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. 2016 Jan 19:17:38.
doi: 10.1186/s12891-016-0867-4.

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

Daniel Williams  1 , Evangelia Protopapa  2 , Kuldeep Stohr  3 , James B Hunter  4 , Andreas Roposch  5   6
Affiliations

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

Daniel Williams et al. BMC Musculoskelet Disord. .

Abstract

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° 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.

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Figures

Fig. 1
Fig. 1
Comparison of mean ratings of EPOS and BSCOS. Details of criteria are shown in Additional file 1
See this image and copyright information in PMC

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