PO-0692 The Value Of Risk Factors In Screening For Developmental Dysplasia Of The Hip (ddh). Can Selective Screening Replace Universal Screening?

• Published in: Archives of disease in childhood 2014-10, Vol.99 (Suppl 2), p.A480-A480
• Main Author: Kurdi, B
• Format: Article
• Language: English
• Subjects: Dysplasia; Genetics; Health risk assessment; Hip; Hip joint; Medical screening; Musculoskeletal diseases; Pregnancy; Risk factors; Screening Tests; Torticollis; Ultrasonic imaging; Ultrasound
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2014-307384.1331

BackgroundUltrasonography is accepted as a reliable tool in detecting DDH. Universal screening is criticised to be financially demanding, time consuming and leads to overtreatment. Selective ultrasonography is proposed as the alternative.MethodsA retrospective study of all newborn in a period of 2 years. All newborn with risk for DDH or positive clinical signs were screened with ultrasonography (selective screening). Data of babies who presented after the age of 6 months with DDH.ResultsBetween May 2008 and April 2010, 33768 live births were registered. 966 newborn had risk for DDH, 532 with breech presentation, 81 had positive family history, 440 were premature, 191 product of multiple pregnancy, 67 had foot abnormality, 3 with torticollis, and 7 with other anomalies.12 babies who were born in the same period and were not screened because they had neither risk for DDH or positive clinical finding presented after the age of 6 months with dislocated hips, In screened group 15 newborn could be discovered early with DDH, whereas 12 were missed and presented late.ConclusionsOnly 56% of newborn with DDH could be detected with the selective screening program, which is statistically not acceptable, and selective screening program in our hand is not an adequate tool to detect DDH. Risk for DDH can detect only 1 out 9 with DDH only, and cannot be considered alone as tool for screening.