[ { "key": "RIXQGR4Q", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/RIXQGR4Q", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/RIXQGR4Q", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/E4DT5B7H", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "RIXQGR4Q", "version": 1, "parentItem": "E4DT5B7H", "itemType": "note", "note": "

VERY IMPORTANT!!!

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:56:15Z", "dateModified": "2010-06-22T16:56:25Z" } }, { "key": "GJPTXEJG", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/GJPTXEJG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/GJPTXEJG", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/76JNPX9A", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "GJPTXEJG", "version": 1, "parentItem": "76JNPX9A", "itemType": "note", "note": "

For all the sources, the data was found under any charts you see and from the Results and Methods sections. Everything else can be ignored.

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:10:24Z", "dateModified": "2010-06-22T16:34:55Z" } }, { "key": "F7TTWT9N", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/F7TTWT9N", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/F7TTWT9N", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/5VWC6WMN", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "F7TTWT9N", "version": 1, "parentItem": "5VWC6WMN", "itemType": "note", "note": "

Requires order...

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:30:21Z", "dateModified": "2010-06-22T16:30:26Z" } }, { "key": "QN8MZNT8", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/QN8MZNT8", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/QN8MZNT8", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/55UHVFV7", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "QN8MZNT8", "version": 1, "parentItem": "55UHVFV7", "itemType": "note", "note": "

No online version...

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:27:49Z", "dateModified": "2010-06-22T16:27:56Z" } }, { "key": "FB4AGKPB", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/FB4AGKPB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/FB4AGKPB", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/6JDWGQD4", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "FB4AGKPB", "version": 1, "parentItem": "6JDWGQD4", "itemType": "note", "note": "

No online version...

\n

 

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:26:13Z", "dateModified": "2010-06-22T16:26:19Z" } }, { "key": "RUFHGVRT", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/RUFHGVRT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/RUFHGVRT", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/EPVNFC83", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "RUFHGVRT", "version": 1, "parentItem": "EPVNFC83", "itemType": "note", "note": "

No available version...

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:24:43Z", "dateModified": "2010-06-22T16:24:51Z" } }, { "key": "CHG9F22T", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/CHG9F22T", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/CHG9F22T", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/B6QI7TCR", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "CHG9F22T", "version": 1, "parentItem": "B6QI7TCR", "itemType": "note", "note": "

Have to pay for access...

\n

 

