Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period
The development disorder of the hip (DDH) is the most common anomaly of the locomotors’ system and a permanently present problem in pediatric and orthopedic practice, because of its numerous consequences. Despite of all research efforts, the ethiopathogenesis of the illness remains unknown and that...
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| Format: | Article |
| Language: | English |
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Medical Association of Zenica-Doboj Canton
2007-08-01
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| Series: | Medicinski Glasnik |
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| Online Access: | http://www.ljkzedo.com.ba/medglasnik/vol42/M_7_5.pdf |
| _version_ | 1818807493364547584 |
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| author | A. Brčić |
| author_facet | A. Brčić |
| author_sort | A. Brčić |
| collection | DOAJ |
| description | The development disorder of the hip (DDH) is the most common anomaly of the locomotors’ system and a permanently present problem in pediatric and orthopedic practice, because of its numerous consequences. Despite of all research efforts, the ethiopathogenesis of the illness remains unknown and that is the reason why the present efforts in prevention are directed mainly to the secondary prevention. As the incidence of DDH in Bosnia and Herzegovina is the one of the greatest in Europe, this research had a goal to analyze the value of the screening methods which are used in the early detection of the DDH in the neonatal period. The research has been carried out in the counseling service of the Children’s Dispensary of the Health Center and the Private Specialistic Ambulance “Dr Aida” in Zavidovići. In the two years period, 449 newborns (898 hips) had been examined clinically and with the ultrasound. DDH incidence was 6.01%. Sixteen patients with positive ultrasound finding have shown negative clinical finding. Positive findings were found in eleven patients. Positive clinical findings and negative ultrasound findings were found in 32 examined patients. The diagnostic specificity of the clinical examination is relatively low (25.58%); that is, the doctor can only rely on positive tests with 25.58% probability. If we were to make a decision on treatment based on the positive clinical findings, most of the patients would be treated unjustifiably. Although the diagnostic sensitivity was high (96.06%), there were 3.94 % of the false negative findings (a number of newborn with DDH would have remained unrecognized if ultrasound examination had not been performed). In conclusion, clinical examination is obligatory in the counseling offices but we emphasize the need of ultrasound examination in the neonatal period in order to reveal and monitor all suspicious cases. |
| first_indexed | 2024-12-18T19:26:32Z |
| format | Article |
| id | doaj.art-fadb1af14a4b49dbb87fdda7da053ea0 |
| institution | Directory Open Access Journal |
| issn | 1840-0132 1840-2445 |
| language | English |
| last_indexed | 2024-12-18T19:26:32Z |
| publishDate | 2007-08-01 |
| publisher | Medical Association of Zenica-Doboj Canton |
| record_format | Article |
| series | Medicinski Glasnik |
| spelling | doaj.art-fadb1af14a4b49dbb87fdda7da053ea02022-12-21T20:55:52ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452007-08-01427983Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal periodA. BrčićThe development disorder of the hip (DDH) is the most common anomaly of the locomotors’ system and a permanently present problem in pediatric and orthopedic practice, because of its numerous consequences. Despite of all research efforts, the ethiopathogenesis of the illness remains unknown and that is the reason why the present efforts in prevention are directed mainly to the secondary prevention. As the incidence of DDH in Bosnia and Herzegovina is the one of the greatest in Europe, this research had a goal to analyze the value of the screening methods which are used in the early detection of the DDH in the neonatal period. The research has been carried out in the counseling service of the Children’s Dispensary of the Health Center and the Private Specialistic Ambulance “Dr Aida” in Zavidovići. In the two years period, 449 newborns (898 hips) had been examined clinically and with the ultrasound. DDH incidence was 6.01%. Sixteen patients with positive ultrasound finding have shown negative clinical finding. Positive findings were found in eleven patients. Positive clinical findings and negative ultrasound findings were found in 32 examined patients. The diagnostic specificity of the clinical examination is relatively low (25.58%); that is, the doctor can only rely on positive tests with 25.58% probability. If we were to make a decision on treatment based on the positive clinical findings, most of the patients would be treated unjustifiably. Although the diagnostic sensitivity was high (96.06%), there were 3.94 % of the false negative findings (a number of newborn with DDH would have remained unrecognized if ultrasound examination had not been performed). In conclusion, clinical examination is obligatory in the counseling offices but we emphasize the need of ultrasound examination in the neonatal period in order to reveal and monitor all suspicious cases.http://www.ljkzedo.com.ba/medglasnik/vol42/M_7_5.pdfscreeninghipdysplasiaultrasound |
| spellingShingle | A. Brčić Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period Medicinski Glasnik screening hip dysplasia ultrasound |
| title | Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period |
| title_full | Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period |
| title_fullStr | Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period |
| title_full_unstemmed | Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period |
| title_short | Difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period |
| title_sort | difference between clinical and ultrasound screening of developmental hip abnormalities in neonatal period |
| topic | screening hip dysplasia ultrasound |
| url | http://www.ljkzedo.com.ba/medglasnik/vol42/M_7_5.pdf |
| work_keys_str_mv | AT abrcic differencebetweenclinicalandultrasoundscreeningofdevelopmentalhipabnormalitiesinneonatalperiod |