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Ultrasonography and developmental dysplasia of the infant hip
1duPont Hospital for Children, Wilmington, DE 19899, USA.
Insights
Hip sonography is a sensitive tool for diagnosing and managing infant hip dysplasia. This review covers recent advancements in screening techniques and treatment strategies for this common condition.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Imaging
Background:
- Developmental dysplasia of the infant hip (DDH) is a common condition requiring accurate diagnosis and management.
- Hip sonography has evolved over 18 years into a widely accepted, sensitive diagnostic tool for DDH.
Purpose of the Study:
- To review recent literature on screening protocols for DDH.
- To highlight current and emerging techniques for the treatment of DDH.
Main Methods:
- Review of recent scientific reports and clinical studies on hip sonography for DDH.
- Analysis of different screening algorithms and treatment modalities.
Main Results:
- Hip sonography is highly sensitive and useful for DDH diagnosis and management.
- Ongoing debate exists regarding optimal screening frequency and timing.
- Clinical screening is standard in the US; universal screening is used elsewhere and under investigation.
Conclusions:
- Hip sonography is a valuable tool in the diagnosis and management of DDH.
- Further research is needed to establish universal screening guidelines.
- Current focus is on refining screening protocols and treatment techniques for DDH.
Abstract:
Hip sonography has been developed, refined, and critiqued for over 18 years. It is now widely accepted as a highly sensitive and useful technique for both the diagnosis and management of developmental dysplasia of the infant hip. Controversy continues surrounding the issue of when and how often hip sonography should be performed. Currently, clinical screening of newborns is the standard of care in the United States, with sonography employed selectively based on clinical findings. Universal ultrasound screening has been used in some countries and is under consideration by many investigators, using a variety of algorithms. This review will focus on recent reports dealing with issues of screening for developmental dysplasia of the infant hip and also will highlight techniques suggested for use in the treatment of development dysplasia of the infant hip.