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- Title
Do we need to follow up an early normal ultrasound with a later plain radiograph in children with a family history of developmental dysplasia of the hip?
- Authors
Tafazal, Suhayl; Flowers, Mark
- Abstract
Background: We routinely perform a pelvic radiograph between 6 and 12 months of age for children with a family history of developmental dysplasia of hip (DDH). We conducted this study to determine whether children with a family history of DDH and a normal hip ultrasound after birth require any further radiological follow-up. Methods: We identified all children referred to our hip-screening clinic in a 3-year period between August 2008 and August 2011 with a family history of DDH and a normal hip ultrasound after birth. A total of 119 patients with a normal hip ultrasound after birth had a pelvic radiograph at a median age of 6.6 months. Results: Six patients had residual dysplasia (acetabular index >30°) on the initial radiograph; five of these had resolved spontaneously by age 12 months, and the remaining patient had a normal radiograph at 21 months of age and was discharged. Conclusion: We have found no cases of residual hip dysplasia requiring treatment in children with a family history of DDH and a normal hip ultrasound after birth. We have therefore changed our practice accordingly and no longer routinely followed up such cases. Level of evidence: Diagnostic study, Level II.
- Subjects
HIP joint injury treatment; DYSPLASIA; CHILDREN'S injuries; ULTRASONIC imaging; MEDICAL radiography; FOLLOW-up studies (Medicine); PELVIC radiography; HIP joint; CONGENITAL hip dislocation; PATIENT aftercare; FAMILY history (Medicine); CHILDREN
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2015, Vol 25, Issue 7, p1171
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-015-1668-4