School of Nursing, University of Tasmania, Burnie, TAS, Australia.
Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia.
J Child Health Care. 2024 Mar;28(1):132-149. doi: 10.1177/13674935221095647. Epub 2022 Jun 7.
Developmental hip dysplasia is an abnormality of the hip joint which is associated with an unstable or dislocatable hip. During infancy, hips should be screened to determine whether they are stable, unstable or dislocated. In Australia, this screening is often performed by nurses using physical assessment. Physical examination includes a number of assessments which seek to identify underlying abnormalities in hip joint anatomy and function. This scoping review outlines the physical assessments used by nurses in the screening and surveillance of developmental hip dysplasia. A review of the literature identified 15 ( = 15; 100%) sources of evidence, which included original research articles ( = 6; 40%), expert opinion pieces ( = 2; 13.3%) and practice guidelines ( = 7; 46.7%). There were 18 physical assessments identified as being used by nurses in the screening process for developmental hip dysplasia. However, it is apparent that high quality research is required to examine the timing, specificity and sensitivity of the physical assessments identified.
发育性髋关节发育不良是髋关节的一种异常，与髋关节不稳定或脱位有关。在婴儿期，应该对髋关节进行筛查，以确定其是否稳定、不稳定或脱位。在澳大利亚，这种筛查通常由护士使用体格检查来进行。体格检查包括多项评估，旨在确定髋关节解剖结构和功能的潜在异常。本范围综述概述了护士在发育性髋关节发育不良筛查和监测中使用的体格评估。文献回顾确定了 15 项（=15；100%）证据来源，其中包括原始研究文章（=6；40%）、专家意见文章（=2；13.3%）和实践指南（=7；46.7%）。有 18 项体格评估被确定为护士在发育性髋关节发育不良筛查过程中使用。然而，显然需要高质量的研究来检查确定的体格评估的时间、特异性和敏感性。
