, Volume 471, Issue 6, pp 1955-1956
Date: 04 Apr 2013

CORR Insights®: Variations in the Use of Diagnostic Criteria for Developmental Dysplasia of the Hip

This is an excerpt from the content

Where Are We Now?

Developmental dysplasia of the hip is a common abnormality, yet it remains poorly defined. Specialists agree on the characteristics of normal and dislocated hips, but the dysplastic hip remains a grey area, variably characterized by numerous clinical and radiographic findings. With the advent of new technology, we have fallen prey to diagnostic information that supersedes our understanding of the disease. As a result, we are without a recognized standard of diagnosis, and a poor understanding of which radiographic and sonographic characteristics in infancy correlate with actual morbidity. The absence of agreed upon diagnostic criteria likely results in erroneous reporting of prevalence data, misleading reporting of outcomes, and inconsistent treatment algorithms.

Early management of developmental hip dysplasia is critical since the fate of a dysplastic hip can be radically altered with treatment initiated in infancy. Widespread ultrasound screening programs have been su ...

A note from the Editor-in-Chief: This CORR Insights ® is a commentary on the article “Variations in the Use of Diagnostic Criteria for Developmental Dysplasia of the Hip” by Roposch and colleagues available at DOI 10.1007/s11999-013-2846-5.
Each author certifies that he, or a member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request.
The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR ® or the Association of Bone and Joint Surgeons®.
This CORR Insights® comment refers to the article available at DOI 10.1007/s11999-013-2846-5.
This comment refers to the article available at: http://dx.doi.org/10.1007/s11999-013-2846-5.