荷兰婴幼儿髋关节发育不良的早期检测：标准化评估方案在婴儿中的有效性
Early detection of developmental dysplasia of the hip in The Netherlands: the validity of a standardized assessment protocol in infants.
作者信息
Boere-Boonekamp M M, Kerkhoff T H, Schuil P B, Zielhuis G A
机构信息
Organisation for Home Care, Hengelo, The Netherlands.
出版信息
Am J Public Health. 1998 Feb;88(2):285-8. doi: 10.2105/ajph.88.2.285.
Abstract
OBJECTIVES
This study evaluated the validity of the traditionally recommended screening protocol for developmental dysplasia of the hip in infants.
METHODS
Study children (n = 1968) underwent a standardized screening examination.
RESULTS
The incidence of developmental dysplasia of the hip was 3.7%. The sensitivity of the test protocol was 86%, the specificity was 82%, and the predictive values of positive and negative tests were 16% and 99%, respectively.
CONCLUSIONS
The validity of the screening protocol for developmental dysplasia of the hip is disappointingly low. The yield of adding an ultrasonographic examination to current screening activities needs further study.
摘要
目的
本研究评估了传统推荐的婴儿髋关节发育不良筛查方案的有效性。
方法
研究对象（n = 1968）接受了标准化筛查检查。
结果
髋关节发育不良的发生率为3.7%。检测方案的敏感性为86%，特异性为82%，阳性和阴性检测的预测值分别为16%和99%。
结论
髋关节发育不良筛查方案的有效性低得令人失望。在当前筛查活动中增加超声检查的收益需要进一步研究。
相似文献
1
Early detection of developmental dysplasia of the hip in The Netherlands: the validity of a standardized assessment protocol in infants.荷兰婴幼儿髋关节发育不良的早期检测：标准化评估方案在婴儿中的有效性
Am J Public Health. 1998 Feb;88(2):285-8. doi: 10.2105/ajph.88.2.285.
2
Clinical examination versus ultrasonography in detecting developmental dysplasia of the hip.临床检查与超声检查在检测发育性髋关节发育不良中的比较。
Int Orthop. 2008 Jun;32(3):415-9. doi: 10.1007/s00264-007-0333-x. Epub 2007 Mar 1.
3
[Screening for developmental dysplasia of the hip: a challenge].
Arch Pediatr. 2011 Sep;18(9):935-8. doi: 10.1016/j.arcped.2011.06.012. Epub 2011 Aug 4.
4
Diagnosis of congenital hip dysplasia in the newborn.
Acta Orthop. 2008 Jun;79(3):313-20. doi: 10.1080/17453670710015193.
5
[Early diagnosis of hip joint dysplasia in neonatal age--clinical or ultrasound methods].
Akush Ginekol (Sofiia). 2007;46 Suppl 1:46-9.
6
Cochrane Review: Screening programmes for developmental dysplasia of the hip in newborn infants.Cochrane系统评价：新生儿髋关节发育不良的筛查项目
Evid Based Child Health. 2013 Jan;8(1):11-54. doi: 10.1002/ebch.1891.
7
Validity and diagnostic bias in the clinical screening for congenital dysplasia of the hip.
Acta Orthop Belg. 1994;60(3):315-21.
8
Neonatal clinical screening of the hip in the diagnosis of developmental dysplasia of the hip: a 15-year prospective longitudinal observational study.新生儿髋关节临床筛查在发育性髋关节发育不良诊断中的应用：一项为期15年的前瞻性纵向观察研究。
Bone Joint J. 2015 Feb;97-B(2):265-9. doi: 10.1302/0301-620X.97B2.34858.
9
[Screening for dysplasia of the hip at health centers].[在健康中心进行髋关节发育异常筛查]
Tidsskr Nor Laegeforen. 2002 Sep 10;122(21):2105-7.
10
Validation of parameters recommended for secondary screening for developmental dysplasia of the hip in Japan.验证日本推荐的发育性髋关节发育不良二次筛查参数。
J Orthop Sci. 2024 Jul;29(4):1015-1019. doi: 10.1016/j.jos.2023.06.013. Epub 2023 Jul 12.
引用本文的文献
1
Epidemiology and Screening of Developmental Dysplasia of the Hip in Europe: A Scoping Review.欧洲发育性髋关节发育不良的流行病学与筛查：一项范围综述
Reports (MDPI). 2024 Feb 1;7(1):10. doi: 10.3390/reports7010010.
2
Deciphering the past status and future tendency: a comprehensive scientometric study on developmental dysplasia of the hip.解读过去状况与未来趋势：一项关于发育性髋关节发育不良的全面科学计量学研究
J Orthop Surg Res. 2024 Dec 19;19(1):853. doi: 10.1186/s13018-024-05358-8.
