Sonographic hip screening and early management of developmental dysplasia of the hip

被引:4
作者
Falliner, A [1 ]
Hahne, HJ [1 ]
Hassenpflug, J [1 ]
机构
[1] Kiel Univ Hosp, Dept Orthopaed, Kiel, Germany
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 1999年 / 8卷 / 02期
关键词
ultrasonographic screening; developmental dysplasia of hip; early management;
D O I
暂无
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
The reliability of Graf's technique in diagnosing developmental dysplasia of the hip (DDH) is investigated in this report. In a prospective study, 6,548 neonates were examined clinically and sonographically; 470 children were reexamined at least once. Sonographic alpha angles and radiographic acetabular index (AI) angles were followed up and compared. Results were as follows: 84.6% of the hips were mature; 14.3% were physiologically immature; 1.1% were dysplastic. Of the sonographically dysplastic hips, 63% were clinically normal. Neonatal sonographic hip status was affected by family history, breech delivery, birth weight, and gestational age. At follow-up, none of the primarily mature hips had worsened. Of the type IIa hips, 89% matured spontaneously, and 11% needed abduction. The 68 dysplastic hips had matured after a maximum of 80 days' abduction, with normal alpha and AI angles by the end of treatment. At 1 year, the pitch had deteriorated again in six children. Graf's sonographic technique reliably diagnoses infantile DDH. Regular orthopedic checkups are needed to detect secondary deterioration of dysplastic hips.
引用
收藏
页码:112 / 117
页数:6
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