Jones D
J Bone Joint Surg Br. 1977 Aug;59(3):318-22. doi: 10.1302/0301-620X.59B3.893510.
The Norwich Health District (population 400,000) has been studied during a five-year period in an attempt to assess the value of examination of the hip in the newborn. It is confirmed that complicated deliveries produce higher rates of neonatal instability. But, in sixteen out of the seventeen cases with hip dislocations diagnosed late, delivery had been normal. It is estimated that after normal deliveries, hospital doctors detect only 50%, and family doctors only 28%, of cases of instability of the hip. It is concluded: 1) that the problem of congenital dislocation of the hip will not be eliminated by neonatal examination alone, even if skill in clinical examination could be improved and maintained; 2) that repeated examinations should be considered mandatory until the child is walking. In this regard, the value of the sign of limitation of abduction requires study; 3) that the public should be made aware by an appropriate health education programme that the problem of congenital dislocation of the hip has not yet been solved.
诺维奇健康区（人口40万）在五年期间接受了研究，旨在评估新生儿髋关节检查的价值。现已证实，复杂分娩会导致新生儿髋关节不稳定的发生率更高。但是，在确诊较晚的17例髋关节脱位病例中，有16例分娩正常。据估计，正常分娩后，医院医生仅能检测出50%的髋关节不稳定病例，而家庭医生只能检测出28%。得出以下结论：1）即使临床检查技能得以提高并保持，仅通过新生儿检查也无法消除先天性髋关节脱位问题；2）在孩子开始走路之前，应将反复检查视为强制性措施。在这方面，外展受限体征的价值有待研究；3）应通过适当的健康教育计划让公众意识到先天性髋关节脱位问题尚未得到解决。