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:23:40Z", "dateModified": "2010-06-22T16:23:48Z" } }, { "key": "3JVQU4HJ", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/3JVQU4HJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/3JVQU4HJ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Osarumwense et al.", "parsedDate": "2007-11", "numChildren": 0 }, "data": { "key": "3JVQU4HJ", "version": 1, "itemType": "journalArticle", "title": "What follow-up is required for children with a family history of developmental dysplasia of the hip?", "creators": [ { "creatorType": "author", "firstName": "Donald", "lastName": "Osarumwense" }, { "creatorType": "author", "firstName": "David", "lastName": "Popple" }, { "creatorType": "author", "firstName": "Irene F", "lastName": "Kershaw" }, { "creatorType": "author", "firstName": "Christopher J", "lastName": "Kershaw" }, { "creatorType": "author", "firstName": "Andrew J", "lastName": "Furlong" } ], "abstractNote": "To determine what follow-up is needed for children with a family history of developmental dysplasia of the hip (DDH) but who have had a normal clinical and ultrasound examination at 6 weeks of age. A retrospective review of medical and imaging records of all children with a family history of DDH referred to the hip-screening clinic over a 5-year period. An absolute acetabular index value of greater than 30 degrees or gross asymmetry in acetabular index values was used as an indication of occult acetabular dysplasia. One hundred and eighty-one children were identified as having had a normal ultrasound scan with a positive family history of DDH. Two (1.1%) children had acetabular dysplasia on their radiograph performed at 9-12 months of age. The dysplasia, however, resolved in both cases with simple observation and both children have now been discharged from further follow-up. We do not feel that it is necessary for children with a positive family history of DDH to have a radiograph of their pelvis at 1 year of age if they have had a normal clinical and ultrasound examination at 6 weeks of age and such children can safely be discharged from further follow-up at that time.", "publicationTitle": "Journal of Pediatric Orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America", "publisher": "", "place": "", "date": "Nov 2007", "volume": "16", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "399-402", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Pediatr Orthop B", "DOI": "10.1097/BPB.0b013e3282f05944", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17909336", "accessDate": "2010-06-21T17:30:42Z", "PMID": "", "PMCID": "", "ISSN": "1473-5865", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17909336", "tags": [ { "tag": "Imaging (after screening)" }, { "tag": "Periodicity schedule of health maintenance" }, { "tag": "Physical Examination" }, { "tag": "Risk factors" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:12:00Z", "dateModified": "2010-06-22T16:12:00Z" } }, { "key": "2DBC39SB", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/2DBC39SB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/2DBC39SB", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Jellicoe et al.", "parsedDate": "2007-05", "numChildren": 0 }, "data": { "key": "2DBC39SB", "version": 1, "itemType": "journalArticle", "title": "Ultrasound screening in developmental hip dysplasia: do all scanned hips need to be followed up?", "creators": [ { "creatorType": "author", "firstName": "Paul", "lastName": "Jellicoe" }, { "creatorType": "author", "firstName": "Angus", "lastName": "Aitken" }, { "creatorType": "author", "firstName": "Kenneth", "lastName": "Wright" } ], "abstractNote": "Many ways of detecting hip instability in the newborn infant exist, including a history of risk factors, clinical examination and ultrasound. We investigated our practice of 'at risk' screening using subjective, dynamic and static, ultrasound, followed by radiographic evaluation at 12 months. We found that the average age at presentation was 71 days, with the most common reason for referral being a clicking hip. None of the hips deemed stable under review deteriorated, and all those considered normal at first visit had a normal radiograph at 12 months. Abnormal radiographs were found in all the other groups.", "publicationTitle": "Journal of Pediatric Orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America", "publisher": "", "place": "", "date": "May 2007", "volume": "16", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "192-195", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Pediatr Orthop B", "DOI": "10.1097/BPB.0b013e328014058d", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17414780", "accessDate": "2010-06-21T17:31:45Z", "PMID": "", "PMCID": "", "ISSN": "1060-152X", "archive": "", "archiveLocation": "", "shortTitle": "Ultrasound screening in developmental hip dysplasia", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17414780", "tags": [ { "tag": "Incidence and risk" }, { "tag": "Periodicity schedule of health maintenance" }, { "tag": "Physical Examination" }, { "tag": "Risk factors" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:58Z", "dateModified": "2010-06-22T16:11:58Z" } }, { "key": "KPE3XNKM", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/KPE3XNKM", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/KPE3XNKM", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/ZJM3R2PJ", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "KPE3XNKM", "version": 1, "parentItem": "ZJM3R2PJ", "itemType": "note", "note": "

This contains a lot of statistical analysis and useful data.

