{"id":22,"date":"2007-11-26T11:01:15","date_gmt":"2007-11-26T10:01:15","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc-archimedes\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/"},"modified":"2007-11-26T11:01:15","modified_gmt":"2007-11-26T10:01:15","slug":"question-hip-scans-for-clubfoot-babies","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/","title":{"rendered":"Question: Hip scans for clubfoot babies?"},"content":{"rendered":"

\"ClubDo infants born with an isolated clubfoot (talipes equinovarus) require radiological investigations to rule out congenital hip dysplasia?<\/strong>
\nYou are a neonatal SHO. The midwife asks you to see a term baby who has just been born. She has noticed the baby to have a clubfoot and wants you to examine the baby.Physical examination confirms a clubfoot and there are no other abnormalities. Both hips are stable on clinical examination using the Ortolani and Barlow\u2019s test.<\/p>\n

Your registrar asks you to request a hip ultrasound or hip X-ray for this baby to rule out DDH. You are not used to this practice and decide to appraise the evidence behind it.<\/p>\n

Drs Pickerd and Adappa at the Neonatal Unit, Royal Gwent Hospital have submitted this question, and it’s not one I’d ever considered. Archi has previously looked at the associations of ear pits and renal abnormalities, but has been too worried by the chisels of orthopedicians to stray across their paths.<\/p>\n

The question interests us as it has elements of frequency (is it common enough to bother about), cost (to child, parents and radiology – time, worry and \u00a3\u00a3\u00a3) and benefit (are you better off knowing?).<\/p>\n

To paraphrase Dr Seuss, “What WOULD you do, if your Registrar asked you?”<\/p>\n

Acknowledgements: Image: richardmasoner from Flickr <\/a>under the creativecommons2.0 licence<\/a>. Mis-quotation: Cat in the Hat, Dr Seuss. (Random House Books for Young Readers, 1957)<\/p>\n","protected":false},"excerpt":{"rendered":"

Do infants born with an isolated clubfoot (talipes equinovarus) require radiological investigations to rule out congenital hip dysplasia? You are a neonatal SHO. The midwife asks you to see a term baby who has just been born. She has noticed the baby to have a clubfoot and wants you to examine the baby.Physical examination confirms […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[81,158,159],"tags":[],"class_list":["post-22","post","type-post","status-publish","format-standard","hentry","category-diagnostics","category-orthopaedics","category-radiology"],"yoast_head":"\nQuestion: Hip scans for clubfoot babies? - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Question: Hip scans for clubfoot babies? - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"Do infants born with an isolated clubfoot (talipes equinovarus) require radiological investigations to rule out congenital hip dysplasia? You are a neonatal SHO. The midwife asks you to see a term baby who has just been born. She has noticed the baby to have a clubfoot and wants you to examine the baby.Physical examination confirms [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/\" \/>\n<meta property=\"og:site_name\" content=\"ADC Online Blog\" \/>\n<meta property=\"article:published_time\" content=\"2007-11-26T10:01:15+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/bob_phillips.allmail.net\/clubfeet.jpg\" \/>\n<meta name=\"author\" content=\"Bob Phillips\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bob Phillips\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/\"},\"author\":{\"name\":\"Bob Phillips\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\"},\"headline\":\"Question: Hip scans for clubfoot babies?\",\"datePublished\":\"2007-11-26T10:01:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/\"},\"wordCount\":239,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"articleSection\":[\"diagnostics\",\"orthopaedics\",\"radiology\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/\",\"name\":\"Question: Hip scans for clubfoot babies? - ADC Online Blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#website\"},\"datePublished\":\"2007-11-26T10:01:15+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2007\\\/11\\\/26\\\/question-hip-scans-for-clubfoot-babies\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Question: Hip scans for clubfoot babies?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\",\"name\":\"ADC Online Blog\",\"description\":\"Education, debate, and meandering thoughts on child health, using evidence and research.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\",\"name\":\"ADC Online Blog\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/files\\\/2017\\\/10\\\/blog-logo-adc.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/files\\\/2017\\\/10\\\/blog-logo-adc.png\",\"width\":285,\"height\":34,\"caption\":\"ADC Online Blog\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\",\"name\":\"Bob Phillips\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"caption\":\"Bob Phillips\"},\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/author\\\/bphillips\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Question: Hip scans for clubfoot babies? - ADC Online Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/","og_locale":"en_GB","og_type":"article","og_title":"Question: Hip scans for clubfoot babies? - ADC Online Blog","og_description":"Do infants born with an isolated clubfoot (talipes equinovarus) require radiological investigations to rule out congenital hip dysplasia? You are a neonatal SHO. The midwife asks you to see a term baby who has just been born. She has noticed the baby to have a clubfoot and wants you to examine the baby.Physical examination confirms [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/","og_site_name":"ADC Online Blog","article_published_time":"2007-11-26T10:01:15+00:00","og_image":[{"url":"http:\/\/bob_phillips.allmail.net\/clubfeet.jpg","type":"","width":"","height":""}],"author":"Bob Phillips","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Bob Phillips","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/"},"author":{"name":"Bob Phillips","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/person\/9e94029681ecf36e73bbd1eb2be2ef94"},"headline":"Question: Hip scans for clubfoot babies?","datePublished":"2007-11-26T10:01:15+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/"},"wordCount":239,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/adc\/#organization"},"articleSection":["diagnostics","orthopaedics","radiology"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/","url":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/","name":"Question: Hip scans for clubfoot babies? - ADC Online Blog","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/adc\/#website"},"datePublished":"2007-11-26T10:01:15+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/adc\/2007\/11\/26\/question-hip-scans-for-clubfoot-babies\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/adc\/"},{"@type":"ListItem","position":2,"name":"Question: Hip scans for clubfoot babies?"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/adc\/#website","url":"https:\/\/blogs.bmj.com\/adc\/","name":"ADC Online Blog","description":"Education, debate, and meandering thoughts on child health, using evidence and research.","publisher":{"@id":"https:\/\/blogs.bmj.com\/adc\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/adc\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/adc\/#organization","name":"ADC Online Blog","url":"https:\/\/blogs.bmj.com\/adc\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/adc\/files\/2017\/10\/blog-logo-adc.png","contentUrl":"https:\/\/blogs.bmj.com\/adc\/files\/2017\/10\/blog-logo-adc.png","width":285,"height":34,"caption":"ADC Online Blog"},"image":{"@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/person\/9e94029681ecf36e73bbd1eb2be2ef94","name":"Bob Phillips","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","caption":"Bob Phillips"},"url":"https:\/\/blogs.bmj.com\/adc\/author\/bphillips\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/22","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=22"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/22\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=22"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=22"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=22"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}