Table 4 Intervention following early Dynamic Ultrasound
From: Early dynamic ultrasound for neonatal hip instability: implications for rural Australia
Early intervention type and timing | Follow up | |||
|---|---|---|---|---|
Name | Timing of eDUS | Unstable/ Subluxable | Dislocatable | |
Radiologists/Radiographers | ||||
Rosendahl [23] | Day 4 | Surveillance | Frejka pillows or Surveillance | 6 months |
Elbourne [26] | 2 weeks | Instability rescan 8 weeks | Splinting 2 weeks Secondary prevention | 2 years |
Finnbogasan [2] | 10–14 days | Secondary prevention- Frejka pillow | Secondary prevention- Von Rosen | Not recorded |
Afaq [28] | Week 1 | Surveillance | Pavlik Harness 2 weeks Conservative management | 8 months |
Gomes [1] | Week 1 | Surveillance | No treatment before 3/12 | Not recorded |
Harcke [29] | Week 1 | Surveillance | Secondary prevention | Not recorded |
Finnbogasan [15] | 12 days | Surveillance | Secondary prevention | Not recorded |
Rosendahl [20] | Week 1 | Surveillance | Surveillance | 6 months |
Orthopaedic surgeons | ||||
Bache [25] | Week 1 | Re-examined 2 weeks | Pavlik harness for 6 weeks | 12 months |
Clarke [24] | 10 days or 6 weeks | Conservative management -Pavlik harness 6 weeks | Pavlik harness / surgery | 12 months |
Paton [22] | 2 weeks or 8 weeks | Secondary Prevention | Conservative management | Not recorded |
Reikeras [31] | 2–4 weeks | 50% surveillance 50% primary prevention | 12–14 months | |
Holen [16] | Day 3 | US 2 weeks Frejka pillow 4 weeks | Secondary prevention | 6–11 years |
Chan [21] | 6 weeks | Conservative management | Conservative management | Not recorded |
Paediatricians | ||||
Andersson [27] | Week 1 | Primary Prevention R/V 2 weeks | Secondary prevention R/V 4 weeks | 18 months |
Kaijser [30] | Day 3 | Secondary Prevention R/V 6 weeks | Conservative management R/V 12 weeks | Not recorded |