The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination

Gunay, Cuneyd; BOLUKBASI, SELCUK; Tolunay, Tolga; Atalar, Hakan; Arıkan, Murat

doi:10.52312/jdrs.2021.413

The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination

Hakan ATALAR, (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Murat ARIKAN, (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Tolga TOLUNAY, (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Cüneyd GÜNAY, (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Eskişehir, Türkiye)

Selçuk BÖLÜKBAŞI (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Joint diseases and related surgery

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Yıl: 2021 Cilt: 32 Sayı: 3 Sayfa Aralığı: 598 - 604 Metin Dili: İngilizce DOI: 10.52312/jdrs.2021.413 İndeks Tarihi: 29-12-2021

The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination

Öz:

Objectives: This study aims to evaluate the short-term results ofinfants who were radiologically diagnosed with developmentaldysplasia of the hip (DDH), but in whom hip development wasnormal ultrasonographically. Patients and methods: Between January 2018 andSeptember 2020, a total of 15 infants (2 males, 13 females;median age: 5 months; range, 4 to 6 months) who were diagnosedwith DDH radiologically and treated were retrospectivelyanalyzed. Hip ultrasonography was used for early diagnosis,treatment, and for follow-up in infants up to six months of age.While the ultrasonographic findings were normal, radiographywas performed in infants between four to six months of age whowere at risk for DDH. Results: Fifteen patients (22 hips) were diagnosed with DDHradiologically and treated. Radiologic dysplasia continued inseven hips of five patients during short-term follow-up. Conclusion: These results suggest that ultrasonographic hipmaturation may not be consistent with normal hip developmentin infants, particularly in those who are at risk for DDH.In infants with DDH which is confirmed by radiography(less than 6 months of age), the diagnosis may be missed onultrasonographic examination.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık

1. Graf R, Mohajer M, Plattner F. Hip sonography update. Quality-management, catastrophes - tips and tricks. Med Ultrason 2013;15:299-303.
2. Kaymaz B, Bakırcıoğlu S, Yılmaz G, Atay ÖA, Aksoy MC. Osteochondral autograft transplantation of the femoral head in sequelae of developmental dysplasia of hip: A case report and review of the literature. Jt Dis Relat Surg 2020;31:619-25.
3. Graf R. Mesurement technique. In: Graf R, editor. Hip sonography diagnosis and management of infant hip dysplasia. 2nd ed. Berlin: Heidelberg, Springer-Verlag; 2006. p. 46-50.
4. Wientroub S, Grill F. Ultrasonography in developmental dysplasia of the hip. J Bone Joint Surg Am 2000;82-A:1004-18.
5. von Kries R, Ihme N, Oberle D, Lorani A, Stark R, Altenhofen L, et al. Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany. Lancet 2003;362:1883-7.
6. Thallinger C, Pospischill R, Ganger R, Radler C, Krall C, Grill F. Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: the Austrian hip screening program. J Child Orthop 2014;8:3-10.
7. Wenger D, Düppe H, Nilsson JÅ, Tiderius CJ. Incidence of late-diagnosed hip dislocation after universal clinical screening in Sweden. JAMA Netw Open 2019;2:e1914779.
8. Gwynne Jones DP, Dunbar JD, Theis JC. Late presenting dislocation of sonographically stable hips. J Pediatr Orthop B 2006;15:257-61.
9. Rafique A, Set P, Berman L. Late presentation of developmental dysplasia of the hip following normal ultrasound examination. Clin Radiol 2007;62:181-4.
10. Jaiswal A, Starks I, Kiely NT. Late dislocation of the hip following normal neonatal clinical and ultrasound examination. J Bone Joint Surg [Br] 2010;92:1449-51.
11. Brinsmead T, Hong T, Frawley K. A case of late presentation of developmental dysplasia of the hip with normal screening ultrasound scan. J Paediatr Child Health 2014;50:494.
12. Imrie M, Scott V, Stearns P, Bastrom T, Mubarak SJ. Is ultrasound screening for DDH in babies born breech sufficient? J Child Orthop 2010;4:3-8.
13. Morris AR, Thomas JMC, Reading IC, Clarke NMP. Does late hip dysplasia occur after normal ultrasound screening in breech babies? J Pediatr Orthop 2019;39:187-92.
14. Atalar H, Gunay C, Turanli S, Koktener A. Discrepancy between ultrasonographic and radiographic findings in patients treated for developmental dysplasia of the hip; hip maturation on ultrasonography may not be consistent with radiographic hip maturation. J Pediatr Orthop B 2020;29:228-34.
15. Tönnis D. Normal values of the hip joint for the evaluation of X-rays in children and adults. Clin Orthop Relat Res 1976;(119):39-47.
16. Andersson JE, Funnemark PO. Neonatal hip instability: Screening with anterior-dynamic ultrasound method. J Pediatr Orthop 1995;15:322-4.
17. Berman L, Klenerman L. Ultrasound screening for hip abnormalities: Preliminary findings in 1001 neonates. Br Med J (Clin Res Ed) 1986;293:719-22.
18. Clarke NM, Clegg J, Al-Chalabi AN. Ultrasound screening of hips at risk for CDH. Failure to reduce the incidence of late cases. J Bone Joint Surg [Br] 1989;71:9-12.
19. Graf R. Classification of hip joint dysplasia by means of sonography. Arch Orthop Trauma Surg 1984;102:248-55.
20. Graf R. The diagnosis of congenital hip-joint dislocation by the ultrasonic Combound treatment. Arch Orthop Trauma Surg 1980;97:117-33.
21. Arumilli BR, Koneru P, Garg NK, Davies R, Saville S, Sampath J, et al. Is secondary radiological followup of infants with a family history of developmental dysplasia of the hip necessary? J Bone Joint Surg [Br] 2006;88:1224-7.
22. Osarumwense D, Popple D, Kershaw IF, Kershaw CJ, Furlong AJ. What follow-up is required for children with a family history of developmental dysplasia of the hip? J Pediatr Orthop B 2007;16:399-402.
23. Herring JA. Developmental dysplasia of the hip. In: Herring JA, editor. Tachdjian’s pediatric orthopaedics. 4th ed. Philadelphia: Saunders Elsevier; 2008. p. 649-51.
24. Atalar H, Günay C, Atik OŞ. Is treatment termination safe in developmental dysplasia of the hip following ultrasonographic normalization? Jt Dis Relat Surg 2021;32:521-2.

