Tönnis D, Storch K, Ulbrich H
Department of Orthopaedics, Städtische Kliniken, Dortmund, Federal Republic of Germany.
J Pediatr Orthop. 1990 Mar-Apr;10(2):145-52.
The newborn screening results of 1,310 children examined by Ortolani's and Barlow's manual test, as well as 2,587 children investigated by sonography, have been compared. Of the sonographically pathological hips (technique of Graf), 52.2% had no sign of instability. This was especially true in dysplastic and decentering hip joints, but was found to a smaller degree even in dislocated hips. As a result, twice as many abduction pillows were ordered during the second period. Sonography also detected joints that were immature at birth, but became worse during development (8.9% of hips labeled type 2a, after Graf). A total of 6.54% pathological hips were detected by newborn screening and follow-up of immature hips.
对1310名接受奥尔托拉尼氏和巴洛氏手法检查的儿童以及2587名接受超声检查的儿童的新生儿筛查结果进行了比较。在超声检查显示病理改变的髋关节(格拉夫技术)中,52.2%没有不稳定迹象。这在发育不良和半脱位髋关节中尤为明显,但在脱位髋关节中也有较小程度的发现。结果,在第二阶段订购的外展枕数量增加了一倍。超声检查还发现了出生时不成熟但在发育过程中病情加重的关节(格拉夫分类后2a型髋关节占8.9%)。通过新生儿筛查和对不成熟髋关节的随访,共检测出6.54%的病理髋关节。