[Value of ultrasonic diagnosis in the evaluation of hip dislocation in neonates and infants. Apropos of 340 cases]. / Valeur de l'échographie dans le bilan de la maladie luxante de la hanche du nouveau-né et du nourrisson. A propos de 340 cas.

Ultrasound imaging of hip (UIH) was performed in 170 children (340 hips) with normal (193) and dysplasic (147) hips and findings compared with results of clinical and radiologic examinations. Ultrasound demonstrated 100% sensitivity in cases with abnormal clinical and radiologic finding, and 94% specificity for UIH when clinical and radiologic examinations were negative. Sensitivity and specificity of ultrasound screening (respectively 96 and 81%) were comparatively superior to those of radiography of the pelvis (83 and 78%) in relation to the clinical examinations. These findings predict further development of UIH for screening of congenital dislocation of the hips and for follow up surveillance of treated children.

[Pulmonary tuberculosis and primary infection in children. Retrospective study of 53 children]. / Tuberculose pulmonaire et primo-infection de l'enfant. Etude rétrospective de 53 enfants.

A 4-year retrospective study of 53 children aged from 4 1/2 months to 16 years showed the persistent frequency of tuberculosis in a general paediatrics department: one out of 250 children of the same age admitted during the same period presented with tuberculosis. Acute febrile pulmonary manifestations (13%) were much less frequent than primary infections (87%) which were symptomatic in only one out of 2 cases. But, whether the primary infection was patent or latent, mediastinal lymphadenopathy was present in one out of 5 cases. In children, a 15 mm or more intradermal reaction to 10 units of tuberculin is strongly suggestive of tuberculosis, especially when previous intradermal tests were negative. Radiography of the chest and gastric fluid aspiration indicated the degree of infection. In spite of its low yield (10% positive microscopic examinations and 20% positive cultures), gastric aspiration had the merit of confirming the diagnosis of tuberculosis in 4 out of 35 children with apparently normal X-ray films. A firm therapeutic approach could be derived from these three examinations.

[Late lymphedema in Turner's syndrome]. / Lymphoedeme tardif dans le syndrome de Turner.

Two cases of delayed unilateral lymphedema are reported in children presenting with Turner's syndrome. On this occasion, the frequency of lymphedema in Turner's syndrome and the more general problem of the lymphatic changes in this syndrome are discussed. The importance of isotopic lymphography is emphasized, because of its simplicity, its harmlessness and the good quality of the morphological and cinetic data obtained.

[Hypopituitarism with hypoplasia of the optic nerve (Kaplan, Grumbach and Hoyt syndrome]. / Hypopituitarisme avec hypoplasie des nerfs optiques (syndrome de Kaplan, Grumbach et Hoyt

Two new cases of the syndrome described by Kaplan, Grumbach and Hoyt are reported. The two children were hypopituitary dwarfs, with congenital nystagmus and small optic discs with double border. Pneumoencephalography showed malformations of the median structures, with trans-sphenoidal encephalocele in one case. The definition of this syndrome and its relation to De Morsier's septooptical dysplasia are briefly discussed.