Follow-up Sonographic Results for Graf Type 2a Hips

Koşar, Pınar Nercis; Ergün, Elif; Gökharman, Fatma Dilek; Turgut, Ahmet Tuncay; Koşar, Uğur

doi:10.7863/jum.2011.30.5.677

Cited by 18 publications

(13 citation statements)

References 23 publications

(25 reference statements)

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“…The quality of treatment and treatment outcomes were comparable to those reported for children in resource-rich countries [10]. A recent study in Turkey observed worsening of Type 2a hips and therefore recommends a close follow-up for patients with an initial Type 2a diagnosis [11]. This recommendation is supported by the findings from our study: We found that 25 initially controlled Type 2a hips evolved into Type 2c-3 hips at first follow-up.…”

Section: Discussionsupporting

confidence: 85%

“…This recommendation is supported by the findings from our study: We found that 25 initially controlled Type 2a hips evolved into Type 2c-3 hips at first follow-up. As in the study reported from Turkey [11] all of these hips recovered with adequate treatment until second follow-up. In our birth cohort all patients with a 2c to 4 type hip have been treated and therefore we cannot assess whether or not these hips would have resolved spontaneously.…”

Section: Discussionsupporting

confidence: 62%

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Incidence and Treatment of Developmental Hip Dysplasia in Mongolia: A Prospective Cohort Study

et al. 2013

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BackgroundIn Mongolia, adequate early diagnosis and treatment of developmental hip dysplasia (DDH) have been unavailable and its incidence was unknown. We determined the incidence of ultrasonographic DDH in newborns and established adequate procedures for diagnosis and treatment of DDH at the largest maternity hospital in Ulaanbaatar, Mongolia.Methodology/Principal FindingsDuring one year (Sept 2010 – Aug 2011) we assessed the hips newborns using ultrasound and Graf’s classification of DDH. 8,356 newborns were screened; median age at screening was 1 day. We identified 14,873 Type 1 (89.0%), 1715 Type 2a (10.3%), 36 Type 2c (0.2%), 70 Type D (0.4%), 14 Type 3 (0.08%), and 4 Type 4 hips (0.02%). Children with Type 1 hips (normal) were discharged. Children with Type 2a hips (physiologically immature) received follow-up ultrasounds at monthly intervals. Children with Type 2c to 4 (DDH; deformed or misaligned hip joint) hips were treated with a Tubingen hip flexion splint and also followed up. The hip abnormalities resolved to mature hips in all children who were followed up. There was no evidence for severe treatment related complications.Conclusion/SignificanceThis study suggests that the incidence of DDH in Mongolian neonates is comparable to that in neonates in Europe. Early ultrasound-based assessment and splinting treatment of DDH led to mature hips in all children followed up. Procedures are feasible and will be continued.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 62%

Incidence and Treatment of Developmental Hip Dysplasia in Mongolia: A Prospective Cohort Study

et al. 2013

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“…Hips with a slightly shallow acetabulum and rounded bony rim before 3 months of age are considered developmentally immature and are classified as Graf type IIa (Figure 1) [22]. The α angle is 50˚ -59˚, whereas the β angle is 55˚ -77˚.…”

Section: Graf Iiamentioning

confidence: 99%

“…These hips are clinically reduced and stable [23]. Open Journal of Pediatrics [22]. About 85% of type IIa(−) hips reach normality without any treatment at the end of 3 months [24].…”

Section: Graf Iiamentioning

confidence: 99%

Developmental Dysplasia of the Hip: Management of Graf IIa Dysplastic Hip

Raba¹,

Gasibat²

2020

OJPed

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Developmental Dysplasia of the Hip (DDH) describes a wide range of anatomic abnormalities of the growing hips which might result in permanent abnormal gait. Therefore, early detection and management is crucial to improve the outcome and minimise the risk of osteoarthritis in later life. Hip ultrasound is used to evaluate DDH based on Graf classification. Graf score is a widely used ultrasound grading score to evaluate DDH in infants. There is conflicting evidence regarding the management of the developmentally immature Graf type IIa hip. Some physicians adopt watchful waiting for natural maturation of hips while other early treatment. This article will provide an evidence-based review on the management modalities of the Graf type IIa hip.

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“…İlk US incelemede tip 2a lehine değerlendirilen kalçaların 3 ay içerisinde %84-97'si kendiliğinden düzeldiği, %3-5 oranda ise displaziye doğru ilerleme gösterdiği bildirilmiştir. Üçüncü ayında tip 1a kalçaya dönüşmeyen yenidoğanlarda ortopedik tedavi gerekliliği doğduğu belirtilmiştir 6,11,12 .…”

Section: İstatiksel Yöntemunclassified

Value of hip B-mode gray scale histogram in the diagnosis of Graf Type IIa physiologically immature hip

Çekiç¹,

Toslak²,

Yüksel³

et al. 2017

MMJ

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GİRİŞGelişimsel kalça displazisi (GKD); yenidoğan döne-minde erken tanı ve tedavi ile sekelleri kolaylıkla önlenebilen klinik bir tablodur. Klinik muayeneye ek olarak ultrason kullanımına bağlı GKD sıklığı %0,5 ile %1,5 arasında değiştiği bildirilmiştir 1,2 . Günümüzde GKD tanısında ultrason kullanılarak yapılan Graf sınıf-laması altın standart olarak kabul edilmektedir .Kalça eklemi gelişimi, fetal dönemde başlayıp yenidoğan döneminde devam eden dinamik bir süreç olup, ilk 3 aylık dönemde femur başı-asetabulum ilişkisi matürasyonu gecikmesi Graf sınıflamasına göre tip 2a ABSTRACT

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Follow-up Sonographic Results for Graf Type 2a Hips

Cited by 18 publications

References 23 publications

Incidence and Treatment of Developmental Hip Dysplasia in Mongolia: A Prospective Cohort Study

Incidence and Treatment of Developmental Hip Dysplasia in Mongolia: A Prospective Cohort Study

Developmental Dysplasia of the Hip: Management of Graf IIa Dysplastic Hip

Value of hip B-mode gray scale histogram in the diagnosis of Graf Type IIa physiologically immature hip

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