Pediatric Orthopedics | Links Medicus Content Curation & Alerts in Medicine

Systematic Review: Diagnostic accuracy of clinical examination for dislocated hips in infants

28 Apr, 2024 | 16:52h | UTC

This systematic review assesses the diagnostic accuracy of clinical examinations in identifying dislocated hips in infants, using data from nine studies that compared clinical examinations to diagnostic ultrasound as the reference. The study involved 37,859 hips with a dislocation prevalence of 0.94%. The Barlow and Ortolani maneuvers showed a sensitivity of 46% and a specificity of 99.1%, with a positive likelihood ratio of 52, highlighting their effectiveness in predicting hip dislocation. Other methods such as limited hip abduction and a clicking sound were found to have minimal diagnostic utility. This evidence supports the clinical utility of specific maneuvers in early detection to prevent long-term complications.

Reference (link to abstract – $ for full-text):

Abhinav Singh et al. (2024). Does This Infant Have a Dislocated Hip? The Rational Clinical Examination Systematic Review. JAMA, Published online April 15, 2024. doi:10.1001/jama.2024.2404

Podcast | Overuse injuries in pediatrics

11 Jul, 2023 | 13:52h | UTC

#86: Overuse Injuries – The Leg Bone’s Connected to the Foot Bone! – The Cribsiders

RCT | Ultrasonography noninferior to radiography for pediatric distal forearm fracture diagnosis

14 Jun, 2023 | 14:45h | UTC

Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Ultrasound breaks new ground for forearm fractures in children – Griffith University

Consensus Paper | The management of developmental dysplasia of the hip in children aged under three months

17 Mar, 2023 | 13:07h | UTC

The management of developmental dysplasia of the hip in children aged under three months: a consensus study from the British Society for Children’s Orthopaedic Surgery – The Bone & Joint Journal

M-A | Foot orthoses for flexible flatfeet in children and adults

17 Feb, 2023 | 13:02h | UTC

Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes – BMC Musculoskeletal Disorders

RCT | Oral ibuprofen and oral ketorolac are similarly effective for children with acute traumatic pain

20 Jan, 2023 | 14:47h | UTC

Oral ibuprofen versus oral ketorolac for children with moderate and severe acute traumatic pain: a randomized comparative study – European Journal of Pediatrics

Systematic Review | Splinting for the non‐operative management of developmental dysplasia of the hip in children under six months.

12 Oct, 2022 | 13:53h | UTC

Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age – Cochrane Library

M-A | Incidence of neonatal developmental dysplasia of the hip and late detection rates based on screening strategy.

19 Aug, 2022 | 16:07h | UTC

Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis – JAMA Network Open

Commentary: Universal Hip Screening in Babies Associated With Overtreatment — Late detection of hip dysplasia and need for surgery not helped by universal screening – MedPage Today (free registration required)

Commentary on Twitter

Universal ultrasound hip screening in neonates led to higher initial treatment rates without reducing the rates of late discovered cases of hip dysplasia. @ilarikuitunen @VPonkilainen https://t.co/OoXHoiTYtW

— JAMA Network Open (@JAMANetworkOpen) August 18, 2022

Guideline (Part 2) | Treatment of decentered developmental dysplasia of the hip under the age of 1 year.

5 Aug, 2022 | 14:33h | UTC

Treatment of decentered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline – Part 2 – Efort Open Reviews

Guideline | Treatment of centered developmental dysplasia of the hip under the age of 1 year.

1 Aug, 2022 | 12:16h | UTC

Treatment of centered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline – Part 1 – Efort Open Reviews

RCT | Immobilization of torus fractures of the wrist in children.

4 Jul, 2022 | 12:46h | UTC

Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK – The Lancet

Commentary from the author on Twitter (thread – click for more)

The FORCE study is in @TheLancet – https://t.co/oyYvMMxjln has awesome stuff to implement result – ED pathway, animations & patient info leaflets (multiple languages).

Thanks to @PERUKItweep and everyone who made it possible. https://t.co/Wq67MgcQhB pic.twitter.com/mrA03tGzCs

— Dan Perry (@MrDanPerry) July 1, 2022