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SENSITIVITY OF MANUAL PALPATION IN TESTING THE NEONATAL HIP

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Kernohan, George, NUGENT, GEM, HAUGH, PE, TRAINOR, BP and MOLLAN, RAB (1993) SENSITIVITY OF MANUAL PALPATION IN TESTING THE NEONATAL HIP. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 294 (294). pp. 211-215. [Journal article]

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URL: http://journals.lww.com/corr/

Abstract

Developmental dysplasia of the hip (DDH) is a term used to describe a group of disorders of the neonatal hip in which the head of the femur is unstable or incongruous in relation to the acetabulum. Early detection and treatment of the condition generally results in normal development, whereas late diagnosis has poor success. In Northern Ireland, despite all neonates being manually examined for hip disorders by a medical officer before hospital discharge, there is an unacceptable late diagnostic rate of almost 50% of all cases. To help reduce the number of late presentations, vibration arthrometry, a noninvasive form of screening for DDH, has been used to record hip vibration events during clinical testing. In a comparative study, 300 infants were examined by nurses and medical officers to establish the sensitivity of manual palpation to neonatal hip vibrations detected by the objective detection system. Experienced research nurses detected 86% of the signals; doctors in training detected less than 10%. This suggests that objective, noninvasive screening by vibration arthrometry would detect a higher proportion of vibration events in neonates during the early stages of DDH. More time should be invested in training medical officers and others involved in DDH screening.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness
ID Code:1287
Deposited By:Professor George Kernohan
Deposited On:21 Jul 2011 13:14
Last Modified:21 Jul 2011 13:14

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