Myers J, Hadlow S, Lynskey T
Taranaki Base Hospital, New Plymouth, New Zealand.
J Bone Joint Surg Br. 2009 Feb;91(2):245-8. doi: 10.1302/0301-620X.91B2.21300.
Since September 1964, neonates born in New Plymouth have undergone clinical examination for instability of the hip in a structured clinical screening programme. Of the 41 563 babies born during this period, 1639 were diagnosed as having unstable hips and 663 (1.6%) with persisting instability were splinted, five of which failed. Also, three unsplinted hips progressed to congenital dislocation, and there were four late-presenting (walking) cases, giving an overall failure rate of 0.29 per 1000 live births, with an incidence of late-walking congenital dislocation of the hip of 0.1 per 1000 live births. This study confirms that clinical screening for neonatal instability of the hip by experienced orthopaedic examiners significantly reduces the incidence of late-presenting (walking) congenital dislocation of the hip.
自1964年9月起，新普利茅斯出生的新生儿在一项结构化临床筛查计划中接受了髋关节不稳定的临床检查。在此期间出生的41563名婴儿中，1639名被诊断为髋关节不稳定，663名（1.6%）持续不稳定的婴儿接受了夹板固定，其中5例失败。此外，3例未接受夹板固定的髋关节发展为先天性脱位，还有4例晚期出现（开始行走）的病例，每1000例活产的总体失败率为0.29，晚期行走型先天性髋关节脱位的发生率为每1000例活产0.1。这项研究证实，由经验丰富的骨科检查人员对新生儿髋关节不稳定进行临床筛查可显著降低晚期出现（开始行走）的先天性髋关节脱位的发生率。
