{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T07:53:36Z","timestamp":1777794816291,"version":"3.51.4"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"name":"Center for Perinatal Research, Abigail, Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The study objective was to evaluate the relationship between the first hip ultrasound (HUS) result and developmental dysplasia of the hip (DDH) diagnosis in preterm infants. Additionally, we report the types of treatment for preterm infants diagnosed with DDH.<\/jats:p>\n                  <jats:p>This is a retrospective chart review of infants born between January 1, 2009, and December 31, 2018, at &lt;37 weeks of gestation who had HUS in the first year of life. Positive predictive value (PPV), negative predictive value (NPV), sensitivity, and specificity for abnormal and normal HUS results were calculated.<\/jats:p>\n                  <jats:p>From 2,397 infants analyzed, 71 (3%) infants were diagnosed with DDH. The majority (n\u2009=\u20092,140; 89%) of patients had normal HUS, with only 5 (0.2%) infants later diagnosed with DDH. The sensitivity of HUS was 0.91 PPV 0.8, the specificity was 0.99 and NPV was 0.99. Of the 196 (8%) infants with equivocal results, 17 (9%) had subsequent DDH diagnoses.<\/jats:p>\n                  <jats:p>For infants diagnosed with DDH, the majority (n\u2009=\u200941; 58%) were treated nonoperatively with Pavlik harness. Surgical correction was performed in 26 (36%) patients.<\/jats:p>\n                  <jats:p>A normal first HUS result in preterm infants has an excellent NPV for the diagnosis of DDH. Abnormal first HUS has a good PPV. Those with an equivocal result may need close follow-up.<\/jats:p>","DOI":"10.1055\/a-2592-0430","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:04:13Z","timestamp":1745435053000},"page":"078-081","source":"Crossref","is-referenced-by-count":1,"title":["The Relationship between Hip Ultrasound Result and the Diagnosis of Developmental Dysplasia of the Hip in Premature Infants"],"prefix":"10.1055","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1332-3645","authenticated-orcid":false,"given":"Ahmed","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Conroy","sequence":"additional","affiliation":[{"name":"Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, Ohio"},{"name":"Biostatistics Resource at Nationwide Children's Hospital, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"},{"name":"The Ohio Perinatal Research Network, Center for Perinatal Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6831-7520","authenticated-orcid":false,"given":"Jonathan L.","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio"},{"name":"The Ohio Perinatal Research Network, Center for Perinatal Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"e20163107","DOI":"10.1542\/peds.2016-3107","article-title":"Evaluation and referral for developmental dysplasia of the hip in infants","volume":"138","author":"B A Shaw","year":"2016","journal-title":"Pediatrics"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e2390","DOI":"10.1055\/s-0043-1771259","article-title":"The risk of developmental dysplasia of the hip in premature infants with breech presentation at birth","volume":"41","author":"A Osman","year":"2024","journal-title":"Am J Perinatol"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"e2227638","DOI":"10.1001\/jamanetworkopen.2022.27638","article-title":"Incidence of neonatal developmental dysplasia of the hip and late detection rates based on screening strategy: a systematic review and meta-analysis","volume":"5","author":"I Kuitunen","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1302\/0301-620X.81B2.0810255","article-title":"Ultrasound screening for hips at risk in developmental dysplasia. Is it worth it?","volume":"81","author":"R W Paton","year":"1999","journal-title":"J Bone Joint Surg Br"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.clinimag.2021.04.023","article-title":"Developmental hip dysplasia and hip ultrasound frequency in a large American payer database","volume":"76","author":"A J Degnan","year":"2021","journal-title":"Clin Imaging"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1136\/archdischild-2011-301085","article-title":"Twenty years experience of selective secondary ultrasound screening for congenital dislocation of the hip","volume":"97","author":"N M Clarke","year":"2012","journal-title":"Arch Dis Child"},{"issue":"9350","key":"ref7","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1016\/S0140-6736(02)12024-1","article-title":"Ultrasonography in the diagnosis and management of developmental hip dysplasia (UK Hip Trial): clinical and economic results of a multicentre randomised controlled trial","volume":"360","author":"D Elbourne","year":"2002","journal-title":"Lancet"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1038\/jp.2016.7","article-title":"Sonographic screening for developmental dysplasia of the hip in preterm breech infants: do current guidelines address the specific needs of premature infants?","volume":"36","author":"J Lee","year":"2016","journal-title":"J Perinatol"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"e557","DOI":"10.1542\/peds.2005-1597","article-title":"Screening for developmental dysplasia of the hip: a systematic literature review for the US Preventive Services Task Force","volume":"117","author":"S A Shipman","year":"2006","journal-title":"Pediatrics"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1097\/01241398-200105000-00017","article-title":"Early failure of Pavlik harness treatment for developmental hip dysplasia: clinical and ultrasound predictors","volume":"21","author":"J A Lerman","year":"2001","journal-title":"J Pediatr Orthop"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2592-0430.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T23:34:24Z","timestamp":1765323264000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2592-0430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,23]]},"references-count":10,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,12,9]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2592-0430","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,4,23]]},"published":{"date-parts":[[2025,4,23]]}}}