Der transinguinale Ultraschall zur Bestimmung der Hüftkopfzentrierung in der Behandlung der Hüftdysplasie und Hüftluxation

Eberhardt, Oliver; Zieger, M.; Wirth, T.; Ff, Fernandez

doi:10.1055/s-0029-1185709

Cited by 8 publications

(13 citation statements)

References 8 publications

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“…For some authors, sonography does not provide good images of the bone and the epiphysis [23]. Despite this, it has been repeatedly proved as a very useful method to describe the growth plate and its pathological changes in the current literature [19,24]. The tendency of the latest works seems to give more place to the use of US for the diagnosis; however, a standard work-up has not been established yet.…”

Section: Discussionmentioning

confidence: 92%

Transphyseal elbow fracture in newborn: review of literature

et al. 2015

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Transphyseal elbow fracture is a rare entity in newborns, and in the last century, only case reports or small case series have been published; however, precise epidemiological data lack. Such fractures occur more often in emergency Caesarian section or vaginal delivery. The differential diagnosis with elbow dislocation can be challenging. Radiography, arthrography, magnetic resonance, ultrasound or a combination of these have already been described to make diagnosis, but guidelines for the management of this injury in the neonate are not well established. A review of the literature of the last century about distal transphyseal fracture of the humerus in newborns was performed. A bibliographic search was conducted accessing usual medical databases. The work-up methods, treatments, results at follow-up and the rate of complications were collected. Twenty case reports or small retrospective case series reporting a total of 33 cases were included. A posteromedial displacement of the radioulnar complex was found in 21 elbows (64 %). Four patients (12 %) underwent surgical treatment, whilst 29 (88 %) were managed without surgery. An attempt of reduction was reported in 23 cases (69 %). At follow-up, 88 % recovered completely the carrying angle and 80 % range of motion. A relationship between the type of treatment (conservative or surgical, with attempt of reduction or not) and results at follow-up could not be demonstrated. The most common complication was cubitus varus. Transphyseal elbow fractures are rare among newborns. Regardless of the treatment choice, such lesions are in most cases associated with a good prognosis.

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Section: Discussionmentioning

confidence: 92%

Transphyseal elbow fracture in newborn: review of literature

et al. 2015

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“…Included patients were children with DDH and dislocated or unstable hip(s) (Graf type III or IV), treated conservatively with closed reduction in SC. Before every cast changing, each hip was classified according to Graf and a new cast was performed if at least one hip was still dislocated or unstable (Graf type D, III and IV) [ 10 ]. If the hip was still dysplastic but not unstable (Graf type IIb or IIc), no further SC was used, and the treatment followed with a brace until the maturation of the acetabulum (Graf type 1).…”

Section: Methodsmentioning

confidence: 99%

“…Once SC has been applied, the position of the head must be evaluated, to check if the hip is reduced or not [ 5 ]. Different techniques are available to verify the position of the femoral head in SC: X-ray [ 6 ], computer tomography (CT) [ 7 , 8 , 9 ], magnetic resonance (MR) [ 5 , 6 , 10 , 11 ] and ultrasound (US) [ 10 , 12 ]. According to Graf’s technique, ultrasound examination should be performed in a frontal standard plane, approaching the hip laterally and avoiding tilting errors of the probe [ 13 ] ( Figure 1 ); however, Graf’s method is not applicable in the presence of a SC.…”

Section: Introductionmentioning

confidence: 99%

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Transinguinal Ultrasound versus Magnetic Resonance in Spica Cast after Closed Reduction of Unstable Hips in DDH

Guindani,

Chiodini,

De Pellegrin

2024

Children

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Background. During the treatment of unstable hips in developmental hip dysplasia (DDH), the position of the femoral head must be assessed in spica cast (SC) after reduction. A transinguinal sonographic technique (TIT) to the hip joint has been previously described in the literature. The aim of this study is to evaluate the agreement among TIT and MR to identify hip reduction. Methods. From 2016 to 2019, 14 consecutive newborns (10 female, 4 males) with a mean age of 2.97 ± 1.29 months were treated with closed reduction in SC. A total of 4/14 children had bilateral unstable DDH. Out of 18 hips, there were 8 hips type IV and 10 hips type IIIA, according to Graf. SC were changed monthly and hips were checked both with TIT and MR, looking for persistent dislocation. Results. Overall, a mean of 2.61 SC/hip (mode = 3) was accomplished, accounting for 47 procedures, with 46 reduced hips and 1 dislocated hip: TIT and MR always agreed on the same result (47/47; Cohen k = 1, CI95 1.00 to 1.00). Conclusions. The inguinal ultrasound technique described by van Douveren showed perfect agreement with MR and might be considered a reliable alternative to check the position of the femoral head during the conservative treatment of hip dysplasia in spica cast.

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“…[11]. Alternativ kann auch ein transinguinaler Ultraschall durchgeführt werden [12]. Mit einem portablen Ultraschallgerät kann die Hüftkopfzentrierung unmittelbar bei Gipsanlage bestimmt werden.…”

Section: Stellenwert Der Klinischen Untersuchungunclassified

Hüftdysplasie – Teil 1: Im Kindes- und Jugendalter

Eberhardt¹,

Fernández²

2019

Orthopädie und Unfallchirurgie up2date

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Der transinguinale Ultraschall zur Bestimmung der Hüftkopfzentrierung in der Behandlung der Hüftdysplasie und Hüftluxation

Cited by 8 publications

References 8 publications

Transphyseal elbow fracture in newborn: review of literature

Transphyseal elbow fracture in newborn: review of literature

Transinguinal Ultrasound versus Magnetic Resonance in Spica Cast after Closed Reduction of Unstable Hips in DDH

Hüftdysplasie – Teil 1: Im Kindes- und Jugendalter

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