Screening of developmental dysplasia of the hip in infants and young children in hospital
LIU Qiu-liang
WANG Yi-sheng
LIU Yu-feng
ZHANG Meng-zhen
GAO Jian-bo
CHANG Jian-min
TIAN Pei-chao
ZHANG Yong-gao
HE Xiao
CHEN Xin-rang
WANG Jia-xiang
QIN Pan
FAN Ying-zhong
GAO Jing-yao
WANG Qi
SHI Long-yan
ZHANG Jiao
Abstract：Objective To summary developmental dysplasia of the hip ( DDH ) screening in 0 - 36 months children in our hospital, and formulate normative screening procedure of DDH in children.Methods Newborn infants were initially DDH screened by obstetrist with clinical physical examination ( functional examination to double hip, abduction test, Ortolani or Barlow test ) in our hospital. Children from 0 to 36 months in pediatrics department and out-patient clinic underwent initial screening by pediatrist and pediatric orthopedics doctors, and suspected and abnormal infants were transferred to pediatric orthopedics to be re-screened. Clinical physical examination, B ultrasound or DR were chosen for DDH ifnal diagnosis or deplete.Results A total of 22 396 children were DDH screened from January 2012 to December 2014, and 2699 children were examined with colour ultrasound. Totally 591 suspected and abnormal children ( 755 hips ) were transferred to pediatric orthopedics. Among suspected and abnormal children, 61 children ( 89 hips ) were positive with Ortolani or Barlow test, 94 children ( 131 hips ) were dysplasia of the hip, 76 children ( 121 hips ) were ifnally diagnosed as DDH. Among them, male 21 cases ( 29 hip ), female 55 cases ( 92 hip ); left hip 91, right hip 30; 1 to 6 months, 13 cases ( 3 newborn cases ), 1.95‰ ( 13 / 6676 ); 7 - 18 months, 49 cases, 7.09‰ ( 49 / 6909 ); 19 - 36 months, 14 cases, 1.59‰ ( 14 / 8811 ); 76 cases were diagnosed as DDH, 7 to 18 months in 49 cases, accounting for 64.47%. Disease incidence of DDH was 3.39‰ ( 76 / 22 396 ).Conclusions We ifnish early DDH screening to children from 0 to 36 months, and realize early discovering and diagnosis following screening mode,and formulate normative screening procedure of DDH in children based on our region actuality.
Keywords：Hip joinHip dislocationdevelopmentalNeonatal screeningInfantChild pre ( 2 - 5 )Mass screeningHip dysplasia
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 483-486 )