Open AccessDevelopmental Dysplasia of Hip Screening Using Ortolani and Barlow Testing on Breech Delivered Neonates
Author(s) -
Abdul Razak Sulaiman,
Zulkifli Md. Yusof,
I Munajat,
Naa Lee,
Nik Mohamed Zaki
Publication year - 2011
Publication title -
malaysian orthopaedic journal/malaysian orthopaedic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.271
H-Index - 6
eISSN - 2232-111X
pISSN - 1985-2533
DOI - 10.5704/moj.1111.008
Subject(s) - medicine , breech presentation , medical examiner , incidence (geometry) , physical therapy , pregnancy , medical emergency , poison control , genetics , physics , human factors and ergonomics , optics , biology
We conducted this study to compare the\udspecificity and sensitivity of the Ortolani and Barlow tests\udperformed by dedicated examiners, and to ascertain the\udincidence of developmental dysplasia of the hip (DDH) in\udbreech babies. METHODS: A dedicated examiner underwent\udspecific training and testing by a paediatric orthopaedic\udsurgeon. Routine examiners were medical officers who had\udbasic training in medical school and were briefly trained by\udtheir superiors. The dedicated examiner examined 170\udbabies. Thirty babies including 5 babies with positive tests\ud(according to the dedicated examiner) were examined by a\udblinded routine examiner. Results of Ortolani and Barlow\udtests on 30 babies were compared with ultrasound\udexamination by blinded radiologist. RESULTS: Five babies had\udpositive Ortolani and Barlow tests. The routine examiner did\udnot detect positive Ortolani and Barlow tests. CONCLUSION:\udThe incidence of positive Ortolani and Barlow tests among\udbreech babies was 2.8%. Result of Ortolani and Barlow tests\udby dedicated hip screener were better than results performed\udby routine examiner