Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Duarte, Marcio Luís, Motta, Giovanna Galvão Braga, Rodrigues, Natasha Vogel Majewski, Chiovatto, Alessandra Rodrigues Silva, Chiovatto, Eduardo Davino, Iared, Wagner
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2022
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
_version_ 1784905086856593408
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
work_keys_str_mv AT duartemarcioluis ultrasoundtechniquesforthedetectionofdevelopmentaldysplasiaofthehipasystematicreviewandmetaanalysis
AT mottagiovannagalvaobraga ultrasoundtechniquesforthedetectionofdevelopmentaldysplasiaofthehipasystematicreviewandmetaanalysis
AT rodriguesnatashavogelmajewski ultrasoundtechniquesforthedetectionofdevelopmentaldysplasiaofthehipasystematicreviewandmetaanalysis
AT chiovattoalessandrarodriguessilva ultrasoundtechniquesforthedetectionofdevelopmentaldysplasiaofthehipasystematicreviewandmetaanalysis
AT chiovattoeduardodavino ultrasoundtechniquesforthedetectionofdevelopmentaldysplasiaofthehipasystematicreviewandmetaanalysis
AT iaredwagner ultrasoundtechniquesforthedetectionofdevelopmentaldysplasiaofthehipasystematicreviewandmetaanalysis