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Published on: November 2, 2019
[Screening of dysplasia of the hip in Denmark]
Hans-Christian Husum, Bjarne Møller-Madsen, Janus Laust Thomsen
1o.rahbek@rn.dk.
Insights
Denmark
Area of Science:
- Pediatric Orthopedics
- Public Health Screening Programs
Background:
- Current Danish developmental dysplasia of the hip (DDH) screening relies on clinical exams and selective ultrasounds for at-risk infants.
- This approach may not effectively reduce late diagnoses of DDH.
Purpose of the Study:
- To propose a new universal screening program for developmental dysplasia of the hip (DDH) in Denmark.
- To evaluate the cost-efficiency and benefits of universal DDH screening.
Main Methods:
- Review of current DDH screening practices in Denmark.
- Analysis of the potential impact of universal screening on diagnosis rates and surgical interventions.
Main Results:
- Selective screening may lead to a significant proportion of late DDH diagnoses.
- Universal screening is potentially cost-efficient and can minimize the need for corrective surgery.
Conclusions:
- The current selective screening for DDH in Denmark may not be optimal.
- Implementing a universal screening program for DDH is recommended to prevent late diagnoses and reduce surgical interventions.
Abstract:
The screening programme for developmental dysplasia of the hip (DDH) in Denmark is based on clinical examination and selective ultrasound examination of children with established risk factors for DDH. This method of screening may not reduce the proportion of lately diagnosed cases. Universal screening for DDH is cost-efficient and may eliminate late diagnosis of DDH and minimise the need for corrective surgery. In this review, we propose developing a new universal screening programme for DDH in Denmark.