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:11:56Z", "dateModified": "2010-06-22T16:11:56Z" } }, { "key": "ZJM3R2PJ", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/ZJM3R2PJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/ZJM3R2PJ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Treiber et al.", "parsedDate": "2008", "numChildren": 1 }, "data": { "key": "ZJM3R2PJ", "version": 1, "itemType": "journalArticle", "title": "Ultrasound screening for developmental dysplasia of the hip in the newborn: a population-based study in the Maribor region, 1997-2005", "creators": [ { "creatorType": "author", "firstName": "Milena", "lastName": "Treiber" }, { "creatorType": "author", "firstName": "Tomaz", "lastName": "Tomazic" }, { "creatorType": "author", "firstName": "Andreja", "lastName": "Tekauc-Golob" }, { "creatorType": "author", "firstName": "Joze", "lastName": "Zolger" }, { "creatorType": "author", "firstName": "Bojan", "lastName": "Korpar" }, { "creatorType": "author", "firstName": "Silva", "lastName": "Burja" }, { "creatorType": "author", "firstName": "Iztok", "lastName": "Takac" }, { "creatorType": "author", "firstName": "Aleksander", "lastName": "Sikosek" } ], "abstractNote": "AIM: Ultrasound imaging has become an accepted tool for accurate diagnosis of developmental dysplasia of the hip (DDH) and for its management. The aim of the present study was to evaluate the results of the general neonatal hip screening program in Maribor between 1997 and 2005 in comparison with earlier reported results for our region, where this program was introduced in 1985. PATIENTS AND METHODS: Of the total number of 17,846 newborns born in our maternity hospital, 17,393 were included in the study during the nine-year period. All hips were examined by ultrasonography within the first week of life. Data for 2.5% of newborns were not available. The incidence of sonographic hip types according to the Graf method was analyzed, together with the sex distribution, lateralization of hip pathology and treatment recommendations. RESULTS: A total of 34,786 hips were evaluated sonographically: 84.9% of hips were mature at first examination (Graf types Ia and Ib), 14.1% were immature (Graf type IIa) and 1.1% were pathological (Graf types IIc or worse). In the group of pathological hips, girls were more frequently affected than boys (3.9:1) and the left hip was more frequently affected than the right (1.2:1). The incidence of hip types IIc or worse decreased sevenfold throughout the observation period, from 2.1 in 1997 to 0.3 in 2005. This distribution of hip types resulted in an average treatment rate of 18 newborns per 1000 live borns, down from 42 treated hips per 1000 newborns in 1997 to 6 hips per 1000 in 2005. During this nine-year period, only 19 children required surgical treatment for DDH before the age of three years. CONCLUSION: In our region, general ultrasound hip screening of newborns for DDH seems to be effective in reducing the overall treatment rate. The number of surgical procedures has remained stable during the past nine-year screening period and is lower than in the pre-ultrasound era.", "publicationTitle": "Wiener Klinische Wochenschrift", "publisher": "", "place": "", "date": "2008", "volume": "120", "issue": "1-2", "section": "", "partNumber": "", "partTitle": "", "pages": "31-36", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Wien. Klin. Wochenschr", "DOI": "10.1007/s00508-007-0922-0", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/18239989", "accessDate": "2010-06-21T17:30:11Z", "PMID": "", "PMCID": "", "ISSN": "0043-5325", "archive": "", "archiveLocation": "", "shortTitle": "Ultrasound screening for developmental dysplasia of the hip in the newborn", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 18239989", "tags": [ { "tag": "Physical Examination" }, { "tag": "Refer to an orthopaedist" }, { "tag": "Screen all newborns" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:56Z", "dateModified": "2010-06-22T16:11:56Z" } }, { "key": "W6Q3VX8N", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/W6Q3VX8N", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/W6Q3VX8N", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Rosendahl and Toma", "parsedDate": "2007-08", "numChildren": 0 }, "data": { "key": "W6Q3VX8N", "version": 1, "itemType": "journalArticle", "title": "Ultrasound in the diagnosis of developmental dysplasia of the hip in newborns. The European approach. A review of methods, accuracy and clinical validity", "creators": [ { "creatorType": "author", "firstName": "Karen", "lastName": "Rosendahl" }, { "creatorType": "author", "firstName": "Paolo", "lastName": "Toma" } ], "abstractNote": "Based on soft evidence that ultrasound screening tends to reduce the rate of late developmental dysplasia of the hip (DDH) and the need for surgical interventions, different screening strategies including universal or selective ultrasound screening have been established in several European countries and centres during the last decade. We performed an extensive search for articles on ultrasound diagnosis of developmental dysplasia of the hip over the last 26 years. A few studies reported an adequate repeatability for the static [Graf, Morin, modified Morin (Terjesen)] and for the combined static/dynamic methods [modified Graf (Rosendahl)], while no such reports were found for the dynamic (Harcke) ultrasound techniques. The effect of newborn ultrasound screening on late DDH have been addressed in two randomised trials (RCTs), both concluding that both selective and universal ultrasound screening tend to reduce the prevalence of subluxed or dislocated DDH, thus without reaching statistical significance. Finally, several observational studies have shown that morphologically normal hips tend to remain normal with or without a co-existing instability, and 97% of sonographically immature hips tend to normalise spontaneously within 3 months. Two studies report on a similar pattern for mildly dysplastic, but stable hips. From the data available we suggest that selective ultrasound screening is worthwhile in areas with a high prevalence of late cases, given a well-organised, high-quality service can be provided.", "publicationTitle": "European Radiology", "publisher": "", "place": "", "date": "Aug 2007", "volume": "17", "issue": "8", "section": "", "partNumber": "", "partTitle": "", "pages": "1960-1967", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Eur