Radiography; D011795:Surveys and Questionnaires; D014463:Ultrasonography
keywords: Congenital dislocation of the hip; Physical examination; Radiography; Screening; Ultrasonography