Diagnosis of Developmental Dysplasia of the Hip Using Sound Transmission in Neonates
- 1 Department of Nursing and Obstetrics, Division of Health Sciences and Engineering, Campus Celaya Salvatierrra, University of Guanajuato, Celaya, Mexico
- 2 Department of Nursing and Obstetrics, Division of Health Sciences and Engineering, Campus Celaya Salvatierrra, University of Guanajuato, Celaya, Mexico
- 3 Department of Clinical Nursing, Division of Health Sciences and Engineering, Campus Celaya Salvatierrra, University of Guanajuato, Celaya, Mexico
- 4 Department of Engineering Physics, Division of Engineering Science, Campus Leon, University of Guanajuato, Leon, Mexico
- 5 Department of Engineering Physics, Division of Engineering Science, Campus Leon, University of Guanajuato, Leon, Mexico
- 6 Department of Engineering Physics, Division of Engineering Science, Campus Leon, University of Guanajuato, Leon, Mexico
Abstract
The developmental dysplasia of the hip disease is in 1% of newborns, and it is a risk factor for dislocation of the hip; only 1 from 7000 newborns develops dislocation of the hip. Newborns were selected from public and private hospitals in Celaya, Guanajuato. Parents were asked to sign informed consent. Clinical maneuvers were applied for diagnosis of developmental dysplasia of the hip, on three consecutive occasions, two by the same investigator and the third by a different observer: Ortolani, Barlow, Piston, Galeazzi, Peter Baden, the comparative sound transmission test, and comparative sound transmission with extension/flexion test were applied. The diagnosis was confirmed with ultrasound of hip, technique Graf, I healthy hip, II functionally immature, III subluxation, and IV dislocation. Sample size was 8 affected hips and 56 healthy hips. Kappa for intra observer and inter observer reliability were measured; the validity was measured by sensitivity, specificity, positive and negative predictive values, using the ultrasound diagnosis as the gold standard. The sample consisted of 78 neonates hips with female’s predominance. With comparative sound transmission test was obtained Kappa intra observer 0.80, Kappa inter observer 0.93, sensitivity 45.45%, specificity 96.27%, positive predictive value 66.67% and negative predictive value 91.49%; with comparative sound transmission with extension/flexion, was 0.83, 0.92, 72.73%, 95.52%, 72.73%, and 95.52%, respectively. The tests compared the sound transmission help better diagnose developmental dysplasia disease of the hip.
- Figueroa-Ferrari, R.C. and Padilla-Raygoza, N. (1994) Congenital Dislocation of the Hip in the Newborn Macrosomic. Ultrasonographic Aspects. Revista Médica del IMSS, 32, 277-279.
- Padilla, N. and Figueroa, R.C. (1992) Diagnosis of Congenital Hip Dislocation, through Comparative Sound Transmission. Revista Mexicana de Pediatría, 59, 149-151.
- Padilla, N. (2013) Developmental Dysplasia of the Hip. In: Martinez, R., Ed., Martinez Health of Children and Adolescents, 7th Edition, El Manual Moderno, Mexico, 1513-1517.
- Padilla, N. and Figueroa, R.C. (1996) Sound Transmission Tests in the Diagnosis of Congenital Dislocation of the Hip in the Neonate. Revista Mexicana de Pediatría, 63, 265-268.
- Fernandez, E. (1989) Congenital Hip Dislocation: Reduction with Modified Straps Pavlik Children One Year of Age. Rev Mex Ortop Traumatol, 3, 30-34.
- Stone, M., Richardson, J. and Bennet, G. (1987) Another Clinical Test for Congenital Dislocation of the Hip. Lancet, 1, 954-955. http://dx.doi.org/10.1016/S0140-6736(87)90296-0
- Siegel, M.J. (2004) Ultrasound of the Musculoskeletal and Circulatory Systems. In: Siegel, M.J., Ed., Pediatrics Ecography, Marban Libros SL, Madrid, 629.
- Dimeglio, A. (1991) Conenital Dislocation of the Hip. In: Daily Pediatric Orthopedics, Masson Sauramps Medical, Barcelona, 278-304.
- Arti, H., Mehdinasab, S.A. and Arti, S. (2013) Comparing Results of Clinical versus Ultrasonographic Examination in Developmental Dysplasia of Hip. Journal of Research in Medical Sciences, 18, 1051-1055.
- Kowalczyk, B., Felus, J. and Kwinta, P. (2005) Developmental Dysplasia of the Hip: The Problems in the Diagnosis Process in Our Own Experience. Medycyna Wieku Rozwojowego, 9, 395-406.