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Background:Ultrasonography is accepted as a useful imaging modality in the early detection of developmental dysplasia of the hip (DDH). Early detection and early treatment of DDH prevents hip dislocation and related physical, social, economic, and psychological problems. The purpose of this study was to evaluate the reliability of ultrasonographic and roentgenographic measurements measured by seven different observers.Materials and Methods:The alpha angles of 66 hips in 33 patients were measured using the Graf method by seven different observers. Acetabular index degrees on plane roentgenograms were measured in order to assess the correlation between the ultrasonographic alpha angle and the radiographic acetabular index, which both show the bony acetabular depth, retrospectively.Results:The interclass correlation coefficient, measuring the interobserver reliability, was high and statistically significant for the ultrasonographic measurements. There was a negative correlation between the alpha angle and the acetabular index.Conclusions:Ultrasonography, when applied properly, is a reliable technique between different observers, in the diagnosis and follow up of DDH. When assessed concomitantly with the roentgenographic measurements, the results are reliable and statistically meaningful.

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Five hundred and fifteen children with single segment non-physeal extremity fractures were retrospectively reviewed. The male to female ratio was 2.7:1. The average age of study group was 9.9+/-4.7 years; 273 fractures (53%) were on the left, 242 (47%) were on the right. A fall was the main cause of the injury in most of the cases (80%). The forearm was the most commonly seen fracture site. Summer was the season when the fracture incidence was the highest. Highest surgical treatment rate (50%) was seen in supracondylar humerus fractures. It has been stated in the literature that non-physeal fractures are far more common than physeal fractures. We assume that this study not only will help understanding of the injury patterns of single segment non-physeal fractures in children but also, be a base for future studies in prevention and treatment of this type of fracture.

AMAÇBu yazıda, çok nadir bir yaralanma olan femur başı kırıkla-rında tedavi stratejilerinin tartışılması amaçlandı. GEREÇ VE YÖNTEMMart 2006 ile Aralık 2007 arasında acil servise femur başı kırığı ile başvuran beş hastanın altı kırığı incelendi. Cerrahi ve cerrahi dışı yöntemlerle tedavi edilen hastaların fonksiyonel sonuçları karşılaştırıldı. BULGULARHastaların yarısı cerrahi yöntemle, yarısı da cerrahi dışı yöntemlerle tedavi edildi. Mükemmel ve iyi sonuçların oranı %50 bulundu. İki taraflı yaralanması bulunan hastada avasküler nekroz gelişti. Bu hastada fonksiyonel sonuçlar kötü bulundu. Cerrahi ile tedavi edilen hastalardan birinde erken posttravmatik artrit görüldü, bu hastanın fonksiyonel sonuçları orta bulundu. SONUÇMinimum yumuşak doku travması ile anatomik redüksiyo-nun sağlanması bu kırıkların tedavisindeki amacımız olmalıdır. Parçaların en iyi görüntüsü hangi yaklaşımla sağlana-caksa o yaklaşım tercih edilmelidir. Şu unutulmamalıdır ki, tüm tedavi seçeneklerine rağmen bu hastaların fonksiyonel sonuçları kötü olabilmektedir.