CLINICAL PRACTICEControlled trial of immediate splinting versus ultrasonographic surveillance in congenitally dislocatable hips
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Cited by (85)
Developmental dysplasia of the hip (DDH): diagnosis and treatment
2020, Surgery (United Kingdom)Citation Excerpt :The Ortolani manoeuvre is the more useful of the two clinical methods as the Barlow manoeuvre has a low positive predictive value (PPV) of 22%.13 It has been reported that 70% of clinical hip instabilities will resolve within 2 weeks of age and 88% within 4 weeks.24,25 The natural history of the majority of cases of clinical hip instability should be considered as a physiological not a pathological phenomenon due to the rate of spontaneous resolution.
ACR Appropriateness Criteria<sup>®</sup> Developmental Dysplasia of the Hip-Child
2019, Journal of the American College of RadiologyCitation Excerpt :Thus, the AAP recommends screening with US at the age of 4 to 6 weeks [1], and the American Academy of Orthopaedic Surgeons (AAOS) recommends pediatric orthopedic referral before 4 weeks of age [20]. Although US can be performed shortly after birth, its high sensitivity for the detection of mild acetabular immaturity and minor degrees of hip laxity can suggest pathology, potentially leading to overdiagnosis (false-positives) and overtreatment [3,5,18]. Therefore, US is not recommended during the newborn period [59].
Developmental dysplasia of the hip (DDH): diagnosis and treatment
2016, Orthopaedics and TraumaWeighted diagnostic criteria for developmental dysplasia of the hip
2014, Journal of PediatricsEvidence-based management of developmental dysplasia of the hip
2014, Orthopedic Clinics of North AmericaCitation Excerpt :It is stated that treatment should be started as soon as the diagnosis of hip dysplasia is made.12 The earlier the diagnosis, the higher the success rate, with statistically significant improvements seen if treatment is started before 7 weeks of age.13,14 The natural history of hip instability is one of potential spontaneous resolution in the early weeks of life and, as such, the effect size of the Pavlik harness may be overestimated.