Radiol", "DOI": "10.1007/s00330-006-0557-y", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17235535", "accessDate": "2010-06-21T17:24:53Z", "PMID": "", "PMCID": "", "ISSN": "0938-7994", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17235535", "tags": [ { "tag": "Screening by ultrasound" }, { "tag": "Statistics regarding DDH and others" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:55Z", "dateModified": "2010-06-22T16:11:55Z" } }, { "key": "GAAW5WQR", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/GAAW5WQR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/GAAW5WQR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Dorn and Neumann", "parsedDate": "2005-02", "numChildren": 0 }, "data": { "key": "GAAW5WQR", "version": 1, "itemType": "journalArticle", "title": "Ultrasound for screening developmental dysplasia of the hip: a European perspective", "creators": [ { "creatorType": "author", "firstName": "Ulrich", "lastName": "Dorn" }, { "creatorType": "author", "firstName": "Daniel", "lastName": "Neumann" } ], "abstractNote": "PURPOSE OF REVIEW: For the past 20 years, sonography of the hip has become the imaging procedure of choice to diagnose hip maturation disorders in German-speaking countries. In Austria, hip sonography is a mandatory and essential feature of preventive public health measures; the \"Mutter-Kind-Pass\" has been the official medical identity card for mother and child since 1992 in Austria. This review summarizes the most recent literature dealing with ultrasound screening for developmental dysplasia of the hip in Europe. RECENT FINDINGS: This article focuses on the results in recent articles about sonography screening of the hip joint in the first year of life. SUMMARY: The continued development and refinement of the method, which is now standardized in German-speaking countries and hence can be taught in uniformly structured courses, has made sonography of the infant hip a gold standard for screening for developmental dysplasia of the hip in these countries.", "publicationTitle": "Current Opinion in Pediatrics", "publisher": "", "place": "", "date": "Feb 2005", "volume": "17", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "30-33", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Curr. Opin. Pediatr", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/15659960", "accessDate": "2010-06-21T17:35:33Z", "PMID": "", "PMCID": "", "ISSN": "1040-8703", "archive": "", "archiveLocation": "", "shortTitle": "Ultrasound for screening developmental dysplasia of the hip", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 15659960", "tags": [ { "tag": "Imaging (after screening)" }, { "tag": "Periodicity schedule of health maintenance" }, { "tag": "Physical Examination" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:53Z", "dateModified": "2010-06-22T16:11:53Z" } }, { "key": "J2D35TKT", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/J2D35TKT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/J2D35TKT", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Woolacott et al.", "parsedDate": "2005-06-18", "numChildren": 0 }, "data": { "key": "J2D35TKT", "version": 1, "itemType": "journalArticle", "title": "Ultrasonography in screening for developmental dysplasia of the hip in newborns: systematic review", "creators": [ { "creatorType": "author", "firstName": "Nerys F", "lastName": "Woolacott" }, { "creatorType": "author", "firstName": "Milo A", "lastName": "Puhan" }, { "creatorType": "author", "firstName": "Johann", "lastName": "Steurer" }, { "creatorType": "author", "firstName": "Jos", "lastName": "Kleijnen" } ], "abstractNote": "OBJECTIVE: To assess the accuracy and effectiveness of the screening of all newborn infants for developmental dysplasia of the hip (DDH) using ultrasound imaging, as is standard practice in some European countries but not in the United Kingdom, the United States, or Scandinavia. DESIGN: Systematic review. DATA SOURCES: Twenty three medical, economic, and grey literature databases (to March 2004), with no limitations of design or language; some references were provided by experts. SELECTION OF STUDIES: Only diagnostic accuracy studies and comparative studies conducted in an unselected newborn population were eligible for the review. Two reviewers independently selected the studies and performed the quality assessment. RESULTS: The review identified one diagnostic accuracy study, and this was of limited quality. In this study the reference standard was treatment up to age of 8 months or an abnormal ultrasound finding at age 8 months. Ultrasound screening had a sensitivity of 88.5% (95% confidence interval 84.1% to 92.1%), specificity of 96.7% (96.4% to 97.4%), a positive predictive value of 61.6% and a negative predictive value of 99.4%. Ten studies evaluated the impact of ultrasound in screening, but these too had various methodological weaknesses, limiting the reliability of their findings. Compared with clinical screening, general ultrasound screening in newborns may increase overall treatment rates, but ultrasound screening seems to be associated with shorter and less intrusive treatment. CONCLUSIONS: Clear evidence is lacking either for or against general ultrasound screening of newborn infants for DDH. Studies that investigate the natural course of the disorder, the optimal treatment for DDH, and the best strategy for ultrasound screening are needed.", "publicationTitle": "BMJ (Clinical Research Ed.)", "publisher": "", "place": "", "date": "Jun 18, 2005", "volume": "330", "issue": "7505", "section": "", "partNumber": "", "partTitle": "", "pages": "1413", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMJ", "DOI": "10.1136/bmj.38450.646088.E0", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/15930025", "accessDate": "2010-06-21T17:27:05Z", "PMID": "", "PMCID": "", "ISSN": "1468-5833", "archive": "", "archiveLocation": "", "shortTitle": "Ultrasonography in screening for developmental dysplasia of the hip in newborns", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 15930025", "tags": [ { "tag": "Physical Examination" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:52Z", "dateModified": "2010-06-22T16:11:52Z" } }, { "key": "E4DT5B7H", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/E4DT5B7H", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/E4DT5B7H", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Mahan et al.", "parsedDate": "2009-07", "numChildren": 1 }, "data": { "key": "E4DT5B7H", "version": 