The Journal of Bone and Joint Surgery 82:1004 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.
Ultrasonography in Developmental Dysplasia of the Hip*
S. Wientroub, M.D. and
F. Grill, M.D.
*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.
Department of Pediatric Orthopaedics, Dana Children's Hospital,
Tel-Aviv Sourasky Medical Center, 6 Weizman Street, Tel-Aviv 64239,
Israel.
Orthopaedisches Spital Speising, Speisinger Strasse 109, 1134
Vienna, Austria.
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Introduction
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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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