Late diagnosis dislocation of the hip joint in children. 1975

K Palmén, and S von Rosen

Dating from 1953, the hips of newborn have been examined routinely all over Sweden. In 1963 more than 99 per cent of all newborns (about 110,000) were delivered at maternity departments, where such examination was recommended. 615 cases of preluxation or dislocation were diagnosed, which means a frequency of 5.6 per thousand. A high frequency reported in some hospitals suggests overdiagnosis. To assess to what extent the examination of newborns has reduced the frequency of late diagnosis dislocation and dysplasia, extracts of the records were obtained concerning all infants born in 1963 and treated for dislocation of the hip in 1963-1966 at orthopaedic departments in Sweden. Twenty-seven reported cases were analysed and the children were reviewed after 4-10 years. Fourteen (52 per cent) of the children were found to have normal or practically normal hips at the review. Eight still had dysplasia with subluxation and 3 had substantially deformed joints, one had moderate deformity and one, untreated, still had luxation. Possible causes of late diagnosis are discussed and it is stressed -- that all physicians who examine newborns should be well versed in examination of the hip joints.--that the hip joints should, when possible, be examined on two occasions during the first weeks of life, especially newborns predisposed to dislocation owing to heredity, breech presentation or different kinds of malformations.--that it should be borne in mind that complete luxation, though rare, may exist already in the neonatal period,--that one should not forget to examine the hips of newborns who, because of prematurity, asphyxia etc., are referred immediately for intense treatment before routine examination of the hips has been carried out,--that a child health centes one should not rely on the results of the examination during the neonatal period, but should always examine the hip joints.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006618 Hip Dislocation, Congenital Congenital dislocation of the hip generally includes subluxation of the femoral head, acetabular dysplasia, and complete dislocation of the femoral head from the true acetabulum. This condition occurs in approximately 1 in 1000 live births and is more common in females than in males. Hip Dysplasia, Congenital,Congenital Dysplasia Of The Hip,Congenital Hip Dislocation,Congenital Hip Displacement,Congenital Hip Dysplasia,Dislocation Of Hip, Congenital,Dislocation, Congenital Hip,Displacement, Congenital Hip,Dysplasia, Congenital Hip,Hip Displacement, Congenital,Hip Dysplasia, Congenital, Nonsyndromic,Hip, Dislocation Of, Congenital,Congenital Hip Dislocations,Congenital Hip Displacements,Congenital Hip Dysplasias,Dislocations, Congenital Hip,Displacements, Congenital Hip,Dysplasias, Congenital Hip,Hip Dislocations, Congenital,Hip Displacements, Congenital,Hip Dysplasias, Congenital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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