1, "itemType": "journalArticle", "title": "To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip", "creators": [ { "creatorType": "author", "firstName": "Susan T", "lastName": "Mahan" }, { "creatorType": "author", "firstName": "Jeffrey N", "lastName": "Katz" }, { "creatorType": "author", "firstName": "Young-Jo", "lastName": "Kim" } ], "abstractNote": "BACKGROUND: The United States Preventive Services Task Force recently determined that they could not recommend any screening strategies for developmental dysplasia of the hip. Disparate findings in the literature and treatment-related problems have led to confusion about whether or not to screen for this disorder. The purpose of the present study was to determine, with use of expected-value decision analysis, which of the following three strategies leads to the best chance of having a non-arthritic hip by the age of sixty years: (1) no screening for developmental dysplasia of the hip, (2) universal screening of newborns with both physical examination and ultrasonography, or (3) universal screening with physical examination but only selective use of ultrasonography for neonates considered to be at high risk. METHODS: Developmental dysplasia of the hip, avascular necrosis, and the treatment algorithm were carefully defined. The outcome was determined as the probability of any neonate having a non-arthritic hip through the age of sixty years. A decision tree was then built with decision nodes as described above, and chance node probabilities were determined from a thorough review of the literature. Foldback analysis and sensitivity analyses were performed. RESULTS: The expected value of a favorable hip outcome was 0.9590 for the strategy of screening all neonates with physical examination and selective use of ultrasonography, 0.9586 for screening all neonates with physical examination and ultrasonography, and 0.9578 for no screening. A lower expected value implies a greater risk for the development of osteoarthritis as a result of developmental dysplasia of the hip or avascular necrosis; thus, the optimum strategy was selective screening. This model was robust to sensitivity analysis, except when the rate of missed dysplasia rose as high as 4/1000 or the rate of treated hip subluxation/dislocation was the same; then, the optimum strategy was to screen all neonates with both physical examination and ultrasonography. CONCLUSIONS: Our decision analytic model indicated that the optimum strategy, associated with the highest probability of having a non-arthritic hip at the age of sixty years, was to screen all neonates for hip dysplasia with a physical examination and to use ultrasonography selectively for infants who are at high risk. Additional data on the costs and cost-effectiveness of these screening policies are needed to guide policy recommendations.", "publicationTitle": "The Journal of Bone and Joint Surgery. American Volume", "publisher": "", "place": "", "date": "Jul 2009", "volume": "91", "issue": "7", "section": "", "partNumber": "", "partTitle": "", "pages": "1705-1719", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Bone Joint Surg Am", "DOI": "10.2106/JBJS.H.00122", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/19571094", "accessDate": "2010-06-21T17:27:14Z", "PMID": "", "PMCID": "", "ISSN": "1535-1386", "archive": "", "archiveLocation": "", "shortTitle": "To screen or not to screen?", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 19571094", "tags": [ { "tag": "Incidence and risk" }, { "tag": "Physical Examination" }, { "tag": "Screen all newborns" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:50Z", "dateModified": "2010-06-22T16:11:50Z" } }, { "key": "FMPC6996", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/FMPC6996", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/FMPC6996", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Paton et al.", "parsedDate": "2005-09", "numChildren": 0 }, "data": { "key": "FMPC6996", "version": 1, "itemType": "journalArticle", "title": "The significance of at-risk factors in ultrasound surveillance of developmental dysplasia of the hip. A ten-year prospective study", "creators": [ { "creatorType": "author", "firstName": "R W", "lastName": "Paton" }, { "creatorType": "author", "firstName": "K", "lastName": "Hinduja" }, { "creatorType": "author", "firstName": "C D", "lastName": "Thomas" } ], "abstractNote": "Of the 34,723 infants born between 1 June 1992 and 31 May 2002, the hips of 2578 with clinical instability or at-risk factors for developmental dysplasia of the hip were imaged by ultrasound. Instability of the hip was present in 77 patients, of whom only 24 (31.2%) had an associated risk factor. From the 'at-risk' groups, the overall risk of type-III dysplasia, instability and irreducibility was 1:15 when family history, 1:27 when breech delivery and 1:33 when foot deformity were considered as risk factors. Of those hips which were ultrasonographically stable, 88 had type-III dysplasia. A national programme of selective ultrasound screening of at-risk factors for the diagnosis of hip dislocation or instability alone cannot be recommended because of its low predictive value (1:88). However, the incidence of type-III dysplasia and hip dislocation or dislocatability in the groups with clinical instability, family history, breech position and possibly postural foot deformity as risk factors could justify a programme of selective ultrasound imaging.", "publicationTitle": "The Journal of Bone and Joint Surgery. British Volume", "publisher": "", "place": "", "date": "Sep 2005", "volume": "87", "issue": "9", "section": "", "partNumber": "", "partTitle": "", "pages": "1264-1266", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Bone Joint Surg Br", "DOI": "10.1302/0301-620X.87B9.16565", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/16129755", "accessDate": "2010-06-21T17:34:36Z", "PMID": "", "PMCID": "", "ISSN": "0301-620X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 16129755", "tags": [ { "tag": "Incidence and risk" }, { "tag": "Risk factors" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:47Z", "dateModified": "2010-06-22T16:11:47Z" } }, { "key": "6T3VNHF4", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/6T3VNHF4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/6T3VNHF4", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/AZE9I443", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "6T3VNHF4", "version": 1, "parentItem": "AZE9I443", "itemType": "note", "note": "

