CLINICAL VERSUS ULTRASONOGRAPHIC EXAMINATION IN CONGENITAL DYSPLASIA OF HIP JOINT.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 5
Abstract
Background: Congenital dysplasia of hip joint (CDH) is one of the congenital anomalies in newborn that if not diagnosed and treated on time can lead to a severe instability. Although clinical examination is very useful way for screening, but in some patients a confirmatory diagnostic method such as Ultrasonography is needed. The aim of the present study is to compare the sensitivity and specificity of clinical examination and ultrasonography in early detection of CDH. Material and Methods: A total of 1000 newborn were examined by orthopedic surgeons as screening method. The newborns with risk factors or suspicious on clinical examinations were introduced to repeat clinical and ultrasonographic examination of hip joint. The results were collected and recorded by a check list and their sensitivity and specificity of clinical examination were calculated. Results: There were about 980 newborns (1,960 hips) who were studied by two methods of clinical examination and ultrasonography (by Graf Method), the overall incidence of CDH was 33 per 1000. Only 13.5% of the disordered hips according to clinical examination were involved on ultrasonographic evaluation and the remaining 72% involved hips according to ultrasonography (Graf Type IIIb or Merze) were diagnosed Normal on clinical examination. Considering ultrasonography as gold standard method of evaluating CDH, the sensitivity and specificity of clinical examination were calculated 29% and 93% respectively. Conclusion: According to present study, ultrasonographic examination has high valuable in screening of CDH and clinical examination done by experienced orthopedic surgeon has an acceptable value in primary screening of CDH in developing countries for detecting healthy neonates, but if the newborn has a risk or is suspicious on clinical examination, it will be necessary to have assistance from ultrasonography by an experienced sonographer.
Authors and Affiliations
Mustafa Elsagheir, Rashid Darbauk, Ala Wafa, Wisam Abozaid.
Keywords
Related Articles
- EP ID EP296016
- DOI 10.21474/IJAR01/7065
- Views 52
- Downloads 0
DEPRESSION AND WORK-RELATED FACTORS AMONG NURSES WORKING AT MOI TEACHING AND REFERRAL HOSPITAL ELDORET, KENYA: A CROSS-SECTIONAL STUDY.
Objectives: To determine the relationship between work related factors and depression among nurses working at Moi Teaching and Referral Hospital. Methods: A cross-sectional design was employed. Stratified sampling techni...
PNEUMATOCYST COMPLICATING A GIANT NECROTIC MACROPROLACTINOMA: ABOUT A VERY RARE CASE.
Treatment of patients with giant and invasive macroprolactinomas consists of dopamine agonists (cabergoline or bromocriptine). When they reduce the size of invasive prolactinomas, the intra and extra cranial spaces may c...
POLICY OF GOVERNMENT OF THE REPUBLIC OF INDONESIA IN THE PROTECTION AND CONSERVATION OF REGIONAL LANGUAGES: A LANGUAGE PLANNING STUDY.
This study analyzes the policies both at the national level, as well as the regional level that has been applied by the Indonesian government in protecting the regional languages in Indonesia. This research uses descript...
ENUMERATION OF BACTERIA; A TOOL FOR WATER QUALITY EVALUATION IN TUNGA RESERVOIR AT GAJANUR, KARNATAKA.
Aquatic bacteria forms most dangerous constituents of potable water and play a vital role in causing enteric disorders, thus bacteriological examination of potable water is therefore a greater importance from the public...
EVALUATION OF ANTIBIOFILM ACTIVITY OF THE LATEX EXTRACTED FROM HIMATANTHUS DRASTICUS (MART.) PLUMEL (JANAGUBA).
The secondary metabolites present in plants often have antibiofilmactivity, this property attributed to plant compounds is of great importance, given the formation of biofilms in biomaterials, which further boosts the se...