HOME >> MEDICINE >> NEWS
UI study shows classification system for evaluating childhood hip disease may be unreliable

IOWA CITY, Iowa--A recent University of Iowa Health Care study is calling into question the reliability of a classification system that orthopaedic surgeons use to help them evaluate treatment outcomes in children with a hip condition known as Legg-Calve-Perthes Disease.

The system, developed in 1981, is called the Stulberg Classification System. The classification scheme predicts how a patient with the hip disease (often referred to as simply Perthes disease) will do over the long term.

"Physicians make decisions based on the system, but nobody had ever proven its reliability," said Stuart Weinstein, M.D., UI professor of orthopaedic surgery and the study's corresponding author. "Our findings indicate that the system has poor reliability. Consequently, the validity of any treatment decisions, outcome evaluations or epidemiological studies based on this system must be called into question."

Perthes disease is a condition that affects young children, most commonly between the ages of 4 and 10. It involves the loss of blood supply to the upper end of the femur, which eventually leads to deformation of the femoral head. If untreated, the disease may lead to degenerative arthritis. The cause of the disease is unknown, although roughly one in 12,000 children has the disease. The UI Hospitals and Clinics treats between 25 and 30 children with Perthes disease each year.

The Stulberg system establishes five patient outcome categories based on radiographs. Each category describes a different shape or relationship between the femoral head and the hip socket. Each category is associated with the potential for, and the onset of, degenerative joint disease. For example, children with category I hips are at low risk for early-onset degenerative disease, whereas children with category IV hips frequently develop arthritic changes in early adulthood. The system has also been used to evaluate the effectiveness of various treatments for Perthes disease.

For
'"/>

Contact: Jennifer Cronin
jennifer-cronin@uiowa.edu
319-335-9917
University of Iowa
31-Oct-1999


Page: 1 2 3 4

Related medicine news :

1. First head-to-head study to compare lidoderm patch and Celebrex in treating pain
2. UMaine study looks at infants and chronic nighttime crying
3. Chronic pain treatments more effective when taken together, new study shows
4. UNC study: Most N.C. family practitioners engage in unrecognized community service
5. New study in Nature demonstrates protection against cell death during heart attack
6. UCSF study offers insight into human circadian rhythms
7. International breast cancer prevention study launches in the United States and Canada
8. UW study shows blacks and Latinos are more satisfied with physicians of the same race
9. Physicians may not be accurate in their confidence levels of their diagnoses, says Pitt study
10. Advertising by academic medical centers may risk eroding public trust, says study
11. Fat may promote inflammation, new study suggests

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: