Back to Search
Start Over
Instability of the neonatal hip: the role of early or late splintage
- Source :
- International Orthopaedics. 28:270-273
- Publication Year :
- 2004
- Publisher :
- Springer Science and Business Media LLC, 2004.
-
Abstract
- From January 1992 to December 1997, 59 dislocatable hips (37 children), confirmed by ultrasound, were splinted by Pavlik bracing within 2 weeks of birth. The majority were splinted within 1 week. From January 1998 to December 1999, 16 dislocatable hips (11 children) were evaluated by ultrasound and were not initially splinted but were followed up by serial ultrasound. They were splinted if they did not spontaneously stabilise on ultrasound. None of those patients treated by immediate splintage between 1992 and 1997 have subsequently required surgical intervention. Two of the infants treated between 1998 and 1999 (12% of the hips) later required a surgical procedure on the hip joint or proximal femur (p=0.049, Fisher’s exact test). Nine out of 16 hips required splintage at a later date. We would not advocate delayed observation by ultrasound of unstable hips after 2 weeks of age. A clinically unstable hip should be assessed by ultrasound within 2 weeks of birth. If it is unstable on ultrasound, it should be splinted for 6 weeks. There is no need to wean off the splint.
- Subjects :
- Joint Instability
Male
musculoskeletal diseases
medicine.medical_specialty
Time Factors
Adolescent
medicine.medical_treatment
Risk Assessment
Cohort Studies
Age Distribution
Neonatal Screening
medicine
Humans
Orthopedics and Sports Medicine
Prospective Studies
Range of Motion, Articular
Sex Distribution
Child
Prospective cohort study
Hip Dislocation, Congenital
Original Paper
Proximal femur
business.industry
Incidence
Ultrasound
Infant, Newborn
Ultrasonography, Doppler
Joint instability
United Kingdom
Surgery
Splints
Child, Preschool
Orthopedic surgery
Female
Range of motion
business
Splint (medicine)
Follow-Up Studies
Subjects
Details
- ISSN :
- 14325195 and 03412695
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- International Orthopaedics
- Accession number :
- edsair.doi.dedup.....dffba189d33673994df18ae9c7419766