Do we need to follow up an early normal ultrasound with a later plain radiograph in children with a family history of developmental dysplasia of the hip?
dc.contributor.author | Tafazal, Suhayl | |
dc.date.accessioned | 2016-08-16T14:39:58Z | |
dc.date.available | 2016-08-16T14:39:58Z | |
dc.date.issued | 2016-07 | |
dc.identifier.citation | Eur J Orthop Surg Traumatol. 2015 Oct;25(7):1171-5. doi: 10.1007/s00590-015-1668-4. Epub 2015 Jul 15. | language |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/308 | |
dc.description.abstract | BACKGROUND: We routinely perform a pelvic radiograph between 6 and 12 months of age for children with a family history of developmental dysplasia of hip (DDH). We conducted this study to determine whether children with a family history of DDH and a normal hip ultrasound after birth require any further radiological follow-up. METHODS: We identified all children referred to our hip-screening clinic in a 3-year period between August 2008 and August 2011 with a family history of DDH and a normal hip ultrasound after birth. A total of 119 patients with a normal hip ultrasound after birth had a pelvic radiograph at a median age of 6.6 months. RESULTS: Six patients had residual dysplasia (acetabular index >30°) on the initial radiograph; five of these had resolved spontaneously by age 12 months, and the remaining patient had a normal radiograph at 21 months of age and was discharged. CONCLUSION: We have found no cases of residual hip dysplasia requiring treatment in children with a family history of DDH and a normal hip ultrasound after birth. We have therefore changed our practice accordingly and no longer routinely followed up such cases. LEVEL OF EVIDENCE: Diagnostic study, Level II. | language |
dc.language.iso | en | language |
dc.subject | Hip Dysplasia | language |
dc.subject | Family History | language |
dc.subject | Ultrasound | language |
dc.subject | Developmental Dysplasia Hip | language |
dc.title | Do we need to follow up an early normal ultrasound with a later plain radiograph in children with a family history of developmental dysplasia of the hip? | language |
dc.type | Article | language |
refterms.dateFOA | 2021-06-03T09:44:38Z |