Imaging of developmental dysplasia of the hip.

Abstract:

:Careful clinical examination remains the primary and most important way of diagnosing developmental dysplasia of the hip (DDH) in newborn infants. Repeated examinations during the first year are important to diagnose DDH subsequent to the newborn period. Sonography can detect cases of clinically silent DDH. Targeting high-risk infants for supplemental ultrasound screening at 4 to 6 weeks of age increases diagnosis of DDH and at significantly less expense than widespread screening. When sonography is not available, a pelvis radiograph at 3 months should be obtained in high-risk infants. Sonography also is used to monitor hip position and acetabular development in children undergoing harness treatment. Computed tomography and magnetic resonance imaging are reserved for children with more severe dysplasia, often as preoperative studies to help orthopedic surgeons to select the appropriate procedure.

journal_name

Pediatr Clin North Am

authors

Donaldson JS,Feinstein KA

doi

10.1016/s0031-3955(05)70495-8

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

591-614

issue

3

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(05)70495-8

journal_volume

44

pub_type

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