Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study.

IF 1.9 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Swiss medical weekly Pub Date : 2025-08-05 DOI:10.57187/s.4077

Enrica Pittaluga, Alexis Arnoux, Sophie Merckaert

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引用次数: 0

Abstract

Background: Detecting developmental dysplasia of the hip in infants is crucial. This study aimed to estimate the sensitivity of clinical screening for developmental dysplasia of the hip in a tertiary care setting. We compared clinical findings with ultrasound results to determine diagnostic accuracy.

Methods: This retrospective study evaluated newborns aged 0-4 months treated for developmental dysplasia of the hip from May 2017 to June 2023 at a tertiary care centre in Switzerland. All patients underwent clinical examinations and a hip ultrasound scan (Graf method). The sensitivity of clinical findings was calculated, along with 95% confidence intervals (CI), and stratified by developmental dysplasia of the hip severity.

Results: Among 122 newborns, clinical screening demonstrated an overall sensitivity of 66% (95% CI: 58-74%). Sensitivity was higher for unstable hips (91%, 95% CI: 82-99%) than for stable hips (50%, 95% CI: 38-62%). Differences in diagnostic timing were observed between groups.

Conclusion: Clinical screening for developmental dysplasia of the hip showed limited sensitivity, particularly for stable cases. Universal ultrasound screening could improve early detection rates.

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临床筛查检测髋关节发育不良的敏感性：一项回顾性研究。

背景：检测婴儿髋关节发育不良是至关重要的。本研究旨在评估在三级医疗机构中对髋关节发育不良进行临床筛查的敏感性。我们将临床表现与超声结果进行比较，以确定诊断的准确性。方法：本回顾性研究评估了2017年5月至2023年6月在瑞士一家三级保健中心接受髋关节发育不良治疗的0-4个月新生儿。所有患者均接受临床检查和髋关节超声扫描（Graf法）。计算临床表现的敏感性，以及95%可信区间（CI），并根据髋关节发育不良的严重程度分层。结果：在122名新生儿中，临床筛查显示总体敏感性为66% （95% CI: 58-74%）。不稳定髋部的敏感性（91%,95% CI: 82-99%）高于稳定髋部（50%,95% CI: 38-62%）。观察两组间诊断时间的差异。结论：髋关节发育不良的临床筛查敏感性有限，特别是对病情稳定的病例。普遍的超声筛查可以提高早期检出率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Swiss medical weekly 医学-医学：内科

CiteScore

5.00

自引率

0.00%

发文量

审稿时长

3-8 weeks

期刊介绍： The Swiss Medical Weekly accepts for consideration original and review articles from all fields of medicine. The quality of SMW publications is guaranteed by a consistent policy of rigorous single-blind peer review. All editorial decisions are made by research-active academics.