APA	Atalar H, Arıkan M, Tolunay T, Gunay C, BOLUKBASI S (2021). The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. , 598 - 604. 10.52312/jdrs.2021.413
Chicago	Atalar Hakan,Arıkan Murat,Tolunay Tolga,Gunay Cuneyd,BOLUKBASI SELCUK The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. (2021): 598 - 604. 10.52312/jdrs.2021.413
MLA	Atalar Hakan,Arıkan Murat,Tolunay Tolga,Gunay Cuneyd,BOLUKBASI SELCUK The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. , 2021, ss.598 - 604. 10.52312/jdrs.2021.413
AMA	Atalar H,Arıkan M,Tolunay T,Gunay C,BOLUKBASI S The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. . 2021; 598 - 604. 10.52312/jdrs.2021.413
Vancouver	Atalar H,Arıkan M,Tolunay T,Gunay C,BOLUKBASI S The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. . 2021; 598 - 604. 10.52312/jdrs.2021.413
IEEE	Atalar H,Arıkan M,Tolunay T,Gunay C,BOLUKBASI S "The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination." , ss.598 - 604, 2021. 10.52312/jdrs.2021.413
ISNAD	Atalar, Hakan vd. "The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination". (2021), 598-604. https://doi.org/10.52312/jdrs.2021.413

APA	Atalar H, Arıkan M, Tolunay T, Gunay C, BOLUKBASI S (2021). The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. Joint diseases and related surgery, 32(3), 598 - 604. 10.52312/jdrs.2021.413
Chicago	Atalar Hakan,Arıkan Murat,Tolunay Tolga,Gunay Cuneyd,BOLUKBASI SELCUK The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. Joint diseases and related surgery 32, no.3 (2021): 598 - 604. 10.52312/jdrs.2021.413
MLA	Atalar Hakan,Arıkan Murat,Tolunay Tolga,Gunay Cuneyd,BOLUKBASI SELCUK The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. Joint diseases and related surgery, vol.32, no.3, 2021, ss.598 - 604. 10.52312/jdrs.2021.413
AMA	Atalar H,Arıkan M,Tolunay T,Gunay C,BOLUKBASI S The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. Joint diseases and related surgery. 2021; 32(3): 598 - 604. 10.52312/jdrs.2021.413
Vancouver	Atalar H,Arıkan M,Tolunay T,Gunay C,BOLUKBASI S The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination. Joint diseases and related surgery. 2021; 32(3): 598 - 604. 10.52312/jdrs.2021.413
IEEE	Atalar H,Arıkan M,Tolunay T,Gunay C,BOLUKBASI S "The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination." Joint diseases and related surgery, 32, ss.598 - 604, 2021. 10.52312/jdrs.2021.413
ISNAD	Atalar, Hakan vd. "The infants who have mature hip on ultrasonographybut have risk factors of developmental dysplasia of thehip are required radiographic examination". Joint diseases and related surgery 32/3 (2021), 598-604. https://doi.org/10.52312/jdrs.2021.413