December 2024. Volume 20. Number 4

To what degree can we continue to rely on clinical maneuvers to screen for developmental dysplasia of the hips?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Singh A, Wade RG, Metcalfe D, Perry DC. Does This Infant Have a Dislocated Hip?: The Rational Clinical Examination Systematic Review. JAMA. 2024;331:1576-85.

Reviewers: Oltra Benavent M1, Cuestas Montañés EJ2.
1Sección de Patología Infecciosa Infantil. Hospital Universitari i Politècnic La Fe. Valencia. España.
2Servicio de Pediatría y Neonatología. Hospital Privado Universitario de Córdoba. Córdoba. Argentina.
Correspondence: Manuel Oltra Benavent . Email: oltra.benavent@gmail.com
Reception date: 28/10/2024
Acceptance date: 15/11/2024
Publication date: 27/11/2024

Abstract

Authors´ conclusions: in studies in which all infant hips were screened for developmental dysplasia of the hip, the prevalence of a dislocated hip was 0.94%. A positive likelihood ratio for the Barlow and Ortolani maneuvers was the finding most associated with an increased likelihood of a dislocated hip. Limited hip abduction or a clicking sound had no clear diagnostic utility.

Reviewers´ commentary: the Ortolani and Barlow clinical maneuvers for screening for developmental dysplasia of the hips present good specificity with respect to ultrasound diagnosis, although their low sensitivity, especially if performed by non-experts, does not allow avoiding potential cases of late diagnosis.

How to cite this article

Oltra Benavent M, Cuestas Montañés E. Displasia de desarrollo de caderas: ¿podemos seguir confiando en las maniobras clínicas? Evid Pediatr. 2024;20:48.

AVC | Critically appraised articles

Singh A, Wade RG, Metcalfe D, Perry DC. Does This Infant Have a Dislocated Hip?: The Rational Clinical Examination Systematic Review. JAMA. 2024;331:1576-85.

Reviewers: Oltra Benavent M1, Cuestas Montañés EJ2.
1Sección de Patología Infecciosa Infantil. Hospital Universitari i Politècnic La Fe. Valencia. España.
2Servicio de Pediatría y Neonatología. Hospital Privado Universitario de Córdoba. Córdoba. Argentina.
Correspondence: Manuel Oltra Benavent . Email: oltra.benavent@gmail.com
Reception date: 28/10/2024
Acceptance date: 15/11/2024
Publication date: 27/11/2024

How to cite this article

Oltra Benavent M, Cuestas Montañés E. Displasia de desarrollo de caderas: ¿podemos seguir confiando en las maniobras clínicas? Evid Pediatr. 2024;20:48.

27/11/2024

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