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Ultrasound techniques for the detection of developmental dysplasia of the hip: a systematic review and meta-analysis
BACKGROUND: Developmental dysplasia of the hip (DDH) encompasses a broad spectrum of hip pathologies, including femoral or acetabular dysplasia, hip instability, or both. According to the medical literature, ultrasonography is the most reliable diagnostic method for DDH. Several techniques for the a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Paulista de Medicina - APM
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005462/ https://www.ncbi.nlm.nih.gov/pubmed/36043673 http://dx.doi.org/10.1590/1516-3180.2021.0852.13062022 |
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author | Duarte, Marcio Luís Motta, Giovanna Galvão Braga Rodrigues, Natasha Vogel Majewski Chiovatto, Alessandra Rodrigues Silva Chiovatto, Eduardo Davino Iared, Wagner |
author_facet | Duarte, Marcio Luís Motta, Giovanna Galvão Braga Rodrigues, Natasha Vogel Majewski Chiovatto, Alessandra Rodrigues Silva Chiovatto, Eduardo Davino Iared, Wagner |
author_sort | Duarte, Marcio Luís |
collection | PubMed |
description | BACKGROUND: Developmental dysplasia of the hip (DDH) encompasses a broad spectrum of hip pathologies, including femoral or acetabular dysplasia, hip instability, or both. According to the medical literature, ultrasonography is the most reliable diagnostic method for DDH. Several techniques for the assessment of hips in newborns and infants, using ultrasonography, have been described. OBJECTIVE: To compare the accuracy of the Graf technique and other diagnostic techniques for DDH. DESIGN AND SETTING: A systematic review of studies that analyzed ultrasound techniques for the diagnosis of DDH within an evidence-based health program of a federal university in São Paulo (SP), Brazil. METHODS: A systematic search of relevant literature was conducted in the PubMed, EMBASE, Cochrane Library, CINAHL, and LILACS databases for articles published up to May 5, 2020, relating to studies evaluating the diagnostic accuracy of different ultrasound techniques for diagnosing DDH. The QUADAS 2 tool was used for methodological quality evaluation. RESULTS: All hips were analyzed using the Graf method as a reference standard. The Morin technique had the highest rate of sensitivity, at 81.12–89.47%. The Suzuki and Stress tests showed 100% specificity. The Harcke technique showed a sensibility of 18.21% and specificity of 99.32%. CONCLUSION: All the techniques demonstrated at least one rate (sensibility and specificity) lower than 90.00% when compared to the Graf method. The Morin technique, as evaluated in this systematic review, is recommended after the Graf method because it has the highest sensitivity, especially with the three-pattern classification of 89.47%. REGISTRATION NUMBER: Identifier: CRD42020189686 at the International Prospective Register of Systematic Reviews (identifier: CRD42020189686). |
format | Online Article Text |
id | pubmed-10005462 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Associação Paulista de Medicina - APM |
record_format | MEDLINE/PubMed |
spelling | pubmed-100054622023-03-11 Ultrasound techniques for the detection of developmental dysplasia of the hip: a systematic review and meta-analysis Duarte, Marcio Luís Motta, Giovanna Galvão Braga Rodrigues, Natasha Vogel Majewski Chiovatto, Alessandra Rodrigues Silva Chiovatto, Eduardo Davino Iared, Wagner Sao Paulo Med J Original Article BACKGROUND: Developmental dysplasia of the hip (DDH) encompasses a broad spectrum of hip pathologies, including femoral or acetabular dysplasia, hip instability, or both. According to the medical literature, ultrasonography is the most reliable diagnostic method for DDH. Several techniques for the assessment of hips in newborns and infants, using ultrasonography, have been described. OBJECTIVE: To compare the accuracy of the Graf technique and other diagnostic techniques for DDH. DESIGN AND SETTING: A systematic review of studies that analyzed ultrasound techniques for the diagnosis of DDH within an evidence-based health program of a federal university in São Paulo (SP), Brazil. METHODS: A systematic search of relevant literature was conducted in the PubMed, EMBASE, Cochrane Library, CINAHL, and LILACS databases for articles published up to May 5, 2020, relating to studies evaluating the diagnostic accuracy of different ultrasound techniques for diagnosing DDH. The QUADAS 2 tool was used for methodological quality evaluation. RESULTS: All hips were analyzed using the Graf method as a reference standard. The Morin technique had the highest rate of sensitivity, at 81.12–89.47%. The Suzuki and Stress tests showed 100% specificity. The Harcke technique showed a sensibility of 18.21% and specificity of 99.32%. CONCLUSION: All the techniques demonstrated at least one rate (sensibility and specificity) lower than 90.00% when compared to the Graf method. The Morin technique, as evaluated in this systematic review, is recommended after the Graf method because it has the highest sensitivity, especially with the three-pattern classification of 89.47%. REGISTRATION NUMBER: Identifier: CRD42020189686 at the International Prospective Register of Systematic Reviews (identifier: CRD42020189686). Associação Paulista de Medicina - APM 2022-08-29 /pmc/articles/PMC10005462/ /pubmed/36043673 http://dx.doi.org/10.1590/1516-3180.2021.0852.13062022 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article Duarte, Marcio Luís Motta, Giovanna Galvão Braga Rodrigues, Natasha Vogel Majewski Chiovatto, Alessandra Rodrigues Silva Chiovatto, Eduardo Davino Iared, Wagner Ultrasound techniques for the detection of developmental dysplasia of the hip: a systematic review and meta-analysis |
title | Ultrasound techniques for the detection of developmental dysplasia of
the hip: a systematic review and meta-analysis |
title_full | Ultrasound techniques for the detection of developmental dysplasia of
the hip: a systematic review and meta-analysis |
title_fullStr | Ultrasound techniques for the detection of developmental dysplasia of
the hip: a systematic review and meta-analysis |
title_full_unstemmed | Ultrasound techniques for the detection of developmental dysplasia of
the hip: a systematic review and meta-analysis |
title_short | Ultrasound techniques for the detection of developmental dysplasia of
the hip: a systematic review and meta-analysis |
title_sort | ultrasound techniques for the detection of developmental dysplasia of
the hip: a systematic review and meta-analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005462/ https://www.ncbi.nlm.nih.gov/pubmed/36043673 http://dx.doi.org/10.1590/1516-3180.2021.0852.13062022 |
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