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Pediatric Radiology

, Volume 43, Issue 5, pp 637–640 | Cite as

Screening for developmental hip dysplasia (DDH)—clinically or sonographically? Comments to the current discussion and proposals

  • Michael RiccabonaEmail author
  • Gerolf Schweintzger
  • Franz Grill
  • Reinhold Graf
Letter to the Editor

Sir,

This letter is to outline the position of representatives of the German-speaking countries, particularly from Austria, with regard to screening US for developmental hip dysplasia. This letter is in response to the recommendations on hip screening from the European Society of Paediatric Radiology (ESPR) task force on developmental hip dysplasia published in 2011 [1].

There is an increasing debate on how to screen for developmental hip dysplasia. Partially driven by economic reasons, the ESPR proposal has been made to initially rely on clinical findings and potential risk factors such as family history or breech delivery and to only sonographically assess those who have a dislocatable or dislocated hip as well as infants with risk factors (selective screening). This approach is said to help to reduce overtreatment.

The algorithm by the ESPR task force on developmental hip dysplasia has some major restrictions that need to be carefully considered before deciding to omit general and...

Keywords

Universal Screening Selective Screening Late Manifestation Acetabular Correction Graf Method 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Rosendahl K (2011) European Society of Paediatric Radiology’s task force group on DDH: recommendations on hip screening. (Members: Arthur R, Adamsbaum C, Barber I, Riccabona M, Rosendahl K, Toma P, Treguier C) ESPR newsletter VI, 2011. http://www.espr.org/index.php?option=com_content&view=article&id=207:recommendations-on-hip-screening&catid=131:ddh-taskforce-recommendations&Itemid=41. Accessed 21 November 2012
  2. 2.
    Grill F, Muller D (1997) Results of hip ultrasonographic screening in Austria. Orthopade 26:25–32PubMedGoogle Scholar
  3. 3.
    Oggier W (2004) The hip sonography screening—some thoughts of health economists. Schweiz Ärzteztg 85:12Google Scholar
  4. 4.
    Kries R, Ihme N, Oberle D et al (2003) Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany. Lancet 362:1883–1887CrossRefGoogle Scholar
  5. 5.
    Thallinger C, Grill F, Ganger R (2012) Results of the Austrian ultrasound screening program for developmental dysplasia of the hip. Am J Bone Joint Surg (in review)Google Scholar
  6. 6.
    Matthiesen HD (2008) Quality assurance sonography of the infant hip. Kinder und Jugendarzt 39:123–129Google Scholar
  7. 7.
    Graf R (2007) Hip sonography: 20 years experience and results. Hip Int 17(Suppl5):S8–S14PubMedGoogle Scholar
  8. 8.
    Rosendahl K, Toma P (2007) Ultrasound in the diagnosis of developmental dysplasia of the hip in newborns. The European approach. A review of methods, accuracy and clinical validity. Eur Radiol 17:1960–1967PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Michael Riccabona
    • 1
    Email author
  • Gerolf Schweintzger
    • 2
  • Franz Grill
    • 3
  • Reinhold Graf
    • 4
  1. 1.Department of Radiology, Division of Pediatric RadiologyUniversity Hospital LKH GrazGrazAustria
  2. 2.Department of PediatricsLKH LeobenLeobenAustria
  3. 3.Department of Paediatric OrthopaedicsOrthopaedic HospitalWienAustria
  4. 4.Department of OrthopaedicsLKH StolzalpeStolzalpeAustria

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