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  • Title: Early detection of developmental dysplasia of the hip in The Netherlands: the validity of a standardized assessment protocol in infants.
    Author: Boere-Boonekamp MM, Kerkhoff TH, Schuil PB, Zielhuis GA.
    Journal: Am J Public Health; 1998 Feb; 88(2):285-8. PubMed ID: 9491024.
    Abstract:
    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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