Note that this source is an author's opinion and less of a study, though it does cite some data that may be of use to you.

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", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:11:46Z", "dateModified": "2010-06-22T16:11:46Z" } }, { "key": "AZE9I443", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/AZE9I443", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/AZE9I443", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Portinaro et al.", "parsedDate": "2007-03", "numChildren": 1 }, "data": { "key": "AZE9I443", "version": 1, "itemType": "journalArticle", "title": "The role of ultrasonography in the diagnosis of developmental dysplasia of the hip", "creators": [ { "creatorType": "author", "firstName": "Nicola M", "lastName": "Portinaro" }, { "creatorType": "author", "firstName": "Francesco", "lastName": "Pelillo" }, { "creatorType": "author", "firstName": "Paola", "lastName": "Cerutti" } ], "abstractNote": "", "publicationTitle": "Journal of Pediatric Orthopedics", "publisher": "", "place": "", "date": "Mar 2007", "volume": "27", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "247-250", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Pediatr Orthop", "DOI": "10.1097/BPO.0b013e3180317422", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17314655", "accessDate": "2010-06-21T17:25:41Z", "PMID": "", "PMCID": "", "ISSN": "0271-6798", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17314655", "tags": [ { "tag": "Screen all newborns" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:46Z", "dateModified": "2010-06-22T16:11:46Z" } }, { "key": "B6R63MVD", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/B6R63MVD", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/B6R63MVD", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/TVGGD8TG", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "B6R63MVD", "version": 1, "parentItem": "TVGGD8TG", "itemType": "note", "note": "

