developmental dysplasia of hip screening using ortolani and barlow testing on breech delivered neonates
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ID: 216027
2011
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Abstract
INTRODUCTION: We conducted this study to compare the
specificity and sensitivity of the Ortolani and Barlow tests
performed by dedicated examiners, and to ascertain the
incidence of developmental dysplasia of the hip (DDH) in
breech babies. METHODS: A dedicated examiner underwent
specific training and testing by a paediatric orthopaedic
surgeon. Routine examiners were medical officers who had
basic training in medical school and were briefly trained by
their superiors. The dedicated examiner examined 170
babies. Thirty babies including 5 babies with positive tests
(according to the dedicated examiner) were examined by a
blinded routine examiner. Results of Ortolani and Barlow
tests on 30 babies were compared with ultrasound
examination by blinded radiologist. RESULTS: Five babies had
positive Ortolani and Barlow tests. The routine examiner did
not detect positive Ortolani and Barlow tests. CONCLUSION:
The incidence of positive Ortolani and Barlow tests among
breech babies was 2.8%. Result of Ortolani and Barlow tests
by dedicated hip screener were better than results performed
by routine examiner.
| Reference Key |
sulaiman2011malaysiandevelopmental
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|---|---|
| Authors | ;AR Sulaiman;Zakaria Yusof;I Munajat;NAA Lee;Nik Zaki |
| Journal | acta universitatis danubius: oeconomica |
| Year | 2011 |
| DOI |
http://dx.doi.org/10.5704/MOJ.1111.008
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| URL | |
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