UBC Theses and Dissertations

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UBC Theses and Dissertations

Screening for congenital dislocation of the hip in infants in British Columbia Fulton Fraser, Jane


Congenital Dislocation of the Hip in infants is a topic of screening interest in British Columbia. When a case of Congenital Dislocation of the Hip is not diagnosed and treated in the neonatal period, the infant may later require surgical care. In British Columbia, 94% of surgical cases for Congenital Dislocation of the Hip come from unscreened communities which produce only 66% of the live births in the province. A cost-minimization analysis of screening and conservative treatment versus no screening and surgery shows that the cost of surgical care is more than three times greater. This thesis proposes that the province extend screening services to all Obstetrical Units in British Columbia and train physicians and nurses to do the screening. A suggestion is also made to incorporate hip screening into a comprehensive neonatal developmental screening package.

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