Ilfeld F W, Westin G W
Isr J Med Sci. 1980 Apr;16(4):260-6.
Reported series of neonatal examinations of the hip by trained orthopedic surgeons reveal cases of dislocation of the hip discovered many months after the previous normal examination. The possibility of delayed dislocation of the hip needs further study and its recognition is important for the medical and legal professions. Physicians may be blamed erroneously for failure to diagnose CDH at an early stage. In 10 documented cases, early examinations by qualified experts revealed normal hip findings, although the patients were later discovered to have CDH. In five instances, the physical examinations were done by specialists in children's orthopedics. In one case of a child being examined for knock-knee, X-rays accidently included the hips and showed CDH. Thus, clinical signs are not infallible and an occasional case will be missed on examination even in children older than one year. Congenital dysplasia of the hip is a dynamic process and parents should be warned of the possibility of delayed dislocation. Repeated examinations of the hips are recommended.
经训练有素的骨科医生进行的一系列新生儿髋关节检查报告显示，髋关节脱位病例是在之前的正常检查数月后才被发现的。髋关节延迟脱位的可能性需要进一步研究，其识别对医学和法律行业都很重要。医生可能会因未能早期诊断先天性髋关节发育不良（CDH）而被错误地指责。在10个有记录的病例中，尽管患者后来被发现患有CDH，但合格专家的早期检查显示髋关节检查结果正常。其中5例是由儿童骨科专家进行的体格检查。在1例因检查膝外翻而对儿童进行检查的病例中，X射线意外包括了髋关节，结果显示患有CDH。因此，临床体征并非绝对可靠，即使在一岁以上的儿童中进行检查，偶尔也会漏诊病例。先天性髋关节发育不良是一个动态过程，应告知家长髋关节延迟脱位的可能性。建议对髋关节进行反复检查。
