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Difficulties in diagnosing and managing congenital dislocation of the hip

Lookup NU author(s): Emeritus Professor Alan Craft

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Abstract

In a 10-year retrospective study of 25 921 consecutive deliveries in a neonatal unit in Newcastle upon Tyne 271 cases of congenital dislocation of the hips were identified. Of these, the outcome was unsatisfactory in 12: four diagnoses were missed at birth and eight children required further surgical treatment. Radiological abnormalities were detected in a further five children at long-term follow-up examination. From the results of this study and other published series it was concluded that lack of attention to detail was the main cause of inadequate diagnosis and management of congenital dislocation of the hips. More detailed instruction of junior staff, confirmation of the diagnosis by senior staff, the use of a non-removable splint early in treatment, and thorough follow-up by senior staff are all important.

Publication metadata

Author(s): Noble, T. C., Pullan, C. R., Craft, A. W., Leonard, M. A.

Publication type: Article

Publication status: Published

Journal: British Medical Journal – Clinical Research Edition

Year: 1978

Volume: 2

Issue: 6137

Pages: 620-623

Print publication date: 26/08/1978

ISSN (print): 0959-8138

ISSN (electronic): 1756-1833

URL: http://dx.doi.org/10.1136/bmj.2.6137.620

DOI: 10.1136/bmj.2.6137.620

PubMed id: 698618

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