Volume : VIII, Issue : IV, April - 2019

ROLE OF ULTRASOUND IN EVALUATION OF DEVELOPMENTAL DYSPLASIA OF THE HIP IN INFANTS

Dr. Nirali Patel, Dr. Anju Sharma, Dr. Monik Patel, Dr. Yash Rathod

Abstract :

Aim : The aim of the study is to evaluate the role of ultrasonography in the evaluation of developmental dysplasia of hip in infants and diagnose it early to prevent permanent complications. Materials and Methodology : This is a prospective study conducted in government medical college and new civil hospital , surat in which 50 infants between ages 1–6 months were included. patients were referred from orthopedics opd in our hospital for USG–hip, based on clinical assessment (mainly barlow & ortolani maneuvers). then the patient’s hips were examined in USG scan. After that, dynamic (coronal and transverse) & static ultrasound views evaluated using graf’s criteria. Results : Out of the 50 referred patients , most of them were found to have stable hips (Graf Type I and Type II a+) . Infants with unstable hips based on Graf’s criteria (Type II a–, II b, II c and Type III a, Type IV, Type D) were approximately 20% of the study population. Conclusion : Delayed treatment rates of DDH and complications could be reduced by the usage of the USG after the first month of life. In addition to physical assessment, USG for high–risk infants will provide more accurate diagnosis and minimize complications. Discussion : Hip ultrasound has been extensively used for the diagnosis and management of neonatal hip instability and dysplasia . Ultrasound allows imaging of the hip morphology by displaying the acetabulum , which is not seen on a radiograph. Once the diagnosis of neonatal hip instability and dysplasia has been made , ultrasound is very useful in monitoring the treatment and maturation of hip joint. Ultrasound seems to lead a shorter duration of treatment , which in some studies has been associated with reduction of complications , particularly Avascular necrosis .

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

ROLE OF ULTRASOUND IN EVALUATION OF DEVELOPMENTAL DYSPLASIA OF THE HIP IN INFANTS, Dr.Nirali Patel, Dr. Anju Sharma, Dr.Monik Patel, Dr.Yash Rathod INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-4 | April-2019

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