Each subheading features different sets of data that are scattered throughout. The tags more or less match the names of the subheadings.

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", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:11:44Z", "dateModified": "2010-06-22T16:11:44Z" } }, { "key": "TVGGD8TG", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/TVGGD8TG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/TVGGD8TG", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Keller and Nijs", "parsedDate": "2009-04", "numChildren": 1 }, "data": { "key": "TVGGD8TG", "version": 1, "itemType": "journalArticle", "title": "The role of radiographs and US in developmental dysplasia of the hip: how good are they?", "creators": [ { "creatorType": "author", "firstName": "Marc S", "lastName": "Keller" }, { "creatorType": "author", "firstName": "Els L F", "lastName": "Nijs" } ], "abstractNote": "", "publicationTitle": "Pediatric Radiology", "publisher": "", "place": "", "date": "Apr 2009", "volume": "39 Suppl 2", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "S211-215", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Pediatr Radiol", "DOI": "10.1007/s00247-008-1107-3", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/19308388", "accessDate": "2010-06-21T17:25:07Z", "PMID": "", "PMCID": "", "ISSN": "1432-1998", "archive": "", "archiveLocation": "", "shortTitle": "The role of radiographs and US in developmental dysplasia of the hip", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 19308388", "tags": [ { "tag": "Radiographs" }, { "tag": "Screen all newborns" }, { "tag": "Screening by ultrasound" }, { "tag": "Sonography (subheading)" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:44Z", "dateModified": "2010-06-22T16:11:44Z" } }, { "key": "P443G94J", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/P443G94J", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/P443G94J", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/T25X86AF", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "P443G94J", "version": 1, "parentItem": "T25X86AF", "itemType": "note", "note": "

This is one of the best articles on the list.

