Navigation Links
Infants Should Be Screened for Hip Trouble
Date:7/1/2009

Study finds screening infants helps decrease chance of early arthritis

ROSEMONT, Ill., July 1 /PRNewswire-USNewswire/ -- Developmental hip dysplasia is the most common congenital defect in newborns. The condition occurs when a hip joint is shallow, unstable or when the joint is dislocated. Infants with the condition are often at risk of developing arthritis of the hip as a young adult. A new study published in the July 2009 issue of The Journal of Bone and Joint Surgery (JBJS) finds that screening all infants for hip dysplasia can significantly decrease their chance of developing early arthritis.

"This study systematically evaluated what we know about hip dysplasia to determine the best screening strategy for newborns," said study author Susan Mahan, M.D., Pediatric Orthopaedic Surgeon with Children's Hospital in Boston and instructor in orthopaedic surgery at Harvard Medical School. "Our study confirms that pediatricians need to continue their current screening strategies for hip dysplasia. However, our findings refute a recent report from The United States Preventive Services Task Force that was unable to recommend screening strategies."

Symptoms associated with hip dysplasia in infants can include: legs that appear asymmetrical during diaper change or a limp or waddle as a toddler walks.

Dr. Mahan and her colleagues analyzed data from more than 70 research studies and clinical trials dating back to 1939. They compared long-term outcomes in the following screening strategies:

  • Ultrasound screening for hip dysplasia for all newborns
  • A physical exam by a pediatrician for all newborns with ultrasound screening used selectively only for infants with risk factors
  • No screening for any newborn

"We found that the best chance for avoiding early arthritis of the hip as a young adult occurs when you screen all babies with a physical clinical exam and utilize ultrasound for those who have risk factors," said Dr. Mahan. Those risk factors include a family history of hip dysplasia, an infant delivered breech at birth, or positive physical exam.

Hip dysplasia can be difficult to detect, because it is a pain-free condition until adolescence or young adulthood when a patient can experience abnormal wear of the hip joint or hip arthritis.

If the condition is caught early, the most common treatment option for infants is a harness -- consisting of a soft brace, straps and Velcro --that helps to hold the legs in an optimal position for hip development. If the condition is not identified until a child is older, a cast or surgery may be required to reposition the hip in the socket.

"We are trying to catch the cases that do not get better on their own," explains Dr. Mahan. "The younger the child, the easier the condition is to treat. And, with early treatment, it is more likely that long-term complications may be avoided."

Disclosure:

In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants in excess of $10,000 from the National Institutes of Health (#K24 AR02123 and #P60 AR47782), the Orthopaedic Research and Education Foundation, and Siemens Health Care. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.

AAOS

More information about the AAOS

Twitter


'/>"/>
SOURCE American Academy of Orthopaedic Surgeons
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Nicotine in breast milk disrupts infants sleep patterns
2. Shaking may cause brain damage and serious long-term effects to infants
3. Maternal depression and controlling behavior associated with increased stress response in infants
4. Repeat steroids to premature infants linked to cerebral palsy
5. Babies raised in bilingual homes learn new words differently than infants learning one language
6. Research shows how genetic mutation causes epilepsy in infants
7. Combination vaccines okay for infants, study shows
8. $4 million nursing grant focuses on at-risk premature infants
9. McNeil Consumer Healthcare is Voluntarily Withdrawing Infants Cough and Cold Products:
10. Drug Makers Withdraw Cough, Cold Meds for Infants
11. Dr. Laura Jana Offers Parents Five Key Ways to Ensure Accurate Dosing of Liquid Medication to Infants
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Apple ... care services, staged a mock evacuation of the facility as part of a disaster ... Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... 2017 , ... Asante, a nationally recognized health system in ... existing home health joint venture through an agreement, effective October 1, 2017, to ... home health company with Asante, delivering clinically integrated care, for the past eight ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/4/2017)... 4, 2017  South Korean-based healthcare product Development Company ... "cprCUBE" on Kickstarter. The device will educate the user ... with better efficiency compared to the dated and pricey ... on efficacy of the compression for a more informed ... goal to raise $5,000. ...
(Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
Breaking Medicine Technology: