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The Journal of Bone and Joint Surgery 82:1004 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.


Current Concepts Review

Ultrasonography in Developmental Dysplasia of the Hip*

S. Wientroub, M.D.{dagger} and F. Grill, M.D.{ddagger}

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
{dagger}Department of Pediatric Orthopaedics, Dana Children's Hospital, Tel-Aviv Sourasky Medical Center, 6 Weizman Street, Tel-Aviv 64239, Israel.
{ddagger}Orthopaedisches Spital Speising, Speisinger Strasse 109, 1134 Vienna, Austria.


    Introduction
 
->A safe, noninvasive method of imaging of the hip: it can be used both for diagnosis and to monitor treatment.

->Provides advantages when combined with clinical examination: it can provide information on hip position, stability, and morphology.

->More sensitive than clinical examination and therefore can be used to resolve the dilemma of whether to splint an unstable hip immediately or to delay treatment with the hope that transient instability will resolve spontaneously.

->A consensus has not been reached concerning the best age for ultrasonographic screening.

->Neonatal ultrasonography detects a high number of hips with possible instability that require follow-up studies.

->Hip ultrasonography performed at four to six weeks of age is more accurate.

->Substantial training and attention to technical details and evaluation of results are necessary to obtain reliable results.

The use of ultrasonography to examine the neonatal hip was introduced and developed by Graf39. It soon became apparent . . . [Full Text of this Article]


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