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International Interdisciplinary Consensus Meeting on the Evaluation of Developmental Dysplasia of the Hip Publisher Pubmed



Obeirne JG1 ; Chlapoutakis K2 ; Alshryda S3 ; Aydingoz U4 ; Baumann T5 ; Casini C6 ; De Pellegrin M7 ; Domos G8 ; Dubs B9 ; Hemmadi S10 ; Karantanas A11 ; Kolovos S12 ; Kraus T13 ; Zhao L14 Show All Authors
Authors
  1. Obeirne JG1
  2. Chlapoutakis K2
  3. Alshryda S3
  4. Aydingoz U4
  5. Baumann T5
  6. Casini C6
  7. De Pellegrin M7
  8. Domos G8
  9. Dubs B9
  10. Hemmadi S10
  11. Karantanas A11
  12. Kolovos S12
  13. Kraus T13
  14. Zhao L14
  15. Maizen C15
  16. Mehdizadeh M16
  17. Molitorisz D17
  18. Persaud T18
  19. Petratos D19
  20. Placzek R20
  21. Placzek S21
  22. Scott S22
  23. Schmid R23
  24. Tarrant A24
  25. Voulgaris K25
Show Affiliations
Authors Affiliations
  1. 1. Orthopaedics, University-Hospital Waterford, Dunmore Road, Waterford, X91 ER8E, Ireland
  2. 2. Radiology, Vioapeikonisi Imaging Lab, Heraklion, Greece
  3. 3. Orthopaedics, Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates
  4. 4. Radiology, Hacettepe University School of Medicine, Ankara, Turkey
  5. 5. Paediatrics, Solothurn, Switzerland
  6. 6. Paediatrics, Azienda Ospedaliera sant'Andrea, Roma, Italy
  7. 7. Orthopaedics, Ospedale San Raffaele, Milano, Italy
  8. 8. Orthopaedics, Semmelweis Egyetem, Budapest, Hungary
  9. 9. Internal Medicine, Qualimed Hungary Helathcare Services Kft, Csoylospalos, Hungary
  10. 10. Orthopaedics, Noah's Ark Children's Hospital for Wales, Cardiff, United Kingdom
  11. 11. Radiology, University of Crete School of Medicine, Heraklion, Greece
  12. 12. Orthopaedics, General Hospital Larissa, Thessaly, Greece
  13. 13. Orthopaedics, Medizinische Universitat Graz, Austria
  14. 14. Orthopedic Surgery, LinYi Traditional Chinese Medicine Hospital, Lin'yi, China
  15. 15. Orthopaedics, Royal London Hospital, London, United Kingdom
  16. 16. Radiology, Tehran Medical University, Tehran, Iran
  17. 17. Orthopaedics, Paediatric Trauma, Budapest, Hungary
  18. 18. Radiology, Children's Health at Tallaght, Dublin, Ireland
  19. 19. Orthopaedics, Mitera-Hospital, Athens, Greece
  20. 20. Clinic for Orthopaedics and Trauma Surgery, University-Hospital Bonn, Germany
  21. 21. Orthopaedics, Medizinischer Dienst der Krankenversicherung Nordrhein, Dusseldorf, Germany
  22. 22. Radiology, Dorset-County-Hospital NHS Foundation Trust, Dorchester, United Kingdom
  23. 23. Paediatrics, Baar, Switzerland
  24. 24. Radiology, Rotunda-Hospital, Dublin, Ireland
  25. 25. Radiology, Agios Therissos Medical Diagnostic Center, Nicosia, Cyprus

Source: Ultraschall in der Medizin Published:2019


Abstract

In September 2018, an international meeting of doctors of various disciplines, with expertise in the detection and treatment of DDH, was held in Csolyospalos, Hungary. The aim was to achieve consensus on the detection and early treatment of the condition and to develop a standardized system of teaching and training for hip ultrasound. There was strong agreement that US screening is essential. Specifically the Graf technique was selected as the technique of choice. Universal US screening was strongly favored. Screening should be carried out as soon as possible, but not later than the sixth week of age. US screening is cost-effective, does not result in overtreatment, and contributes to a reduction of long-term consequences. The essential principle of treatment is timely application of a device to achieve reduction, retention and maturation, by holding the hips in flexion, and a safe degree of abduction. It was agreed that the effectiveness of any screening policy depends on the correct scanning technique. Therefore, standardization of teaching and training of the Graf technique is mandatory. A unified teaching policy and materials should be developed for this purpose. Certification, re-certification and audit were discussed. The group, which has been formalized as the International Interdisciplinary Consensus Committee On DDH Evaluation (ICODE), will continue to meet and work towards establishing international consensus on DDH, standardizing and developing teaching and training of the Graf technique for hip US, and maintaining standards for detection and management. © 2019 Georg Thieme Verlag KG Stuttgart New York.
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