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[Ultrasound screening of the neonatal hip: results and experiences]
R Ganger1, F Grill, S Leodolter
1Abteilung für Kinderorthopädie, Orthopädisches Spital Wien-Speising.
Insights
Neonatal ultrasound screening effectively identifies developmental dysplasia of the hip (DDH) in newborns. Early treatment with bracing leads to favorable outcomes, with no observed avascular necrosis.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Imaging
Background:
- Developmental dysplasia of the hip (DDH) is a common condition in newborns.
- Early detection and treatment are crucial for preventing long-term complications.
Purpose of the Study:
- To evaluate the efficacy of neonatal ultrasound screening for DDH.
- To assess the outcomes of early treatment for DDH.
Main Methods:
- Sonographic examination of 1291 newborns between May 1986 and June 1987.
- Radiological follow-up for patients with severe dysplasia (Graf type IIc or worse).
- Treatment with Pavlik harness or abduction brace for identified cases.
Main Results:
- 3.25% of newborns (1.97% of hips) required immediate treatment.
- Mean therapy duration was 4.3 months, with Type I findings post-treatment.
- No avascular necrosis of the femoral head was observed.
- One case showed an acetabular index of 30 degrees; other hip joints had normal findings.
Conclusions:
- Neonatal ultrasound examination is a valuable tool for diagnosing DDH.
- Early intervention leads to positive outcomes and prevents severe complications like avascular necrosis.
Abstract:
1291 newborn were examined sonographically between May 1986 and June 1987. Some of them were followed up radiologically until February 1989. The schedule of examination and treatment is given below. Neonatal examination suggested the immediate treatment of 3.25% of the newborn (1.97% of all hips), either Pavlik harness or abduction brace. The mean duration of therapy was 4.3 months. At the end of therapy type I was always in evidence. Patients with severe dysplasia (Graf type IIc or worse) were followed up radiologically at the end of the 2nd year of life. An avascular necrosis of the femoral head was not observed; in one case there was an acetabular index of 30 degrees; the remaining hip joints showed normal findings. We conclude that ultrasound examination in the neonatal period is a worthwhile procedure.