Author(s): Cooke SJ, Kiely NT
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Abstract BACKGROUND: Screening for developmental dysplasia of the hip (DDH) after the neonatal period is controversial. Due to recent changes in the screening policy in England & Wales, routine clinical screening for DDH at the 8-month baby check is no longer recommended. RESULTS: This paper looks at the effectiveness of screening for DDH by health visitors in the Flintshire area. A total of 525 8-month baby checks were performed in our area in 2007. Thirty babies were referred to their general practitioner of which six were referred on to a specialist children's orthopaedic surgeon. None of these required treatment for DDH. One patient who was screened by the health visitor but not referred was later diagnosed with DDH. CONCLUSION: Screening for DDH at 8 months using clinical examination by a trained health visitor has a high false-positive rate. This paper therefore supports the current UK National Screening Committee position. © 2010 Blackwell Publishing Ltd.
This article was published in Child Care Health Dev
and referenced in Advanced Practices in Nursing