Employing active sonographic surveillance in newborns with mild hip dysplasia yields results similar to those achieved with immediate splinting treatment, according to a new study.
Employing active sonographic surveillance in newborns with mild hip dysplasia yields results similar to those achieved with immediate splinting treatment, according to a new study.
In a randomized, blinded, controlled study published online ahead of print in Pediatrics, researchers assigned 128 newborns with mild hip dysplasia in 1 or both hips to either 6 weeks of immediate abduction splinting treatment with sonographic follow-up (n=64) or active sonographic surveillance alone (n=64). Patients were assessed at 6 weeks, 3 months, 6 months, and 1 year, and treatment was either continued or discontinued (splinting group) or initiated or not initiated (active surveillance group) based on the sonographic inclination angle. At 1.5 months of age, 47% of patients in the active surveillance group received treatment. In both groups, the mean treatment duration was 12 weeks. At 1 year of age, the mean inclination angle was 24.2° in both groups (P=.82). A total of 38 patients treated with splinting and 40 patients treated with active surveillance had radiologically normal hips at 1 year of age.
Considering the reported prevalence of 1.3% for mild hip dysplasia, these results suggest that a strategy of active surveillance rather than immediate treatment could reduce the overall treatment rate by 0.6%.
Continuous glucose monitors ease care for parents of young children with T1D
December 5th 2023Continuous glucose monitors have been found to improve sleep for parents of young children with type 1 diabetes and may help alleviate the care burden associated with the condition, according to a study conducted in France.
AAP cautions against low-carbohydrate diets for children at risk for diabetes
December 1st 2023According to the American Academy of Pediatrics (AAP), it is recommended that 45% to 65% of total daily calories come from carbohydrates, though very low-carbohydrate diets allow for 20 to 50 grams per day.