{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:25:21Z","timestamp":1773923121867,"version":"3.50.1"},"reference-count":19,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T00:00:00Z","timestamp":1370044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>Most centres in the United Kingdom adopt a selective screening programme for developmental dysplasia of the hip (DDH) based on repeated clinical examination and selective ultrasound examination. The Newborn Infant Physical Examination protocol implemented in 2008 recommends a first examination at birth and then a second and final examination at six to ten weeks of age. Due to concerns over an increase in late presentations we performed a retrospective review of our 15-year results to establish if late presentation increases treatment requirements. Of children presenting before six weeks of age, 84% were treated successfully with abduction bracing, whereas 86% of children presenting after ten months eventually required open reduction surgery. This equates to a 12-fold increase in relative risk of requiring open reduction following late presentation. Increasing age at presentation was associated with an increase in the number of surgical procedures, which are inevitably more extensive and complex, with a consequent increased in cost per patient. The implementation of an opportunistic examination at three to five months could help to reduce the unintended consequences of the Newborn Infant Physical Examination programme.<\/jats:p><jats:p>Cite this article: Bone Joint J 2013;95-B:846\u201350.<\/jats:p>","DOI":"10.1302\/0301-620x.95b6.31461","type":"journal-article","created":{"date-parts":[[2013,5,30]],"date-time":"2013-05-30T08:42:50Z","timestamp":1369903370000},"page":"846-850","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":37,"title":["Current screening recommendations for developmental dysplasia of the hip may lead to an increase in open reduction"],"prefix":"10.1302","volume":"95-B","author":[{"given":"K. R.","family":"Price","sequence":"first","affiliation":[{"name":"University Hospital Nottingham, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Dove","sequence":"additional","affiliation":[{"name":"University Hospital Nottingham, Derby Road, Nottingham NG7 2UH, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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National Screening Committee Newborn and Infant Physical Examination Standards and Competencies, March 2008. http:\/\/newbornphysical.screening.nhs.uk\/publications (date last accessed 19 February 2013)."},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.44B2.292"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)12024-1"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B6.0840886"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1136\/adc.87.1.6"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1097\/00008480-199502000-00015"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197507000-00015"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1136\/adc.61.9.921"},{"key":"r16","unstructured":"No authors listed.Department of Health. 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