Is Radiographic Imaging Necessary for Identifying Late Developmental Dysplasia of the Hip in Breech Infants with Normal Ultrasounds?
| Autor: | Christopher Lee, Oussama Abousamra, Katherine Antoniak, Rachel Y. Goldstein |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Hip dysplasia
musculoskeletal diseases medicine.medical_specialty Supine position business.industry Radiographic imaging Developmental dysplasia Radiography Ultrasound Maternal Newborn and Child Morbidity and Mortality medicine.disease Pediatrics RJ1-570 medicine.anatomical_structure breech infant Breech presentation developmental dysplasia of the hip Pediatrics Perinatology and Child Health Medicine Radiology Original Research Article business Pelvis hip radiology |
| Zdroj: | Global Pediatric Health, Vol 8 (2021) Global Pediatric Health |
| Popis: | Purpose. The goal of our study was to investigate the prevalence of late DDH cases in breech infants who had a normal screening hip ultrasound and subsequent follow-up hip x-ray imaging. Methods. Infants with a history of intrauterine breech position, normal hip ultrasound within 3-months of birth, and follow-up hip x-rays within 2-years were included. Acetabular indices were measured on a supine AP pelvis radiograph. Results. Fifty-six patients had breech presentation at birth, a normal hip ultrasound, and returned for radiographic evaluation within 2 years. Of those, 11/112 (10%) of hips had late DDH based on their radiographic images at 1 standard deviation greater than normative values from age-adjusted controls. No infants showed hip dysplasia at 2 standard deviations greater than normative values from age-adjusted controls. Conclusions. Our results support previous studies that follow up should be considered for infants with breech presentation and normal hip ultrasounds near birth. Level of evidence. II. |
| Databáze: | OpenAIRE |
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