Zhaowen Xue, Yiming Zhang, Wenyi Gan, Huajun Wang, Guorong She, Xiaofei Zheng
Quality and Dependability of ChatGPT and DingXiangYuan Forums for Remote Orthopedic Consultations: Comparative Analysis
Journal of medical Internet research
developmental dysplasia hip ddh broadspectrum disorder early diagnosis treatment important improved prognosis lower risk longterm complications selecting highrisk infants important early diagnosis ddh using ultrasonography however standard international guidelines study aimed identify usefulness universal ultrasound hospital discharge breechborn neonates proposes selective ultrasound highrisk patients retrospective chart review conducted identify breechborn neonates underwent hip ultrasonography discharge detection ddh 2019 2023 patients categorized ddh nonddh groups according ultrasound results compared sex gestational age birth weight firstborn status twin pregnancy associated anomalies presence symptoms physical examination results timing first hip ultrasound medical records mothers reviewed identify amount amniotic fluid duration breech presentation study included 102 patients 62 40 assigned nonddh ddh groups respectively congenital anomalies positive symptoms positive physical examination results significant risk factors however female sex firstborn status oligohydramnios statistically significant duration breech presentation pregnancy significant additionally risk pavlik harnesses higher patients underwent positive physical examination universal ultrasonography discharge recommended early diagnosis ddh breechborn neonates high rate overdiagnosis recommend ultrasonography performed patients congenital anomalies except foot problems positive physical examination conducted trained specialists