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August 6, 1960


Author Affiliations

Greene and Coulter streets Germantown, Philadelphia 44.

JAMA. 1960;173(14):1616-1617. doi:10.1001/jama.1960.03020320096029

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To the Editor:—  I would like to comment on the article by Harris, Lipscomb, and Hodgson on the diagnosis of congenital lesions of the hip, which was published in The Journal, May 21, page 229.I note that 11,010 infants were examined on the first day of life and again on the fifth day, and 90% of them were examined at regular intervals for six years. If the roentgenograms shown in the article are characteristic, none of the patients had shielding of the gonads, and one would wonder as to the quantity of the gonadal dose of radiation as a result of these studies. It would seem from the experience reported in the radiologic literature that the criteria which are available for the roentgenographic diagnosis of congenital hip disease are widely known and understood, and I can see little need to subject 11,010 infants to repeated examinations and increase the unnecessary

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