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Hip arthrography in the skeletally immature
Clinical Orthopaedics and Related Research
|January 1, 1982
Summary
Pediatric hip arthrograms are safe and effective for diagnosing conditions like congenital hip dislocation. Special views improve accuracy in assessing hip joint stability.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Imaging
- Radiology
Background:
- Hip arthrography is a key diagnostic tool in pediatric orthopedics.
- Common indications include congenital dislocation of the hip, Legg-Calvé-Perthes disease, and septic pyarthrosis.
- Assessing femoral head containment is crucial for treatment planning.
Purpose of the Study:
- To evaluate the safety and efficacy of hip arthrography in a pediatric population.
- To assess the success rate of the medial approach with fluoroscopic guidance.
- To determine the added value of simulated weight-bearing and specific views for evaluating hip containment.
Main Methods:
- Retrospective review of 146 hip arthrograms in 130 children.
- Utilized a medial approach with fluoroscopic control.
- Included standard and specialized views, such as simulated weight-bearing and abducted/internally rotated positions.
Main Results:
- 188 hips were injected, with a high success rate (only 3 unsuccessful attempts).
- No adverse effects were observed in hips subsequently undergoing surgical exploration.
- Specialized views enhanced the accuracy of determining femoral head containment.
Conclusions:
- Pediatric hip arthrography via a medial approach is a safe and effective procedure.
- The technique demonstrates a low complication rate.
- Incorporating simulated weight-bearing and specific views improves diagnostic accuracy for hip containment assessment.