Poul J, Fait M
Universitätsklinik für Kinderorthopädie, Brünn, CSFR.
Z Orthop Ihre Grenzgeb. 1991 Jul-Aug;129(4):336-41. doi: 10.1055/s-2008-1040252.
The early diagnosis of CDH in CSFR an in other countries is discussed from different views. To our opinion only the orthopaedic surgeons are able to ensure the high sensitivity and specificity of the clinical tests. In the Brno-prospective epidemiologic study we have examined 19,879 neonates. The frequency of dislocation and instability was 368 cases (18%). The early treatment with Frejka pillow or Pavlik harness has failed only in one case. The systematic second (6 weeks) and third examination (3 months) discovered 19 late diagnosed cases (0.95%). In the era of conventional diagnosis the usual frequency of CDH in CSFR was 20-30%. The ultrasonographic examination of all neonates is not yet possible in our country; we have examined only clinically positive cases.
本文从不同角度探讨了捷克共和国和其他国家先天性髋关节脱位（CDH）的早期诊断问题。我们认为，只有骨科医生才能确保临床检查具有高敏感性和特异性。在布尔诺的一项前瞻性流行病学研究中，我们检查了19879名新生儿。脱位和不稳定的发生率为368例（18%）。使用弗雷卡枕或帕夫利克吊带进行早期治疗仅1例失败。系统性的第二次（6周）和第三次检查（3个月）发现了19例晚期诊断病例（0.95%）。在传统诊断时代，捷克共和国CDH的通常发生率为20%-30%。在我国，对所有新生儿进行超声检查尚不现实；我们仅检查了临床阳性病例。
