Ultrasound as a diagnostic tool for femoral head containment disorders in children between one and 12 years of age.

acetabular head index femoral head extrusion angle hip angle hip dysplasia ultrasound

Journal

Journal of children's orthopaedics
ISSN: 1863-2521
Titre abrégé: J Child Orthop
Pays: England
ID NLM: 101313582

Informations de publication

Date de publication:
01 Oct 2021
Historique:
received: 05 05 2021
accepted: 23 07 2021
entrez: 3 12 2021
pubmed: 4 12 2021
medline: 4 12 2021
Statut: ppublish

Résumé

Ultrasound has been used to diagnose hip dysplasia in neonates and to screen until the end of their first year. For older children, femoral head containment disorders such as developmental dysplasia of the hip, Legg-Calvé-Perthes disease or cerebral palsy are usually diagnosed with plain radiographs. The aim of the present study was to evaluate ultrasound in comparison with radiographic imaging in children up to age 12 years and to determine reference values for sonographic containment parameters. Hip ultrasound and radiographic imaging were acquired on the same day and then compared. As a reference, normal acetabular angle and acetabulum head index were determined on radiographs. Lateral cartilage distance (LCD), lateral head distance (LHD) and femoral head extrusion angle (HA) were measured on ultrasound images. We included 96 patients with 167 healthy hips in the study. A total of 55 patients were female and 41 male. The mean age was 5.2 years (sd 3.3; 1.0 to 11.9). LCD Ultrasound is a simple, radiation-free diagnostic tool to detect femoral head containment disorders, even in children older than one year. This study provides reference values for hip ultrasound in children up to 12 years. III.

Identifiants

pubmed: 34858537
doi: 10.1302/1863-2548.15.210092
pii: jco-15-496
pmc: PMC8582606
doi:

Types de publication

Journal Article

Langues

eng

Pagination

496-502

Informations de copyright

Copyright © 2021, The author(s).

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Auteurs

Josephine Berger-Groch (J)

Department of Trauma Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Paediatric Orthopaedic Surgery, Orthopaedic Hospital Bad Bramstedt, Bad Bramstedt, Germany.

Nico Maximilian Jandl (NM)

Department of Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Paediatric Orthopaedic Surgery, Orthopaedic Hospital Bad Bramstedt, Bad Bramstedt, Germany.

Andre Strahl (A)

Department of Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Ulrich Bechler (U)

Department of Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Paediatric Orthopaedic Surgery, Orthopaedic Hospital Bad Bramstedt, Bad Bramstedt, Germany.

Frank Timo Beil (FT)

Department of Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Paediatric Orthopaedic Surgery, Orthopaedic Hospital Bad Bramstedt, Bad Bramstedt, Germany.

Markus H F Stuecker (MHF)

Department of Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Paediatric Orthopaedic Surgery, Orthopaedic Hospital Bad Bramstedt, Bad Bramstedt, Germany.

Classifications MeSH