{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T20:44:56Z","timestamp":1778532296477,"version":"3.51.4"},"reference-count":47,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>Screening for hip dysplasia is controversial. A previous randomized controlled trial revealed that adding universal or selective ultrasound to routine clinical examination gave a nonsignificant reduction in rates of late presenting cases, but with higher treatment rates. This study assesses differences in outcome at skeletal maturity for the 3 newborn screening strategies in terms of radiographic markers of acetabular dysplasia and early degenerative change and avascular necrosis (AVN) secondary to neonatal treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>From the initial trial including 11\u2009925 newborns, a population-based sample of 3935 adolescents was invited for follow-up at age 18 to 20 years. A standardized weight-bearing anteroposterior view was obtained. The outcomes evaluated were the radiographic findings of dysplasia (center-edge angle, femoral head extrusion-index, acetabular depth-width ratio, Sharp\u2019s angle, subjective evaluation of dysplasia) and degenerative change (joint-space width). Signs of AVN were documented.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Of the 3935 subjects invited, 2038 (51.8%) attended the maturity review, of which 2011 (58.2% female patients) were included: 551, 665, and 795 subjects from the universal, selective, and clinical groups, respectively. Rates per group of positive radiographic findings associated with dysplasia or degenerative change varied depending on radiographic marker used. No statistically significant differences were detected between groups. No AVN was seen.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Although both selective and universal ultrasound screenings gave a nonsignificant reduction in rates of late cases when compared with expert clinical programs, we were unable to demonstrate any additional reduction in the rates of radiographic findings associated with acetabular dysplasia or degenerative change at maturity. Increased treatment rates were not associated with AVN.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2013-0911","type":"journal-article","created":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T01:13:03Z","timestamp":1376961183000},"page":"492-501","source":"Crossref","is-referenced-by-count":43,"title":["Screening Strategies for Hip Dysplasia: Long-term Outcome of a Randomized Controlled Trial"],"prefix":"10.1542","volume":"132","author":[{"given":"Lene B.","family":"Laborie","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine, University of Bergen, Norway;"},{"name":"Section for Pediatric Radiology, Departments of Radiology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingvild \u00d8.","family":"Enges\u00e6ter","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Bergen, Norway;"},{"name":"Section for Pediatric Radiology, Departments of Radiology, and"},{"name":"Orthopedic Surgery, Pediatric Section, Haukeland University Hospital, Bergen, Norway; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trude G.","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, Pediatric Section, Haukeland University Hospital, Bergen, Norway; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah M.","family":"Eastwood","sequence":"additional","affiliation":[{"name":"The Catterall Unit, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars B.","family":"Enges\u00e6ter","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Bergen, Norway;"},{"name":"Orthopedic Surgery, Pediatric Section, Haukeland University Hospital, Bergen, Norway; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Rosendahl","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Bergen, Norway;"},{"name":"Section for Pediatric Radiology, Departments of Radiology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"issue":"2","key":"2021120902554973800_B1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.3109\/17453674.2011.566146","article-title":"Total hip replacement in young adults with hip dysplasia: age at diagnosis, previous treatment, quality of life, and validation of diagnoses reported to the Norwegian Arthroplasty Register between 1987 and 2007.","volume":"82","author":"Enges\u00e6ter","year":"2011","journal-title":"Acta Orthop"},{"issue":"9572","key":"2021120902554973800_B2","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1016\/S0140-6736(07)60710-7","article-title":"Developmental dysplasia of the hip.","volume":"369","author":"Dezateux","year":"2007","journal-title":"Lancet"},{"issue":"3","key":"2021120902554973800_B3","doi-asserted-by":"crossref","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":"Shipman","year":"2006","journal-title":"Pediatrics"},{"issue":"1","key":"2021120902554973800_B4","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1542\/peds.103.1.93","article-title":"Developmental dysplasia of the hip: a new approach to incidence.","volume":"103","author":"Bialik","year":"1999","journal-title":"Pediatrics"},{"issue":"2","key":"2021120902554973800_B5","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1080\/00016470510030517","article-title":"Hip dysplasia and osteoarthrosis: a survey of 4151 subjects from the Osteoarthrosis Substudy of the Copenhagen City Heart Study.","volume":"76","author":"Jacobsen","year":"2005","journal-title":"Acta Orthop"},{"issue":"1","key":"2021120902554973800_B6","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1302\/0301-620X.54B1.4","article-title":"Problems in the early diagnosis and management of congenital dislocation of the hip.","volume":"54","author":"Mitchell","year":"1972","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"2021120902554973800_B7","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1302\/0301-620X.50B3.542","article-title":"Congenital dislocation of the hip. 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