Is ultrasound screening for DDH in babies born breech sufficient?

Journal of Children's Orthopaedics
Meghan ImrieScott J Mubarak

Abstract

To review our incidence of developmental dysplasia of the hip (DDH) in breech infants referred for ultrasound screening and to determine if subsequent follow-up radiographs are necessary in these patients with normal clinical and ultrasound examinations. A review of the clinical data and imaging studies of all children with the risk factor of breech presentation that were referred for orthopedic evaluation over a 5-year period was conducted. All patients were examined by a fellowship-trained pediatric orthopedic surgeon and all ultrasounds were done at approximately 6 weeks of age by an experienced ultrasonographer. Ultrasounds were evaluated using the dynamic method as described by Harcke. As per our protocol, all patients with normal screening ultrasounds were brought back for a final clinical examination and radiographic check at 4-6 months. Acetabular dysplasia was indicated by radiographic parameters-if there was severe blunting of the sourcil, abnormal acetabular index for age, or if there was significant asymmetry of acetabular indices side-to-side-in the setting of clinical parameters-if there was greater than 10° difference in side-to-side abduction or symmetric abduction of less than 60°. Three hundred patients with t...Continue Reading

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Citations

Dec 4, 2012·Pediatrics in Review·Blaise A Nemeth, Vinay Narotam
Oct 29, 2014·BMC Musculoskeletal Disorders·Blazej PruszczynskiJ Richard Bowen
Dec 3, 2014·Pediatric Clinics of North America·Richard M SchwendLee S Segal
Jul 24, 2012·The Orthopedic Clinics of North America·Charles T Price, Brandon A Ramo
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Sep 11, 2016·Current Reviews in Musculoskeletal Medicine·Stephanie Pun
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Dec 28, 2019·JBJS Reviews·Eric W EdmondsVidyadhar V Upasani
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Jun 23, 2021·Pediatrics·Michael H GoodsteinUNKNOWN COMMITTEE ON FETUS AND NEWBORN, TASK FORCE ON SUDDEN INFANT DEATH SYNDROME

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