CORR Insights®: Is Hip Medial Ultrasound More Accurate Than Radiography for Determining the Status of Hip Reduction in Children Treated With a Spica Cast? A Retrospective Diagnostic Accuracy Study

Limpaphayom, Noppachart

doi:10.1097/corr.0000000000002416

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to Graf’s technique, ultrasound examination should be performed in a frontal standard plane, approaching the hip laterally and avoiding tilting errors of the probe [ 13 ] ( Figure 1 ); however, Graf’s method is not applicable in the presence of a SC. More recently, different sonographic techniques have been described, to overcome the problem of hips being covered by a cast [ 14 , 15 , 16 ]. Among those different US approaches, one of the most used is the transinguinal approach (TIT) described in 2003 by van Douveren et al [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Transinguinal Ultrasound versus Magnetic Resonance in Spica Cast after Closed Reduction of Unstable Hips in DDH

Guindani,

Chiodini,

De Pellegrin

2024

Children

View full text Add to dashboard Cite

Background. During the treatment of unstable hips in developmental hip dysplasia (DDH), the position of the femoral head must be assessed in spica cast (SC) after reduction. A transinguinal sonographic technique (TIT) to the hip joint has been previously described in the literature. The aim of this study is to evaluate the agreement among TIT and MR to identify hip reduction. Methods. From 2016 to 2019, 14 consecutive newborns (10 female, 4 males) with a mean age of 2.97 ± 1.29 months were treated with closed reduction in SC. A total of 4/14 children had bilateral unstable DDH. Out of 18 hips, there were 8 hips type IV and 10 hips type IIIA, according to Graf. SC were changed monthly and hips were checked both with TIT and MR, looking for persistent dislocation. Results. Overall, a mean of 2.61 SC/hip (mode = 3) was accomplished, accounting for 47 procedures, with 46 reduced hips and 1 dislocated hip: TIT and MR always agreed on the same result (47/47; Cohen k = 1, CI95 1.00 to 1.00). Conclusions. The inguinal ultrasound technique described by van Douveren showed perfect agreement with MR and might be considered a reliable alternative to check the position of the femoral head during the conservative treatment of hip dysplasia in spica cast.

show abstract

Section: Introductionmentioning

confidence: 99%

Transinguinal Ultrasound versus Magnetic Resonance in Spica Cast after Closed Reduction of Unstable Hips in DDH

Guindani,

Chiodini,

De Pellegrin

2024

Children

View full text Add to dashboard Cite

show abstract

CORR Insights®: Is Hip Medial Ultrasound More Accurate Than Radiography for Determining the Status of Hip Reduction in Children Treated With a Spica Cast? A Retrospective Diagnostic Accuracy Study

Abstract: Where Are We Now? U ltrasonography (US) is a wellestablished and useful method for evaluating developmental dysplasia of the hip (DDH) in neonates. US machines are easily accessible in many facilities, including community hospitals, and some have suggested that US will become the

Cited by 1 publication

References 13 publications

Transinguinal Ultrasound versus Magnetic Resonance in Spica Cast after Closed Reduction of Unstable Hips in DDH

Transinguinal Ultrasound versus Magnetic Resonance in Spica Cast after Closed Reduction of Unstable Hips in DDH

Contact Info

Product

Resources

About