Difficulties in diagnosing and managing congenital dislocation of the hip. Issue 6137 (26th August 1978)

• Record Type: Journal Article
• Authors: Noble, T C; Pullan, C R; Craft, A W; Leonard, M A
• Is Part Of: BMJ. Volume 2:Issue 6137(1978)
• Page Start: 620
• Page End: 623
• Publication Date: 1978-08-26
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610
• DOI: 10.1136/bmj.2.6137.620
• Languages: English
• ISSNs: 0007-1447

Abstract

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.