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Early detection of developmental dysplasia of the hip in The Netherlands: the validity of a standardized assessment protocol in infants.

M M Boere-Boonekamp, T H Kerkhoff, P B Schuil and G A Zielhuis

Organisation for Home Care, Hengelo, The Netherlands.

OBJECTIVES: This study evaluated the validity of the traditionally recommended screening protocol for developmental dysplasia of the hip in infants. METHODS: Study children (n = 1968) underwent a standardized screening examination. RESULTS: The incidence of developmental dysplasia of the hip was 3.7%. The sensitivity of the test protocol was 86%, the specificity was 82%, and the predictive values of positive and negative tests were 16% and 99%, respectively. CONCLUSIONS: The validity of the screening protocol for developmental dysplasia of the hip is disappointingly low. The yield of adding an ultrasonographic examination to current screening activities needs further study.

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