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:11:43Z", "dateModified": "2010-06-22T16:11:43Z" } }, { "key": "T25X86AF", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/T25X86AF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/T25X86AF", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Ishikawa", "parsedDate": "2008-06", "numChildren": 1 }, "data": { "key": "T25X86AF", "version": 1, "itemType": "journalArticle", "title": "The relationship between neonatal developmental dysplasia of the hip and maternal hyperthyroidism", "creators": [ { "creatorType": "author", "firstName": "Norio", "lastName": "Ishikawa" } ], "abstractNote": "OBJECTIVE: Development of the hip joint is complete by 11 weeks of gestation. As triiodothyronine and thyroxine are important regulators of early bone and muscle development, we hypothesized that excessive thyroid hormone in the early fetal period was a congenital risk factor of developmental dysplasia of the hip (DDH). Consequently, it was proposed that elevations of maternal thyroxine in the first trimester could alter the incidence of neonatal DDH. METHODS: The patient population comprised a retrospective cohort of all children born in Yukiguni-Yamato General Hospital from 1996 to 2003 (n = 2137). All infants were physically assessed for DDH. Pregnancies were divided into normal, Graves disease (n = 15), and severe hyperemesis gravidarum in the first trimester (n = 39, which is associated with gestational transient hyperthyroidism in up to 73%). RESULTS: From a total 2137 pregnancies, 21 children (18 female) were diagnosed with DDH. Thirteen affected infants were from normal pregnancies (0.63%), 3 from mothers affected with Graves disease (20%, P < 0.0001), and 5 from mothers with hyperemesis gravidarum (12.8%, P < 0.0001). CONCLUSIONS: Developmental dysplasia of the hip is associated with first-trimester maternal hyperthyroidism, and infants of these mothers should be closely checked for hip abnormalities.", "publicationTitle": "Journal of Pediatric Orthopedics", "publisher": "", "place": "", "date": "Jun 2008", "volume": "28", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "432-434", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Pediatr Orthop", "DOI": "10.1097/BPO.0b013e318168d167", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/18520279", "accessDate": "2010-06-21T17:28:47Z", "PMID": "", "PMCID": "", "ISSN": "0271-6798", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 18520279", "tags": [ { "tag": "Incidence and risk" }, { "tag": "Periodicity schedule of health maintenance" }, { "tag": "Refer to an orthopaedist" }, { "tag": "Risk factors" }, { "tag": "Screen all newborns" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:43Z", "dateModified": "2010-06-22T16:11:43Z" } }, { "key": "5VWC6WMN", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/5VWC6WMN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/5VWC6WMN", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Tudor et al.", "parsedDate": "2007-06", "numChildren": 1 }, "data": { "key": "5VWC6WMN", "version": 1, "itemType": "journalArticle", "title": "The rational strategies for detecting developmental dysplasia of the hip at the age of 4-6 months old infants: a prospective study", "creators": [ { "creatorType": "author", "firstName": "Anton", "lastName": "Tudor" }, { "creatorType": "author", "firstName": "Branko", "lastName": "Sestan" }, { "creatorType": "author", "firstName": "Ivan", "lastName": "Rakovac" }, { "creatorType": "author", "firstName": "Tea Schnurrer", "lastName": "Luke-Vrbanić" }, { "creatorType": "author", "firstName": "Tomislav", "lastName": "Prpić" }, { "creatorType": "author", "firstName": "Dusan", "lastName": "Rubinić" }, { "creatorType": "author", "firstName": "Tomislav", "lastName": "Dapić" } ], "abstractNote": "Using ultrasound in evaluation of infant's hip development can reduce surgical procedures, hospitalization and late presentation of developmental dysplasia of the hip (DDH). The increasing incidence of DDH after ultrasound examination is observed and published by many authors. In a prospective study, radiograph of every single ultrasonographic positive hip in infants older than three months, was taken and analyzed in order to see whether it affects infants splintage rate in treating DDH. In a period of 30 months, clinical and simple static ultrasonographic examinations according to Graf were performed on 1430 consecutive infant hips in patients aged between 4 and 6 months. Sonographic positive hips were radiographed and acetabular index (AI) values on simple AP radiographs were analyzed. The sonographic DDH incidence was 51.75 per 1000 hips (51.75 per thousand). After X-ray examination of all 74 ultrasonographic positive hips, only 44 remained abnormal and required treatment indicating a true DDH incidence of 30.77 per 1000 hips (30.77 per thousand). The difference in incidence per ultrasonographic and X-ray positive hips is statistically significant p < 0.01 (t = 5,536). The rational approach in detection of DDH in a child more than 3 months old is to do radiographic assessment of every sonographic positive hip.", "publicationTitle": "Collegium Antropologicum", "publisher": "", "place": "", "date": "Jun 2007", "volume": "31", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "475-481", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Coll Antropol", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17847926", "accessDate": "2010-06-21T17:30:56Z", "PMID": "", "PMCID": "", "ISSN": "0350-6134", "archive": "", "archiveLocation": "", "shortTitle": "The rational strategies for detecting developmental dysplasia of the hip at the age of 4-6 months old infants", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17847926", "tags": [], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:40Z", "dateModified": "2010-06-22T16:11:40Z" } }, { "key": "9JTIMQDJ", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/9JTIMQDJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/9JTIMQDJ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "creatorSummary": "Kamath et al.", "parsedDate": "2007-05", "numChildren": 0 }, "data": { "key": "9JTIMQDJ", "version": 1, "itemType": "journalArticle", "title": "The lack of evidence of the effect of selective ultrasound screening on the incidence of late developmental dysplasia of the hip in the Greater Glasgow Region", "creators": [ { "creatorType": "author", "firstName": "Sri", "lastName": "Kamath" }, { "creatorType": "author", "firstName": "Ali", "lastName": "Mehdi" }, { "creatorType": "author", "firstName": "Neil", "lastName": "Wilson" }, { "creatorType": "author", "firstName": "Rodrick", "lastName": "Duncan" } ], "abstractNote": "The aim of our study was to establish whether the use of ultrasound to screen babies with risk factors has reduced the number of children presenting late with developmental dysplasia of the hip. Screening based on selection by risk factors was introduced in 1997. The average annual incidence from 1992 to 1996 was 0.84 and from 1997 to 2001 was 0.57 per 1000 live births. This decline in incidence of late developmental dysplasia of the hip was not significant (P=0.088). Sixty-four children (82%) had nothing that could be perceived as a risk factor for the condition. Our study presents population-based findings and it is clear that selective screening is not working in our region. It is unlikely that there will be one solution that could be applied throughout the United Kingdom given the diversity in the access to healthcare facilities. Clear leadership and accountability are required if we are to make any progress towards abolishing this condition that causes a significant morbidity in young adults.", "publicationTitle": "Journal of Pediatric Orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America", "publisher": "", "place": "", "date": "May 2007", "volume": "16", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "189-191", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Pediatr Orthop B", "DOI": "10.1097/01.bpb.0000236229.44819.43", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17414779", "accessDate": "2010-06-21T17:31:59Z", "PMID": "", "PMCID": "", "ISSN": "1060-152X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17414779", "tags": [ { "tag": "Refer to an orthopaedist" }, { "tag": "Risk factors" }, { "tag": "Screening by ultrasound" } ], "collections": [], "relations": {}, "dateAdded": "2010-06-22T16:11:39Z", "dateModified": "2010-06-22T16:11:39Z" } }, { "key": "JN83TNBE", "version": 1, "library": { "type": "group", "id": 20658, "name": "Harrison's List", "links": { "alternate": { "href": "https://www.zotero.org/groups/harrisons_list", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/20658/items/JN83TNBE", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/harrisons_list/items/JN83TNBE", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/20658/items/QFTJWJBV", "type": "application/json" } }, "meta": { "createdByUser": { "id": 278163, "username": "hleepoly", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hleepoly", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "JN83TNBE", "version": 1, "parentItem": "QFTJWJBV", "itemType": "note", "note": "

This focuses on the emotions and feelings of the mothers.

", "tags": [], "relations": {}, "dateAdded": "2010-06-22T16:11:37Z", "dateModified": "2010-06-22T16:11:37Z" } } ]