Examination of the infant hip with real-time ultrasonography.

Harcke, H. Theodore; Clarke, N.M.P.; Lee, M S; Borns, Patricia; Gd, MacEwen

doi:10.7863/jum.1984.3.3.131

Cited by 202 publications

(83 citation statements)

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“…As an alternative to measuring Graf angles, Morin et al measured the percentage of the femoral head covered by the bony acetabulum [8]. Harcke et al described a dynamic technique in which the hip joint was moved during the examination session [7]. Suzuki et al developed a method for imaging both hip joints simultaneously from the front, and demonstrated the location of the femoral heads [11].…”

Section: Introductionmentioning

confidence: 99%

Correlation of femoral head coverage and Graf α angle in infants being screened for developmental dysplasia of the hip

Günay

Atalar

Doğruel

et al. 2008

International Orthopaedics (SICOT)

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Ultrasonography has become accepted as a useful imaging modality in the early detection of developmental dysplasia of the hip (DDH). The purpose of this study was to investigate the extent to which ultrasonographic measurements of femoral head coverage correspond to the categories of hip maturity defined by Graf's angle α. The infants in this study (1,037 infants, 2,034 hips) were examined as part of an ultrasound screening program for detecting DDH. We found that femoral head coverage is positively correlated with α angle, and we also found upper and lower threshold values of femoral head coverage (51% and 39%), such that all hips having these values or beyond had mature or pathological development, respectively. For the detection of hips having mature development, this provided a specificity of 100% (by definition) and a sensitivity of 82.6%. For hips having pathological development, specificity was 100% and sensitivity was 79.2%.Résumé L'échographie est une méthode permettant l'analyse et le dépistage des dysplasies de hanches (DDH). Le propos de cette étude est d'analyser la couverture de la tête fémorale, de déterminer si cette couverture permet de définir différentes catégories de maturité des hanches selon l'angle a de Graf. 1037 enfants (2034 hanches) ont été examinés par échographie dans un programme de dépistage de la luxation de hanche (DDH). Nous avons trouvé que la couverture de la tête fémorale était corrélée avec l'angle a de Graf. Nous avons pu déterminer des valeurs repères hautes et basses de couverture de la tête (51% et 39%), de telle sorte que les hanches qui sont soit dans ses valeurs soit en dehors de ces valeurs, ont un développement mature ou pathologique. La spécificité de ce dépistage est de 100% et la sensitivité de 82,6%. Pour les hanches pathologiques la spécificité est de 100% et la sensitivité de 79,2%.

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Section: Introductionmentioning

confidence: 99%

Correlation of femoral head coverage and Graf α angle in infants being screened for developmental dysplasia of the hip

Günay

Atalar

Doğruel

et al. 2008

International Orthopaedics (SICOT)

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“…Son dönemlerde erken tanı konulması ve tedavinin erken önemde başlamasının önemi artmıştır. Ciddi morbiditelere neden olabilecek bu hastalığın tedavisinde başarının yaş ile ters orantılı olduğu bilinmektedir [3][4][5] . Gelişimsel kalça displazisi erken dönemde tedavi edilmediğinde tedavi maliyeti katlanarak artan bir sorundur 6 .…”

Section: Sonuç: Kars Bölgesinde Yaşayan Bebek Oranı Ve Hastaneye Baş-unclassified

Results of Developmental Hip Dysplasia and Average Cost Analysis in Kars

Bilge¹,

Ulusoy²,

Çatal³

et al. 2017

Kafkas J Med Sci

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“…However, late-diagnosed or late-onset hip dislocations needing treatment are not rare and screening guidelines need to be adjusted to diagnose these patients. Static and dynamic ultrasound screening popularized by Graff [3] and Harcke et al [4] are wellaccepted diagnostic tools that add valuable information to the physical examination and are considered the ''gold standard'' for diagnosis in some countries. However, ultrasound evaluation of the hips has not been universally adapted even in the industrialized world and in developing countries is not widely available.…”

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confidence: 99%