The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months
Background and objectives:Developmental dysplasia of the hip is a challenging condition, requiring screening for ear- ly diagnosis. This study was conducted to assess the validity of clinical screening tests of developmental dysplasia of the hip among infants aged less than 6 months. Methods:A c...
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Kurdistan Higher Council Of Medical Specialties
2023-06-01
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| Series: | Advanced Medical Journal |
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| Online Access: | https://amj.khcms.edu.krd/index.php/main/article/view/276 |
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| author | Dalal Ihsan Alswari Selwa Elias Yacoub Rajab Hassan Sanaan |
| author_facet | Dalal Ihsan Alswari Selwa Elias Yacoub Rajab Hassan Sanaan |
| author_sort | Dalal Ihsan Alswari |
| collection | DOAJ |
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Background and objectives:Developmental dysplasia of the hip is a challenging condition, requiring screening for ear- ly diagnosis. This study was conducted to assess the validity of clinical screening tests of developmental dysplasia of the hip among infants aged less than 6 months.
Methods:A cross-sectional study conducted at the center of early de- tection of childhood disability, Duhok City, Iraq for the period from April 2018 to February 2019. A convenience sample of 100 infants aged less than 6 months, who were referred to orthopedic surgeon in this center were included. Three clinical examination tests were conducted followed by ultrasonography of the hip joints.
Results: Out of 100 infants, 59 (59%) were detected by ultrasonography to have Developmental Dysplasia of the Hip; 39% had unilateral and 20% bilateral ones. Barlow test was found to have the highest sensitivity, 49.15%, with a specificity of 85.37%, positive predictive value was 82.86%, and negative predictive value was 53.85%, compared to that of Ortolani test: 30.51%, 82.93%, 72.0%, and 45.33%, respectively. Galeazzi test reported to have the lowest sensitivity (8.47%), with both specificity and positive predictive value of 100%, and negative predictive value of 43.15%. Female gender was signifi- cantly associated with Developmental Dysplasia of the Hip in infants, with female to male ratio of 1.6:1.
Conclusions: Barlow test is the clinical test of the highest sensitivity and good specificity for the screening of infant Developmental Dysplasia of the Hip. Because of the high false negative results of the three clinical screening tests, further assessment with ultrasound is recommended.
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| format | Article |
| id | doaj-art-9b8449a74a664abd8c6c1c959acf18ca |
| institution | OA Journals |
| issn | 2958-8979 2957-3580 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Kurdistan Higher Council Of Medical Specialties |
| record_format | Article |
| series | Advanced Medical Journal |
| spelling | doaj-art-9b8449a74a664abd8c6c1c959acf18ca2025-08-20T02:17:33ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802023-06-016110.56056/amj.2020.116277The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six monthsDalal Ihsan Alswari0Selwa Elias Yacoub1Rajab Hassan Sanaan2M.B.Ch.B. Trainee at KHCMS (Family Medicine)Assistant Professor. M.B.Ch.B, DCM, FICMS/FM. Trainer at KHCMS /Erbil/Iraq.M.B.Ch.B., MSc., BFM (Netherland). Lecturer in the University of Duhok/ College of Medicine Background and objectives:Developmental dysplasia of the hip is a challenging condition, requiring screening for ear- ly diagnosis. This study was conducted to assess the validity of clinical screening tests of developmental dysplasia of the hip among infants aged less than 6 months. Methods:A cross-sectional study conducted at the center of early de- tection of childhood disability, Duhok City, Iraq for the period from April 2018 to February 2019. A convenience sample of 100 infants aged less than 6 months, who were referred to orthopedic surgeon in this center were included. Three clinical examination tests were conducted followed by ultrasonography of the hip joints. Results: Out of 100 infants, 59 (59%) were detected by ultrasonography to have Developmental Dysplasia of the Hip; 39% had unilateral and 20% bilateral ones. Barlow test was found to have the highest sensitivity, 49.15%, with a specificity of 85.37%, positive predictive value was 82.86%, and negative predictive value was 53.85%, compared to that of Ortolani test: 30.51%, 82.93%, 72.0%, and 45.33%, respectively. Galeazzi test reported to have the lowest sensitivity (8.47%), with both specificity and positive predictive value of 100%, and negative predictive value of 43.15%. Female gender was signifi- cantly associated with Developmental Dysplasia of the Hip in infants, with female to male ratio of 1.6:1. Conclusions: Barlow test is the clinical test of the highest sensitivity and good specificity for the screening of infant Developmental Dysplasia of the Hip. Because of the high false negative results of the three clinical screening tests, further assessment with ultrasound is recommended. https://amj.khcms.edu.krd/index.php/main/article/view/276Barlow testDevelopmental Dysplasia of the HipGaleazzi testOrtolani test |
| spellingShingle | Dalal Ihsan Alswari Selwa Elias Yacoub Rajab Hassan Sanaan The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months Advanced Medical Journal Barlow test Developmental Dysplasia of the Hip Galeazzi test Ortolani test |
| title | The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months |
| title_full | The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months |
| title_fullStr | The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months |
| title_full_unstemmed | The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months |
| title_short | The validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months |
| title_sort | validity of clinical examination in screening of developmental dysplasia of the hip among infants aged less than six months |
| topic | Barlow test Developmental Dysplasia of the Hip Galeazzi test Ortolani test |
| url | https://amj.khcms.edu.krd/index.php/main/article/view/276 |
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