Ultrasonography and Developmental Dysplasia of the Hip: A Cost-Benefit Analysis of Three Delivery Systems

Davids, Jon R.; Benson, Laurel J.; Mubarak, Scott J.; McNeil, Natalie

doi:10.1097/01241398-199505000-00013

Cited by 21 publications

(4 citation statements)

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“…23 In this model, the ultrasound examination is performed in the orthopaedic surgeon's office, and the surgeon both supervises and provides interpretation of the examination result. 23 In this model, the ultrasound examination is performed in the orthopaedic surgeon's office, and the surgeon both supervises and provides interpretation of the examination result.…”

Section: Discussionmentioning

confidence: 99%

Difficult-to-Treat Ortolani-Positive Hip

Swaroop

Mubarak²

2009

Journal of Pediatric Orthopaedics

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In 1994, we presented a series of 52 Ortolani-positive hips (group 1) with a success rate of reduction of 85%. Now, our protocol for treating Ortolani-positive hips has evolved to include serial orthopaedic office-based ultrasound in all patients and use of a hip abduction orthosis in hips remaining unstable after 3 weeks in a Pavlik harness. Three previous studies at major centers reported successful reduction in only 63% to 71%. In group 2, our current success rate of 93% exceeds that previously reported by us and is significantly greater than these 3 previous studies (all P < 0.006). Furthermore, our current treatment module has decreased our rate of open reduction from 10% in group 1 to 5% in group 2. LEVEL OF RELEVANCE: Therapeutic study, level 3.

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Section: Discussionmentioning

confidence: 99%

Difficult-to-Treat Ortolani-Positive Hip

Swaroop

Mubarak²

2009

Journal of Pediatric Orthopaedics

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“…In Mubarak's study, a technician performed the ultrasound exam and the ultrasound was read by a pediatric orthopedic surgeon during the office visit. This orthopedic-directed hip ultrasound practice was convenient for the family and cost-effective for patients and physicians compared with either radiologist-only or combined radiology/orthopedics approaches [32].…”

Section: Discussionmentioning

confidence: 99%

Developmental dysplasia of the hip and ultrasound reading by pediatric orthopedic surgeons: a pilot study

Kwart

Pacana

Otsuka

et al. 2023

Journal of Pediatric Orthopaedics B

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Ultrasound is an imaging modality utilized for early detection and follow-up of developmental dysplasia of the hip (DDH) in infants. Traditionally, pediatric orthopedic surgeons have relied on radiologists to perform ultrasound examinations and interpret the imaging. Today, however, many orthopedic surgeons are performing and interpreting ultrasound themselves. The purpose of this paper was to evaluate the reliability of pediatric orthopedic surgeons in interpreting ultrasound imaging of infant hips. This was a prospective observational pilot study. After reading an instructional handout about the Graf method of hip ultrasonography, eight pediatric orthopedic surgeons measured 28 hip ultrasound images to determine the alpha angle and percent femoral head coverage. On the basis of cited intraclass correlation coefficient cutoff values, interrater reliability was found to be 'good' for percent femoral head coverage and 'fair' for alpha angle. These findings are equivalent to findings of similar studies using radiologists as examiners. Pediatric orthopedic surgeons can interpret ultrasound exams for diagnosing DDH.

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“…According to the available knowledge, many factors contribute to the rapid progression of DDH research. One of the important reasons may be the popularization of the ultrasound screening of DDH, especially in some European and American countries, and the spread of the method over developing countries ( 27 , 28 ).…”

Section: Discussionmentioning

confidence: 99%

The Global Research Trends and Hotspots on Developmental Dysplasia of the Hip: A Bibliometric and Visualized Study

Wang

Tong

et al. 2021

Front. Surg.

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Background: Developmental dysplasia of the hip (DDH) is a common musculoskeletal disorder in newborns and also one of the most common causes of hip arthritis in women. Many topics concerning DDH still remain controversial, and the global research trend in this field has not been well-studied yet. The aim of the present study was to illustrate the overall knowledge structure, development trends, and research hotspots of DDH.Methods: The publications related to DDH from 1998 to 2020 were identified from the Web of Science Core Collection (WOSCC). Three bibliometric tools were used to conduct visualization and knowledge maps. Annual trends of publications, contributions of countries, institutions, authors, funding agencies and journals, and clustering of keywords were analyzed.Results: A total of 2,691 publications were included. The annual number of DDH publications showed an increasing trend worldwide. The United States has made the greatest contribution, with the largest number of publications and the highest H-index. The most prolific institutions were Shanghai Jiao Tong University, Children's Hospital of Philadelphia, and Shriners Hospital for Children. Professors Tönnis D, Harris WH, Crowe JF, Graf R, and Salter RB have made great achievements in this field. However, the collaboration between international institutions or researchers was relatively low and mainly conducted in European and American countries. All the keywords could be divided into five clusters: hip osteoarthritis study, hip replacement study, hip ultrasound study, osteotomy surgery study, and etiology study. A trend of balanced and diversified development existed in these clusters. Keywords with the ongoing bursts, including clinical outcome, risk factor, femoroacetabular impingement, predictor, arthroscopy, morphology, and anteversion may continue to be the research hotspots in the near future.Conclusions: There will be an increasing number of publications on DDH research, and the United States stay ahead in this field. International collaboration needs to be further strengthened. The information can provide helpful references for researchers to explore hot issues or target a specific field of DDH.

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Ultrasonography and Developmental Dysplasia of the Hip: A Cost-Benefit Analysis of Three Delivery Systems

Cited by 21 publications

References 0 publications

Difficult-to-Treat Ortolani-Positive Hip

Difficult-to-Treat Ortolani-Positive Hip

Developmental dysplasia of the hip and ultrasound reading by pediatric orthopedic surgeons: a pilot study

The Global Research Trends and Hotspots on Developmental Dysplasia of the Hip: A Bibliometric and Visualized Study

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