Problems encountered in screening study with ultrasound for early diagnosis of developmental dysplasia of hip in eastern region of Turkey

摘要

Problems encountered in screening study with ultrasound for early diagnosis of developmental dysplasia of hip in eastern region of Turkey Mehmet Fethi Ceylan 1, Savas Güner2, Mehmet Ata G?kalp2, Zehra Kurdo?lu3, Abdurrahim G?zen4, Mehmet Fatih Korkmaz1, Tülin Türk?zü2, Hüseyin Akdeniz5, O?uz Tuncer6 1Department of Orthopedics and Traumatology, Medicine School of Inonu University, Malatya, Turkey 2Department of Orthopedics and Traumatology, Medicine School of Yuzuncu Y?l University, Van, Turkey 3Department of Gynecology and Obstetrics, Ankara Training and Research Hospital, Ankara, Turkey 4Department of Orthopedics and Traumatology, Private Tatvan Can Hospital, Tatvan, Turkey 5Department of Radiology, Private Lokman Hekim Hospital, Van, Turkey 6Department of Pediatric Neonatology, Medicine School of Yüzüncü Y?l University, Van, Turkey INTRODUCTION: The aim of this study is to evaluate results of the screening program of the developmental dysplasia of the hip (DDH) were examined in newborn period. The problems encountered in the applicability of the early screening program were evaluated. METHODS: By interviewing with the family of 1680 newborns born in our institution or referred, the information was given about the DDH and its risk factors, learnt were recorded. The families were told to bring their babies for examination and hip ultrasound at the 3rd or 4th week of birth. In addition, all the parents were called by telephone to be remind their appointments one day ago. RESULTS: Five hundred and thirty-six babies (31.3%) were brought to the first appointment. Forty-two hips (3.9%) of the 30 infants (5.6%) were detected to be the dislocation (Type 2c, D, 3). The 8 of these 30 patients (26.7%) whom the treatment was started were brought for the second control. Asymmetry of thigh folds was positive in the highest rate as the finding of the examination in the infants brought to the appointment. The rate of swaddling at the first appointment was found to be 74.2%. DISCUSSION AND CONCLUSION: Surprisingly, less than one third of children were brought to ultrasound examination at first control. Similarly, about 3/4 of the parents continued to use swaddling for their babies. In order for the planned national DDH screening program to be successful, additional precautions must be taken to ensure the participation of the families and release of the swaddling.