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Why is congenital dislocation of the hip still missed? Analysis of 96,891 infants screened in Malmo 1956-1987

Sanfridson, Jan; Redlund-Johnell, Inga LU and Uden, Alf (1991) In Acta Orthopaedica Scandinavica 62(2). p.87-91
Abstract
During 1956 through 1987, 96,891 children have been screened for neonatal hip instability according to the tests of Ortolani and Barlow. In 1956 through 1972 only 4/58, 759 (0.07 permille) were missed, whereas during 1980 through 1987, 12/19, 398 (0.6 permille) were missed. This increase is not caused by any formal alteration of the screening programme. The screening has prevented a late diagnosis in all children born in breech presentation and in all boys except one. General factors such as female sex and joint laxity imply an increased risk for being missed in the screening, whereas mechanical factors such as breech presentation and the primogeniture effect likely facilitate an early diagnosis in the screening. The time between birth and... (More)
During 1956 through 1987, 96,891 children have been screened for neonatal hip instability according to the tests of Ortolani and Barlow. In 1956 through 1972 only 4/58, 759 (0.07 permille) were missed, whereas during 1980 through 1987, 12/19, 398 (0.6 permille) were missed. This increase is not caused by any formal alteration of the screening programme. The screening has prevented a late diagnosis in all children born in breech presentation and in all boys except one. General factors such as female sex and joint laxity imply an increased risk for being missed in the screening, whereas mechanical factors such as breech presentation and the primogeniture effect likely facilitate an early diagnosis in the screening. The time between birth and the first examination is also of some importance. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica Scandinavica
volume
62
issue
2
pages
87 - 91
publisher
Taylor & Francis
external identifiers
  • pmid:2014732
  • scopus:0025975572
ISSN
0001-6470
DOI
10.3109/17453679108999228
language
English
LU publication?
yes
id
682ecee2-18a7-4b7b-b814-6f488c42ba30 (old id 1105815)
date added to LUP
2008-08-04 11:49:27
date last changed
2017-01-01 07:14:31
@article{682ecee2-18a7-4b7b-b814-6f488c42ba30,
  abstract     = {During 1956 through 1987, 96,891 children have been screened for neonatal hip instability according to the tests of Ortolani and Barlow. In 1956 through 1972 only 4/58, 759 (0.07 permille) were missed, whereas during 1980 through 1987, 12/19, 398 (0.6 permille) were missed. This increase is not caused by any formal alteration of the screening programme. The screening has prevented a late diagnosis in all children born in breech presentation and in all boys except one. General factors such as female sex and joint laxity imply an increased risk for being missed in the screening, whereas mechanical factors such as breech presentation and the primogeniture effect likely facilitate an early diagnosis in the screening. The time between birth and the first examination is also of some importance.},
  author       = {Sanfridson, Jan and Redlund-Johnell, Inga and Uden, Alf},
  issn         = {0001-6470},
  language     = {eng},
  number       = {2},
  pages        = {87--91},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica Scandinavica},
  title        = {Why is congenital dislocation of the hip still missed? Analysis of 96,891 infants screened in Malmo 1956-1987},
  url          = {http://dx.doi.org/10.3109/17453679108999228},
  volume       = {62},
  year         = {1991},
}