Department of Paediatrics, Mayo General Hospital, Castlebar, Co, Mayo, Republic of Ireland.
Ir J Med Sci. 2010 Jun;179(2):279-83. doi: 10.1007/s11845-009-0339-z. Epub 2009 May 2.
To ascertain the current approach to screen for developmental dysplasia of the hip in the Republic of Ireland.
Two-pronged prospective and retrospective study. (1) Postal questionnaire to consultant paediatricians responsible for the routine neonatal care of infants in the Irish Republic in June 2006. (2) Retrospective database review to identify infants undergoing radiological follow-up and their outcome.
All maternity units surveyed responded. Most units (84%) were dependent on radiographs at 4-6 months for imaging hips, only two units primarily used ultrasound (10.5%). We estimate that neonatal hip examination is performed by an experienced examiner in less than 30% of routine newborn examinations. On retrospective analysis, 94% of radiographs performed were normal.
The most effective interventions, selective ultrasound and examination by an experienced clinician are not widely practiced. There is a need for the development of national guidelines based on available resources.
确定爱尔兰共和国目前在发育性髋关节发育不良筛查方面的方法。
采用前瞻性和回顾性的双管齐下的研究方法。（1）2006 年 6 月，向负责爱尔兰常规新生儿护理的儿科顾问医生邮寄问卷。（2）回顾性数据库检索以确定进行影像学随访的婴儿及其结果。
所有接受调查的产科单位都做出了回应。大多数单位（84%）依靠 4-6 个月时的 X 光片来成像髋关节，只有两个单位主要使用超声（10.5%）。我们估计，在常规新生儿检查中，有经验的检查者进行新生儿髋关节检查的比例不到 30%。回顾性分析显示，94%的 X 光片结果正常。
最有效的干预措施，即选择性超声和有经验的临床医生检查，并没有得到广泛应用。需要根据现有资源制定国家指南。
