Skip Navigation, or press ALT and K together and then press enter.Welcome to the OMC website. This site has been developed for both the visually impaired and non visually impaired. If you would like to use the visually impaired version of this site please go to omc.gov.ie/viewtxt.asp, or press ALT and I together and then press enter

Irish Child Health Database - Peer Reviewed Papers

Database Search


You are here: Irish Child Health Database » Study Papers » Descriptive Studies - With a comparative dimension: time, geography, treatment, procedures » Epidemiology - descriptive, incidence, prevalence and/or trends
  • Clinical screening for developmental dysplasia of the hip in Northern Ireland

    Published in:

    Bmj, Vol: 324, Page: 1031-3

    Publication Date:

    April 2002

    Aims & Objectives:

    The aim of this study was to examine the incidence of late diagnosed developmental dysplasia of the hip requiring surgery in Northern Ireland

    Abstract:

    PROBLEM: The incidence of late diagnosed developmental dysplasia of the hip requiring surgery in Northern Ireland is high. The reported incidence was 1.14 per 1000 children born during 1983-7. DESIGN: Comparative retrospective study. BACKGROUND AND SETTING: Clinical screening programme in Northern Ireland. Key measure for improvement: Reduced rate of operative intervention in children with developmental dysplasia of the hip detected after 6 months of age. STRATEGIES FOR CHANGE: Increased emphasis on staff training, introduction of a centralised nurse led clinic to improve access to orthopaedic surgeons, and increased use of ultrasonography. EFFECTS OF CHANGE: The incidence of developmental dysplasia of the hip diagnosed after 6 months in children born between January 1991 and December 1997 fell to 0.59 per 1000, presumably due to improved early detection. Nevertheless, 29 (16%) of the affected hips were not diagnosed when the child was first referred in the first 3 months of life. In addition, for 27 affected hips in children diagnosed after the age of 6 months there was a known risk factor (family history or breech delivery). LESSONS LEARNT: Improvements to screening processes can reduce late incidence of developmental dysplasia of the hip. Further steps to improve detection in children with known risk factors and rate of detection at first referral could reduce late presentation further.

    Authors:

    S. L. Maxwell; A. L. Ruiz; K. J. Lappin; A. P. Cosgrove

    Study Type:

    Study Papers » Epidemiology - descriptive, incidence, prevalence and/or trends » Descriptive Studies - With a comparative dimension: time, geography, treatment, procedures

    Categories:

    late diagnosed developmental dysplasia of the hip

    International Classification:

    Congenital malformations and deformations of the musculosketal system - Congenital malformations and deformations of the musculoskeletal system - developmental dysplasia of the hip

    Keywords:


    Geography:

    Northern Ireland (Northern Ireland)