Initial screening and diagnosis of and referral for developmental dysplasia of the hip

摘要

The continued diagnosis of cases of late developmental dysplasia of the hip reaffirms the failure of initial clinical neonatal screening programs. Even the identification of an ldquo;at riskrdquo; patient profile will not eliminate the late diagnoses, but referral of these patients will ensure that up to 50percnt; of late diagnoses can be eliminated. The role of ultrasound as a screening diagnostic tool has not, at this time, been confirmed to eliminate late diagnoses. Its use, however, has lead to an increased incidence of treatment with the recognition of the sonographic ldquo;immature hip.rdquo; This, in turn, will increase the number of complications of treatment with iatrogenic avascular necrosis. Therefore, the ideal elimination of all late developmental dysplasia of the hip referrals remains the unattained goal.