Ultrasonographic screening for developmental dysplasia of the hip: the Graf method revisited

被引：1

作者：

Kolovos, Stylianos ^{[1
]}

Sioutis, Spyridon ^{[2
]}

Papakonstantinou, Maria-Eleni ^{[3
]}

Serenidis, Dimitrios ^{[2
]}

Altsitzioglou, Pavlos ^{[2
]}

Karampikas, Vasileios ^{[2
]}

Chlapoutakis, Konstantinos ^{[4
]}

Mitsiokapa, Evanthia ^{[5
]}

Katsanos, Spyridon ^{[6
]}

Mastrokalos, Dimitrios ^{[2
]}

Koulalis, Dimitrios ^{[2
]}

Papagelopoulos, Panayiotis J. ^{[2
]}

Mavrogenis, Andreas F. ^{[2
]}

机构：

[1] Gen Hosp Larisa, Dept Orthopaed, Larisa, Greece

[2] Natl & Kapodistrian Univ Athens, Sch Med, Dept Orthopaed 1, Athens, Greece

[3] Natl & Kapodistrian Univ Athens, Med Sch, Dept Paediat 3, Athens, Greece

[4] Vioapeikonisi Diagnost Imaging Lab, Iraklion, Crete, Greece

[5] Thorac Dis Gen Hosp Sotiria, Dept Phys & Rehabil Med, Athens, Greece

[6] Natl & Kapodistrian Univ Athens, Sch Med, Dept Emergency Med & Cardiol, Athens, Greece

来源：

EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY | 2024年 / 34卷 / 02期

关键词：

Developmental dysplasia of the hip; Hip ultrasonography; Graf method; Preventive screening; CONGENITAL DISLOCATION; AVASCULAR NECROSIS; EARLY DIAGNOSIS; NEONATAL HIP; FOLLOW-UP; ULTRASOUND; SONOGRAPHY; INFANTS; INSTABILITY; ACETABULUM;

D O I：

10.1007/s00590-023-03767-9

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Until the 1980s, the diagnosis of developmental dysplasia of the hip (DDH) was based on clinical examination and radiographic imaging. In 1980, Reinhard Graf developed his own ultrasonographic method for the examination of the infant hip joint. Graf's method evaluates the osseous and cartilaginous coverage of the femoral head by the acetabulum in the infantile hip joint by measuring the angles alpha and beta. The validity of Graf method is that with these measurements the hip joint is further classified by Graf classification into types I to IV that guide treatment. Currently, Graf method is considered the gold standard examination for the diagnosis of DDH in many European countries. This review article aims to discuss the incidence, risk factors and pathophysiology of DDH, and to emphasize on the Graf method for the evaluation, classification, prevention and further management of this entity.

引用

页码：723 / 734

页数：12

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