Developmental Dysplasia of Hip Screening Using Ortolani and Barlow Testing on Breech Delivered Neonates
- Author:
AR Sulaiman
;
Zakaria Yusof
;
I Munajat
;
NAA Lee
;
Nik Zaki
- Publication Type:Journal Article
- Keywords:
Ortolani and Barlow, Dedicated Examiner, Routine Examiner, Breech, Ultrasound
- From:Malaysian Orthopaedic Journal
2011;5(3):13-16
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: We conducted this study to compare the
specificity and sensitivity of the Ortolani and Barlow tests performed by dedicated examiners, and to ascertain the incidence of developmental dysplasia of the hip (DDH) in breech babies. Methods: A dedicated examiner underwent
specific training and testing by a paediatric orthopaedic
surgeon. Routine examiners were medical officers who had
basic training in medical school and were briefly trained by their superiors. The dedicated examiner examined 170
babies. Thirty babies including 5 babies with positive tests (according to the dedicated examiner) were examined by a blinded routine examiner. Results of Ortolani and Barlow tests on 30 babies were compared with ultrasound
examination by blinded radiologist. Results: Five babies had positive Ortolani and Barlow tests. The routine examiner did not detect positive Ortolani and Barlow tests. Conclusion: The incidence of positive Ortolani and Barlow tests among breech babies was 2.8%. Result of Ortolani and Barlow tests by dedicated hip screener were better than results performed by routine examiner.
- Full text:W020160108337768878353.pdf
