Cochrane Review: Screening programmes for developmental dysplasia of the hip in newborn infants

Abstract BackgroundUncorrected developmental dysplasia of the hip (DDH) is associated with long term morbidity such as gait abnormalities, chronic pain and degenerative arthritis. ObjectivesTo determine the effect of different screening programmes for DDH on the incidence of late presentation of congenital hip dislocation. Search methodsSearches were performed in CENTRAL (The Cochrane Library), MEDLINE and EMBASE (January 2011) supplemented by searches of clinical trial registries, conference proceedings, cross references and contacting expert informants. Selection criteriaRandomised, quasi‐randomised or cluster trials comparing the effectiveness of screening programmes for DDH. Data collection and analysisThree independent review authors assessed study eligibility and quality, and extracted data. Main resultsNo study examined the effect of screening (clinical and/or ultrasound) and early treatment versus not screening and later treatment.One study reported universal ultrasound compared to clinical examination alone did not result in a significant reduction in late diagnosed DDH or surgery but was associated with a significant increase in treatment.One study reported targeted ultrasound compared to clinical examination alone did not result in a significant reduction in late diagnosed DDH or surgery, with no significant difference in rate of treatment.Meta‐analysis of two studies found universal ultrasound compared to targeted ultrasound did not result in a significant red...
Source: Evidence-Based Child Health: A Cochrane Review Journal - Category: Pediatrics Authors: Tags: Intervention Review Source Type: research