3
Changes in diagnostics and treatment pathways for developmental dysplasia of the hip after the introduction of national guidelines: An updated questionnaire amongst paediatric orthopaedic surgeons in The Netherlands.国家指南出台后髋关节发育不良的诊断和治疗途径变化：荷兰儿科骨科医生的最新问卷调查
J Child Orthop. 2024 Nov 4;18(6):600-606. doi: 10.1177/18632521241276367. eCollection 2024 Dec.
4
The Effect of Traction before Closed Reduction in Patients with Developmental Dysplasia of the Hip.闭合复位前牵引对发育性髋关节发育不良患者的影响。
Children (Basel). 2022 Aug 31;9(9):1325. doi: 10.3390/children9091325.
5
Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis.基于筛查策略的新生儿发育性髋关节发育不良的发生率和晚期检出率：系统评价和荟萃分析。
JAMA Netw Open. 2022 Aug 1;5(8):e2227638. doi: 10.1001/jamanetworkopen.2022.27638.
6
Treatment of centered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline - Part 1.1岁以下儿童发育性髋关节中心性发育不良的治疗：循证临床实践指南 - 第1部分
EFORT Open Rev. 2022 Jul 5;7(7):498-505. doi: 10.1530/EOR-21-0125.
7
Association between timing and duration of breech presentation during pregnancy and developmental dysplasia of the hip: A case-control study.妊娠期间臀位出现的时间和持续时间与发育性髋关节发育不良的关系：病例对照研究。
J Child Health Care. 2023 Mar;27(1):35-45. doi: 10.1177/13674935211042198. Epub 2021 Sep 2.
8
Feasibility and Impact of Doctor-Nurse Task Delegation in Preventive Child Health Care in the Netherlands, a Controlled Before-After Study.荷兰儿童预防性保健中医生-护士任务委托的可行性与影响：一项前后对照研究
PLoS One. 2015 Oct 14;10(10):e0139187. doi: 10.1371/journal.pone.0139187. eCollection 2015.
9
Can a triple pelvic osteotomy for adult symptomatic hip dysplasia provide relief of symptoms for 25 years?对于成人髋臼发育不良的患者，行三部分骨盆截骨术能否缓解症状长达 25 年？
Clin Orthop Relat Res. 2013 Feb;471(2):584-90. doi: 10.1007/s11999-012-2701-0. Epub 2012 Nov 21.
10
Diagnosis and treatment of developmental dysplasia of the hip in the Netherlands: national questionnaire of paediatric orthopaedic surgeons on current practice in children less than 1 year old.荷兰发育性髋关节发育不良的诊断与治疗：针对1岁以下儿童当前治疗方法的儿科骨科医生全国调查问卷
J Child Orthop. 2011 Aug;5(4):267-271. doi: 10.1007/s11832-011-0355-1. Epub 2011 Jul 3.
本文引用的文献
1
Developmental dislocation of the hip: evolutionary changes in diagnosis and treatment.
J Pediatr Orthop. 1994 Jan-Feb;14(1):1-2. doi: 10.1097/01241398-199401000-00001.
2
Developmental dysplasia of the hip.发育性髋关节发育不良
Pediatrics. 1994 Aug;94(2 Pt 1):201-8.
3
Ultrasound imaging and secondary screening for congenital dislocation of the hip.
J Bone Joint Surg Br. 1994 Jul;76(4):525-33.
4
5
Cost-effectiveness of alternative screening strategies for developmental dysplasia of the hip.发育性髋关节发育不良的替代筛查策略的成本效益
Arch Pediatr Adolesc Med. 1995 Jun;149(6):643-8.
6
Congenital hip dislocation: an increasing and still uncontrolled disability?先天性髋关节脱位：一种日益增多且仍未得到有效控制的残疾？
Br Med J (Clin Res Ed). 1982 Nov 27;285(6354):1527-30. doi: 10.1136/bmj.285.6354.1527.
7
Prevention of congenital dislocation of the hip. The Swedish experience of neonatal treatment of hip joint instability.先天性髋关节脱位的预防。瑞典新生儿髋关节不稳定治疗经验。
Acta Orthop Scand Suppl. 1984;208:1-107.
8
Congenital dislocation of the hip: early and late diagnosis and management compared.先天性髋关节脱位：早期与晚期诊断及治疗对比
Arch Dis Child. 1985 May;60(5):407-14. doi: 10.1136/adc.60.5.407.
9
[Ultrasonography as initial imaging study can replace roentgen studies under certain circumstances in suspected congenital hip dysplasia].
Ned Tijdschr Geneeskd. 1992 May 16;136(20):982-5.
10
[Early diagnosis of hip dysplasia--arguments for a general ultrasonographic screening].
Schweiz Rundsch Med Prax. 1992 Apr 14;81(16):519-23.
Zotero 插件