ISSN: 2147-2092
IS CLINICAL EXAMINATION RELIABLE IN DIAGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP?
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Original Investigation
VOLUME: 19 ISSUE: 2
P: 56-59
April 2008

IS CLINICAL EXAMINATION RELIABLE IN DIAGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP?

GMJ 2008;19(2):56-59
Seval Akgün 1
Coskun Bakar 1
I.İrem Budakoglu 1
Cengiz Tuncay 2
Tuğba Cemil 3
1. Başkent University, Faculty of Medicine, Department of Public Health Ankara, Turkey
2. Başkent University, Faculty of Medicine Department of Orthopedic Surgery, Ankara, Turkey
3. Başkent University Adana Application and Research Center, Adana, Turkey
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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)