ROLE OF CLINICAL EXAMINATION AS SCREENING TOOL FOR DETECTION OF DEVELOPMENTAL DYSPLASIA OF HIP IN INFANTS.

Background: Developmental dysplasia of hip (DDH) is one entity one occasionally comes across while in a busy orthopaedic or paediatric outpatient department. The knowledge of risk factors and awareness of the condition is must for every orthopaedic surgeon and paediatrician as well lest the diagnosis will be missed. An early diagnosis can alter the prognosis of the disease and prevent late disabilities. Objective: The study was conducted to highlight the importance of screening every newborn to minimize the late presenting Developmental Dysplasia of Hip. Patients & Methods: In the one year duration 615 neonates were screened in Paediatric Nursery Department at a tertiary care hospital in Eastern India. by clinical examination and the findings were confirmed by a consultant orthopaedic surgeon. Results: Out of 615 neonates, 18 were suspected to have congenital hip dislocation. An acetabular index of 30 degrees or more was considered dysplastic. 3 out of 615 neonates were confirmed as dysplastic hips. Conclusion: This study indicates the need to establish a well-organized screening programme with experienced examiners which will be useful in making early and accurate clinical diagnosis.

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