Hip Sonography: Preparing for the Future

O’Beirne, Joseph; Chlapoutakis, Konstantinos

doi:10.1007/978-3-030-94956-3_16

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Early DDH treatment lead to optimal alignment between the acetabulum and femoral head and allow for the hip joint to continue developing and growing normally [24]. Of concern, a delayed diagnosis may require more invasive treatment, such as surgery, that may be associated with complications, leading to both poor functional outcomes and quality of life [25].…”

Section: Introductionmentioning

confidence: 99%

Incidence, Prevalence, Risk Factors, and Clinical Treatment for Children with Developmental Dysplasia of the Hip in Saudi Arabia. A Systematic Review

Alrashdi,

Alotaibi,

Alharthi

et al. 2024

J Epidemiol Glob Health

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Background Developmental dysplasia of the hip (DDH) leads to pain, joint instability, and early degenerative joint disease. Incidence, prevalence, and management strategies of DDH have been well-documented in several countries, but not in Saudi Arabia. Objective We synthesized the current evidence regarding incidence, prevalence, risk factors, and clinical treatment for children with DDH in Saudi Arabia. Methods We searched 3 databases to locate studies. Studies that included children with DDH in Saudi Arabia; reported either incidence rate, prevalence, risk factors, and/or clinical practice; and were available in English or Arabic were included. We excluded reviews, case studies, or animal studies. Two independent authors reviewed potential studies and assessed study’s quality. Results Our search yielded 67 potential studies, of which 16 studies were included (total DDH sample = 3,127; age range = 2.5 to 86.4 months). Three studies reported incidence rates ranging from 3.1 to 4.9 per 1000 births, and 3 studies reported prevalence ranging from 6 to 78%. Nine studies reported that female sex, breech position, family history, and age less than 3 years were risk factors associated with DDH. Four studies reported that brace applications and closed reduction were conservative treatments, and 9 studies reported that open hip reduction, adductor tenotomy, and/or pelvic osteotomy were surgical approaches to treat DDH. Conclusions In Saudi Arabia, the Incidence and prevalence rates of DDH are 3.1 to 4.9 per 1,000 births, and 6–78%, respectively (differ from what has been reported in other countries), but the risk factors of DDH in Saudi Arabia appear to be similar in comparison to other countries (female, breech presentation, family history of DDH).

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Section: Introductionmentioning

confidence: 99%

Incidence, Prevalence, Risk Factors, and Clinical Treatment for Children with Developmental Dysplasia of the Hip in Saudi Arabia. A Systematic Review

Alrashdi,

Alotaibi,

Alharthi

et al. 2024

J Epidemiol Glob Health

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“…Em contrapartida, algumas vezes, as instabilidades não são identificadas no exame físico, havendo, portanto, falhas na detecção de displasias acetabulares isoladas, principalmente sabendo-se que algumas crianças acometidas não possuem fatores de risco identificáveis. 13 Além disso, há de se considerar, no entanto, que as complicações de eventuais sobretratamentos são relativamente pequenas se as órteses forem aplicadas de forma adequada, respeitando as zonas de segurança. 14…”

Section: Rastreamento Com Ultrassonografiaunclassified

“…These failures often occur in children with no identifiable risk factors. 13 However, remember that the complications of a potential overtreatment are relatively small in a properly applied orthosis that respects the safety zones. 14…”

Section: Ultrasound Screeningmentioning

confidence: 99%

Displasia do desenvolvimento do quadril – Parte 1

Braga,

Júnior,

Akkari

et al. 2023

Rev Bras Ortop (Sao Paulo)

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ResumoO termo displasia do desenvolvimento quadril (DDQ) refere-se à condição na qual a articulação sofre alterações na sua formação durante os últimos meses da vida intrauterina ou nos primeiros meses após o nascimento. No espectro de apresentação, varia desde a instabilidade femuroacetabular, passando por estádios de displasia até a completa luxação. O diagnóstico precoce é fundamental para o sucesso do tratamento. A triagem através do exame clínico incluindo manobras apropriadas é imprescindível nos recém-nascidos e nas avaliações subsequentes durante o crescimento da criança.O rastreamento ultrassonográfico é indicado nos bebês sob suspeita clínica e muito mais recomendável naqueles que tiveram apresentação pélvica para o parto ou que tenham antecedentes familiares. A ultrassonografia do quadril nos primeiros meses seguida da radiografia da bacia após o 4° ou 6° mês de vida são os exames que determinam o diagnóstico e auxiliam o seguimento.O tratamento está baseado na obtenção de uma redução concêntrica e na manutenção e estabilização do quadril, propiciando a remodelação articular. Inicialmente, as órteses de flexão/abdução são a escolha; em crianças maiores pode ser necessário o uso de gesso após redução incruenta com ou sem tenotomia; redução aberta pode ser indicada e após os 18 meses as osteotomias pélvicas associadas a capsuloplastia e eventuais osteotomias acetabular e femoral.Crianças tratadas devem ser acompanhadas durante todo o seu crescimento pelo eventual risco de displasias tardias.

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“…The introduction of ultrasonography for the diagnosis and management of DDH during the 1980s, by the team of Professor Reinhard Graf (Stolzalpe, Austria), heavily influenced the natural course of the disorder, making early diagnosis and treatment feasible ( 3 ) . The technique described by Graf has evolved over the past years, becoming more accurate and effective ( 4 , 5 , 6 ) .…”

Section: Introductionmentioning

confidence: 99%

Treat, follow-up, or discharge? An aid in sonographic decisions for the borderline centered neonatal/infantile hips

Chlapoutakis,

Raissaki,

Markatzinou

et al. 2024

JUltrason

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Aim: To investigate whether linear measurements or ratios on the Graf’s “standard plane” ultrasound images of the neonatal/infantile hip, can support the clinically important differentiation between type I and type II hips. Material and methods: A total of 60 Graf type II hips and 124 randomly selected Graf type I hips, matched to the gestational age at delivery, birth weight, delivery mode, and age at the time of the examination, were identified through our hip screening service, during a period of two years. The images were diagnostically suitable, following anatomical identification and usability check, according to Graf. Anatomical landmarks including the lower limb of the os ilium, the bony rim, the silhouette of the os ilium, the labrum and the femoral head’s borders, were used to determine the measurements and ratios which quantified their inter-relationships. Results: The indices which differed significantly between type I and type II hips included: (a) the width of the “bony roof” (cut-off value 5.91 mm, sensitivity: 75%, specificity: 70%), (b) the ratio of the width of the “bony roof” to the femoral head’s width (cut-off value 0.40, sensitivity 83%, specificity 71%), and (c) the ratio of the cartilaginous acetabular roof’s width (including the labrum), to the width of the femoral head (cut-off value 0.450, sensitivity 82%, specificity 67%). Conclusions: Newly introduced measurements and calculated ratios on “standard plane” ultrasound images can be used as additional indices in the differentiation between Graf’s types of “centered hips”, thus increasing the diagnostic certainty of the examiner in borderline cases and limiting unnecessary re-examinations or treatment.

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Hip Sonography: Preparing for the Future

Cited by 3 publications

References 17 publications

Incidence, Prevalence, Risk Factors, and Clinical Treatment for Children with Developmental Dysplasia of the Hip in Saudi Arabia. A Systematic Review

Incidence, Prevalence, Risk Factors, and Clinical Treatment for Children with Developmental Dysplasia of the Hip in Saudi Arabia. A Systematic Review

Displasia do desenvolvimento do quadril – Parte 1

Treat, follow-up, or discharge? An aid in sonographic decisions for the borderline centered neonatal/infantile hips

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