The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH)
Aim To assess the relationship between the clinical sign of limited hip abduction and developmental dysplasia of the hip (DDH). Methods A research was conducted on 450 newborns at the Neonatal Unit at the Clinic of Gynaecology and Obstetrics and the Orthopaedics and Traumatology Clinic of the Univ...
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| Format: | Article |
| Language: | English |
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Medical Association of Zenica-Doboj Canton
2018-08-01
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| Series: | Medicinski Glasnik |
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| Online Access: | http://ljkzedo.ba/wordpress/wp-content/uploads/2018/07/04-Custovic-954-A.pdf |
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| author | Svemir Čustović Sahmir Šadić Aleksandar Vujadinović Asmir Hrustić Mahir Jasarević Amer Čustović Ferid Krupić |
| author_facet | Svemir Čustović Sahmir Šadić Aleksandar Vujadinović Asmir Hrustić Mahir Jasarević Amer Čustović Ferid Krupić |
| author_sort | Svemir Čustović |
| collection | DOAJ |
| description | Aim To assess the relationship between the clinical sign of limited hip abduction and developmental dysplasia of the hip (DDH).
Methods A research was conducted on 450 newborns at the Neonatal Unit at the Clinic of Gynaecology and Obstetrics and the Orthopaedics and Traumatology Clinic of the University Clinical Centre, Tuzla, between 30th August 2011 and 30th April 2012. Clinical (degree of hip abduction) and ultrasound examination of all newborns’ hips were performed using the Graf method on their first day of life.
Results Clinical sign of limited hip abduction showed significant predictive value for DDH. There were 67 (14.7%) newborns with the clinical sign of limited hip abduction, of which 26 (5.7%) were on the left hip, 11 (2.4%) on the right hip and 30 (6.6%) on both hips. Limited hip abduction had a positive predictive value (PPV) of 40.3% and a negative predictive value (NPV) of 80.4% for DDH.
Conclusion Limited hip abduction, especially unilateral, is a useful and important clinical sign of DDH. Doctors, who perform the first examination of the child after birth, would have to pay attention to this clinical sign. Newborns with this clinical sign would have to go to an ultrasound examination of the hips for further diagnosis. |
| first_indexed | 2024-12-20T04:19:08Z |
| format | Article |
| id | doaj.art-fb631741c27d4b1d85ebce579383c84e |
| institution | Directory Open Access Journal |
| issn | 1840-0132 1840-2445 |
| language | English |
| last_indexed | 2024-12-20T04:19:08Z |
| publishDate | 2018-08-01 |
| publisher | Medical Association of Zenica-Doboj Canton |
| record_format | Article |
| series | Medicinski Glasnik |
| spelling | doaj.art-fb631741c27d4b1d85ebce579383c84e2022-12-21T19:53:42ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452018-08-0115217417810.17392/954-18The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH)Svemir Čustović0Sahmir Šadić1Aleksandar Vujadinović2Asmir Hrustić3Mahir Jasarević4Amer Čustović5Ferid Krupić6Orthopaedics and Traumatology Clinic, University Clinical Centre Tuzla; Department of Orthopaedics, School of Medicine, University of Tuzla,Orthopaedics and Traumatology Clinic, University Clinical Centre Tuzla; Department of Orthopaedics, School of Medicine, University of Tuzla,Orthopaedics and Traumatology Clinic, University Clinical Centre Tuzla; Department of Orthopaedics, School of Medicine, University of Tuzla,Orthopaedics and Traumatology Clinic, University Clinical Centre Tuzla; Department of Orthopaedics, School of Medicine, University of Tuzla,Orthopaedics and Traumatology Clinic, University Clinical Centre Tuzla; Department of Orthopaedics, School of Medicine, University of Tuzla,Department of Orthopaedics, School of Medicine, University of Tuzla; Department of Sanitary and Epidemiological Surveillance, University Clinical Centre Tuzla, Tuzla, Bosnia and HerzegovinaDepartment of Orthopaedics Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg; Department of Orthopaedics, Sahlgrenska University Hospital Molndal; SwedenAim To assess the relationship between the clinical sign of limited hip abduction and developmental dysplasia of the hip (DDH). Methods A research was conducted on 450 newborns at the Neonatal Unit at the Clinic of Gynaecology and Obstetrics and the Orthopaedics and Traumatology Clinic of the University Clinical Centre, Tuzla, between 30th August 2011 and 30th April 2012. Clinical (degree of hip abduction) and ultrasound examination of all newborns’ hips were performed using the Graf method on their first day of life. Results Clinical sign of limited hip abduction showed significant predictive value for DDH. There were 67 (14.7%) newborns with the clinical sign of limited hip abduction, of which 26 (5.7%) were on the left hip, 11 (2.4%) on the right hip and 30 (6.6%) on both hips. Limited hip abduction had a positive predictive value (PPV) of 40.3% and a negative predictive value (NPV) of 80.4% for DDH. Conclusion Limited hip abduction, especially unilateral, is a useful and important clinical sign of DDH. Doctors, who perform the first examination of the child after birth, would have to pay attention to this clinical sign. Newborns with this clinical sign would have to go to an ultrasound examination of the hips for further diagnosis.http://ljkzedo.ba/wordpress/wp-content/uploads/2018/07/04-Custovic-954-A.pdfpredictive valuelimited hip abductiondevelopmental dysplasia of the hip (DDH) |
| spellingShingle | Svemir Čustović Sahmir Šadić Aleksandar Vujadinović Asmir Hrustić Mahir Jasarević Amer Čustović Ferid Krupić The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH) Medicinski Glasnik predictive value limited hip abduction developmental dysplasia of the hip (DDH) |
| title | The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH) |
| title_full | The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH) |
| title_fullStr | The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH) |
| title_full_unstemmed | The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH) |
| title_short | The predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip (DDH) |
| title_sort | predictive value of the clinical sign of limited hip abduction for developmental dysplasia of the hip ddh |
| topic | predictive value limited hip abduction developmental dysplasia of the hip (DDH) |
| url | http://ljkzedo.ba/wordpress/wp-content/uploads/2018/07/04-Custovic-954-A.pdf |
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