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Pilot evaluation of anterior dynamic ultrasound screening for developmental dysplasia of the hip in an Australian Regional Hospital


Charlton, S and Muir, L and Skinner, TC and Walters, L, Pilot evaluation of anterior dynamic ultrasound screening for developmental dysplasia of the hip in an Australian Regional Hospital, Rural and Remote Health, 12, (3) Article 2091. ISSN 1445-6354 (2012) [Refereed Article]

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Copyright 2012 S Charlton, L Muir, TC Skinner, L Walters

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Introduction: Developmental Dysplasia of the Hip (DDH) is the most common notifiable musculoskeletal birth defect in South Australia (SA). Despite routine screening by physical examination of the hips in the neonatal period and at 6 weeks of age, the risk of late diagnosis is increased in rural areas. It is assumed this is due to the examining doctors’ reduced clinical expertise. Introducing Anterior Dynamic Ultrasound (ADUS) has reduced the late detection rates in Sweden to almost zero, and may benefit Australian infants in rural areas if routine screening was introduced. This study reports on a small implementation pilot in a SA regional hospital where volunteer postnatal mothers consented to their babies having ADUS examinations. Methods: The pilot was evaluated by collecting results of physical examination, ADUS, and surveying parental impressions of the screening test. Results: Hips of 86 infants underwent ADUS during the implementation pilot. Parents’ perceptions were mainly very positive and indicated ADUS was an accessible and acceptable screening test. Of the hips scanned, three were found to have maximum © S Charlton, L Muir, TC Skinner, L Walters, 2012. A licence to publish this material has been given to James Cook University, 2 movement of the femoral head of >3 mm and were deemed to demonstrate increased laxity. Four hips described as loose or mobile on clinical examination were found to be within normal limits of maximum mobility on ADUS. Conclusions: This study has demonstrated that a larger scale implementation project would be feasible in regional Australia, and would enable researchers to better understand how to reduce the late diagnosis rate of DDH in rural areas. Key words: Australia, congenital, hip dislocation, mass screening, ultrasound.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Public health
Research Field:Community child health
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Skinner, TC (Professor Timothy Skinner)
ID Code:83562
Year Published:2012
Web of Science® Times Cited:2
Deposited By:Faculty of Health
Deposited On:2013-03-18
Last Modified:2013-06-12

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