{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:05:24Z","timestamp":1777899924900,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T00:00:00Z","timestamp":1501545600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Developmental dysplasia of the hip is a common cause of osteoarthritis. Periacetabular osteotomy can restore femoral head coverage; however, it is reserved for patients with minimal articular degeneration. We examined the relationship between delays in diagnosis and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified patients presenting to a hip specialist with a new diagnosis of hip dysplasia. The time taken between patients presenting to their general practitioner and attending the young adult hip clinic was established. Patients were stratified into Early, Moderate and Late Referral groups. Hip and SF-12 questionnaires were completed. Radiographs were graded according to the T\u00f6nnis classification system and the outcome following hip specialist review documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-one patients were identified. Mean time from attending a general practitioner to review at the young adult hip clinic was 40.4 months. Lower hip and SF-12 scores, and higher radiological osteoarthritis grades were found in the Moderate and Late Referral groups. A higher proportion of the Moderate and Late Referral group underwent total hip arthroplasty rather than periacetabular osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Delays in referring a patient to a hip specialist are associated with poorer outcomes. We propose pelvic radiographs are requested early by general practitioners to allow prompt diagnosis and referral to a hip specialist.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0036933017727969","type":"journal-article","created":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T09:49:28Z","timestamp":1503568168000},"page":"96-100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Delays in diagnosis are associated with poorer outcomes in adult hip dysplasia"],"prefix":"10.1177","volume":"62","author":[{"given":"Ian W","family":"Kennedy","sequence":"first","affiliation":[{"name":"Speciality Registrar Trauma and Orthopaedics, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair S","family":"Brydone","sequence":"additional","affiliation":[{"name":"Speciality Registrar Trauma and Orthopaedics, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic RM","family":"Meek","sequence":"additional","affiliation":[{"name":"Speciality Registrar Trauma and Orthopaedics, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev R","family":"Patil","sequence":"additional","affiliation":[{"name":"Speciality Registrar Trauma and Orthopaedics, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,8,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198612000-00004"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1299052"},{"key":"e_1_3_2_4_2","first-page":"7","article-title":"Studies on dysplastic acetabula and congenital subluxation of the hip joint","volume":"83","author":"Wiberg G","year":"1939","unstructured":"Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint. Acta Chir Scand 1939; 83: 7\u20137.","journal-title":"Acta Chir Scand"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1936.01180240137007"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-014-9232-0"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199507000-00002"},{"key":"e_1_3_2_8_2","first-page":"8","article-title":"The natural history of developmental dysplasia of the hip. A meta-analysis of the published literature","volume":"37","author":"Ziegler J","year":"2008","unstructured":"Ziegler J, Thielemann F, Mayer-Athenstaedt C, et al. The natural history of developmental dysplasia of the hip. A meta-analysis of the published literature. Orthopade 2008; 37: 8\u201324.","journal-title":"Orthopade"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B3.1670443"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3182745456"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0242-3"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198807000-00006"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-010-1508-7"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200212000-00021"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00143"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199912000-00014"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/17453670510045453"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00994"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2578-y"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933017727969","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933017727969","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933017727969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:18:23Z","timestamp":1777630703000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933017727969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1177\/0036933017727969"],"URL":"https:\/\/doi.org\/10.1177\/0036933017727969","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8]]}}}