ABSTRACT

Conclusions:

We recommend USG examinations for all infants at high risk for DDH because the examination is non-invasive, repeatable, inexpensive, and has no risk of ionizing radiation. Additionally, there is no need for sedation or contrast material administration.

Results:

Of the 443 children, 55.8% were female and 44.2% were male; 74.7% of the infants having DDH were female and 25.3% were male (P < 0.05). Of the infants with DDH, 8.8% had a family history of the disorder. Analysis of the validity of the clinical examination results compared with USG examination re-sults showed the sensitivity, specificity, (+) and (-) predictive values of clinical assessment to be 38.5%, 84.9%, 39.8%, and 84.2%, respectively.

Methods:

The files of children aged 6 months or younger who were born at the Başkent University Hospitals in the years 2000-2002 were examined. Af-ter examination of 443 infants by an experienced paediatrician, an orthopaedic surgeon evaluated all neonate hips by USG. The validity of the clinical exami-nation results versus the validity of the USG examination results was assessed and analysed

Purpose:

To assess the sensitivity and specificity of clinical examination com-pared with ultrasonography (USG) in diagnosing developmental dysplasia of the hip (DDH)