The most relevant diagnostic criteria for developmental dysplasia of the hip: a study of British specialists

Williams, D; Protopapa, E; Stohr, K; Hunter, JB; Roposch, A; (2016) The most relevant diagnostic criteria for developmental dysplasia of the hip: a study of British specialists. BMC Musculoskelet Disord, 17. p. 38. ISSN 1471-2474 DOI:

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BACKGROUND: Developmental dysplasia of the hip (DDH) is the most common orthopaedic disorder in newborns. Despite this considerable variation in practice exists. The aim of this study was to determine the clinical relevance and a ranking order for the diagnostic criteria in DDH amongst paediatric orthopaedic surgeons practicing in the UK. METHOD: One hundred members of the British Society of Children's Orthopaedic Surgery (BSCOS) were asked to rate the importance of 37 criteria useful in the diagnosis of DDH in newborns, using a 10 cm visual analogue scale. We determined the consistency among specialists in rating the criteria with the intraclass correlation coefficient (ICC) and compared the results to a group of international peers. RESULTS: Ortolani/Barlow tests, asymmetry in abduction >/=20 degrees and a first-degree relative treated for DDH ranked among the top ten. Participants demonstrated poor consistency in rating the 37 criteria (ICC 0.39; 95% CI 0.29, 0.52), but for clinical examination criteria alone their consistency improved (ICC 0.52; 0.35, 0.75). The importance ratings of members of BSCOS and members of the European Paediatric Orthopaedic Society differed for 15/37 (41%) criteria (p <0.05). CONCLUSIONS: Members of BSCOS had a preference for criteria relating to clinical examination and ultrasound.

Item Type: Article
Keywords: Female, Follow-Up Studies, Hip Dislocation, Congenital/*diagnosis/epidemiology, Humans, Infant, Newborn, Male, Medicine/methods, Pediatrics/*methods, Physical Examination/*methods, *Societies, Medical, Specialization, United Kingdom/epidemiology, Female, Follow-Up Studies, Hip Dislocation, Congenital, diagnosis, epidemiology, Humans, Infant, Newborn, Male, Medicine, methods, Pediatrics, methods, Physical Examination, methods, Societies, Medical, Specialization, United Kingdom, epidemiology
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 26787538
Web of Science ID: 368771500002


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