Combined application effect of X-ray scan and various ultrasound examination techniques in diagnosis and treatment of DDH
10.13491/j.issn.1004-714X.2021.04.020
- VernacularTitle:X线摄片及多种超声检查方法在DDH诊治中的联合应用效果
- Author:
Jinping WANG
1
;
Shuai LIU
2
;
Weifeng LIN
2
;
Taotao HUI
2
Author Information
1. Function Examination Department, Wuxi 9th Affiliated Hospital of Soochow University, Wuxi 214062 China.
2. Pediatric Orthopedics Department, Wuxi 9th Affiliated Hospital of Soochow University, Wuxi 214062 China.
- Publication Type:SupervisionandManagement/OriginalArticles
- Keywords:
Ultrasound;
Developmental Dysplasia of the Hip;
Outcome
- From:
Chinese Journal of Radiological Health
2021;30(4):491-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective The combined application of X-ray photography and various ultrasound examination techniques to evaluate the clinical outcome of developmental dysplasia of the hip (DDH) in early diagnosis and treatment. Methods A retrospective analysis of the data of 296 hips in 148 infants with DDH risk factors from September 2017 to September 2018 was classified by Graf method. Harcke method was applied to evaluate the stabilities of the hips. Ottobock harnesses was used for treatment depending on the classification. Human position spica cast would be given if no efficacy was seen and Novick method was applied to observe the location of femoral head and acetabulum. X-rays were given to the infants underwent treatments when they were above 1 year old and the developments of the hips were evaluated. Results There were 207 type Ⅰ hips, 76 type Ⅱ hips, 3 type D hips, 6 type Ⅲ hips and 4 type Ⅳ hips as Graf classification at first examination. 248 hips were stable, 27 hips were relaxed, 5 hips were dislocated when compressed, 13 hips were reducible and 3 hips were irreducible as Harcke classification. 81 hips were treated in all. All the hips turned to be in normal range at age of 1 year. Conclusion The combination of X-ray scan and three ultrasound tools are effective to comprehensively assess the hip joint and precisely diagnose DDH, which may benefit more infants.
