Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study
BACKGROUND: Detecting developmental dysplasia of the hip in infants is crucial. This study aimed to estimate the sensitivity of clinical screening for developmental dysplasia of the hip in a tertiary care setting. We compared clinical findings with ultrasound results to determine diagnostic accurac...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2025-08-01
|
| Series: | Swiss Medical Weekly |
| Online Access: | https://smw.ch/index.php/smw/article/view/4077 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850038487986733056 |
|---|---|
| author | Enrica Pittaluga Alexis Arnoux Sophie Merckaert |
| author_facet | Enrica Pittaluga Alexis Arnoux Sophie Merckaert |
| author_sort | Enrica Pittaluga |
| collection | DOAJ |
| description |
BACKGROUND: Detecting developmental dysplasia of the hip in infants is crucial. This study aimed to estimate the sensitivity of clinical screening for developmental dysplasia of the hip in a tertiary care setting. We compared clinical findings with ultrasound results to determine diagnostic accuracy.
METHODS: This retrospective study evaluated newborns aged 0–4 months treated for developmental dysplasia of the hip from May 2017 to June 2023 at a tertiary care centre in Switzerland. All patients underwent clinical examinations and a hip ultrasound scan (Graf method). The sensitivity of clinical findings was calculated, along with 95% confidence intervals (CI), and stratified by developmental dysplasia of the hip severity.
RESULTS: Among 122 newborns, clinical screening demonstrated an overall sensitivity of 66% (95% CI: 58–74%). Sensitivity was higher for unstable hips (91%, 95% CI: 82–99%) than for stable hips (50%, 95% CI: 38–62%). Differences in diagnostic timing were observed between groups.
CONCLUSION: Clinical screening for developmental dysplasia of the hip showed limited sensitivity, particularly for stable cases. Universal ultrasound screening could improve early detection rates.
|
| format | Article |
| id | doaj-art-adae2f61ef564627b30e0fa98a32a0bd |
| institution | DOAJ |
| issn | 1424-3997 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj-art-adae2f61ef564627b30e0fa98a32a0bd2025-08-20T02:56:34ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972025-08-01155810.57187/s.4077Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective studyEnrica Pittaluga0Alexis ArnouxSophie MerckaertUniversité de Lausanne BACKGROUND: Detecting developmental dysplasia of the hip in infants is crucial. This study aimed to estimate the sensitivity of clinical screening for developmental dysplasia of the hip in a tertiary care setting. We compared clinical findings with ultrasound results to determine diagnostic accuracy. METHODS: This retrospective study evaluated newborns aged 0–4 months treated for developmental dysplasia of the hip from May 2017 to June 2023 at a tertiary care centre in Switzerland. All patients underwent clinical examinations and a hip ultrasound scan (Graf method). The sensitivity of clinical findings was calculated, along with 95% confidence intervals (CI), and stratified by developmental dysplasia of the hip severity. RESULTS: Among 122 newborns, clinical screening demonstrated an overall sensitivity of 66% (95% CI: 58–74%). Sensitivity was higher for unstable hips (91%, 95% CI: 82–99%) than for stable hips (50%, 95% CI: 38–62%). Differences in diagnostic timing were observed between groups. CONCLUSION: Clinical screening for developmental dysplasia of the hip showed limited sensitivity, particularly for stable cases. Universal ultrasound screening could improve early detection rates. https://smw.ch/index.php/smw/article/view/4077 |
| spellingShingle | Enrica Pittaluga Alexis Arnoux Sophie Merckaert Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study Swiss Medical Weekly |
| title | Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study |
| title_full | Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study |
| title_fullStr | Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study |
| title_full_unstemmed | Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study |
| title_short | Sensitivity of clinical screening for detecting developmental dysplasia of the hip: a retrospective study |
| title_sort | sensitivity of clinical screening for detecting developmental dysplasia of the hip a retrospective study |
| url | https://smw.ch/index.php/smw/article/view/4077 |
| work_keys_str_mv | AT enricapittaluga sensitivityofclinicalscreeningfordetectingdevelopmentaldysplasiaofthehiparetrospectivestudy AT alexisarnoux sensitivityofclinicalscreeningfordetectingdevelopmentaldysplasiaofthehiparetrospectivestudy AT sophiemerckaert sensitivityofclinicalscreeningfordetectingdevelopmentaldysplasiaofthehiparetrospectivestudy |