The reliability of ultrasonography in developmental dysplasia of the hip: How reliable is it in different hands?

Indian Journal of Orthopaedics
M M OrakTuncay Centel

Abstract

Developmental dysplasia of the hip (DDH) is the most common skeletal dysplasia. Two principal methods used in early diagnosis of DDH are clinical examination and ultrasonographic investigation. Dogruel et al. found a low specificity of clinical examination in patients with DDH. Additionally, Kamath et al. stated that ultrasonography performed by a radiologist in routine clinical practice is more reliable than physical examination performed by the average clinician. In clinical practice, the application and assessment of hip ultrasonography are completed by a single person. This assessment determines the followup of the patient. Thus, hip ultrasonography performed on the same person by different individuals under the same conditions will yield a more accurate assessment of the reliability of ultrasonographic assessment of DDH. Although inter-observer reliability was high in many previous studies of ultrasound image evaluation, reliability rates vary among studies of the application of ultrasonography. Inter-examiner reliability of hip ultrasonography was analyzed among four investigators who separately evaluated 100 hips (50 infants). The obtained bone structure angles α, cartilage structure angles β, and distribution of hip typ...Continue Reading

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Citations

Mar 7, 2018·Ultrasound Quarterly·Fatma Dilek GokharmanPinar Nercis Kosar
Dec 10, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Chenchen GengLing Ge
Aug 31, 2018·European Radiology·Emanuel MostofiJacob L Jaremko
Nov 28, 2020·Ultrasonography·YiRang ShinSungjun Kim
Mar 2, 2021·Journal of Children's Orthopaedics·Florian BucherChristian-Dominik Peterlein

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