The natural history of abnormal ultrasound findings in hips of infants under six months of age

Journal of Children's Orthopaedics
R Sakkers, V Pollet

Abstract

To collect and describe data on the natural history of abnormal ultrasound (US) findings in hips of infants under six months of age to serve as a reference to the design of screening programmes and treatment algorithms in the care for children with hip dysplasia. A search in PubMed of the terms "DDH" and "ultrasound" was done to find hips with abnormal US findings that were not treated. In cases of multiple periods of follow-up, the classification of every period was evaluated separately (individual hip follow-up periods). Data of 13 561 hips with 16 991 follow-up periods were collected and analyzed. Most quantifiable classifications and follow-up periods were according to Graf (14 876) and a minor number of the hips had follow-up periods with femoral head coverage (FHC) (2115). Normal development without treatment in the first six months was for Graf 2a between 89% and 98%, for Graf 2c between 80% and 100% and for clustered data Graf 2a to 2c between 80% and 97%. For Graf 3 hips more than 50% were reported to develop into normal hips without treatment. As for Graf 4 hips this percentage was reported below 50%. For children with an FHC less than 50%, normalization was reported between 78% and 100%. The natural history of develo...Continue Reading

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Citations

Aug 30, 2018·Journal of Children's Orthopaedics·T Terjesen
Nov 10, 2020·Deutsches Ärzteblatt International·Ayla Yagdiran
Mar 4, 2021·Journal of Pediatric Orthopedics·Wesley W E S TheunissenJaap J Tolk
Apr 7, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Maryam AshoorSattar Alshryda
Sep 26, 2021·Advanced Healthcare Materials·Nasim GolafshanMiguel Castilho

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