Infant hip ultrasound
Musculoskeletal Research and Basic Science, Springer International Publishing Ag, ss.155-164, 2015
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2015
- Doi Numarası: 10.1007/978-3-319-20777-3_9
- Yayınevi: Springer International Publishing Ag
- Sayfa Sayıları: ss.155-164
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Developmental dysplasia of the hip (DDH) is one of the most common disorders of the hip and refers to a disease involving both the acetabulum and proximal femur. Early and accurate diagnosis is of paramount importance to avoid late sequel of the hip joint. To date, hip ultrasound (US) is the preferred diagnostic tool. The favored US technique is the Graf method. Features of the bony roof, osseous rim, and cartilaginous roof together with angles and age of the infant all designate the type of the hip joint. DDH has five main types with additional subtypes, and first two of those (types I and II) are described as centered hips, whereas others (types D, III, and IV) are decentered hips. For centered joints with inadequate maturation including type IIa(-), type IIb, and type IIc stable hips, a device should be used to place the hips in crouching position until appropriate maturation. Decentered joints should be reduced by a harness in the first 3 weeks of harness application. Reduction can be monitored by anterior US scanning of the hip.