Determination of hip reduction in spica cast treatment for DDH: a comparison of radiography and ultrasound.
J Child Orthop
; 3(4): 313-8, 2009 Aug.
Article
em En
| MEDLINE
| ID: mdl-19657686
ABSTRACT
PURPOSE:
In this retrospective study we compared the efficacy of ultrasound and radiography for determining the position of the femoral head after closed or open reduction in DDH. MATERIALS ANDMETHODS:
The ultrasound was performed using the van Douveren technique by a transinguinal approach through a perineal window of the spica cast. Sixty-eight a.p. radiographs of the pelvis were correlated to 68 ultrasound images.RESULTS:
Thirty-two radiographs were not useful for precisely determining the femoral head position, whereas the criteria described by van Douveren et al. could be identified in all ultrasound images. All ultrasound images in the study were useful and gave reliable information about the position of the femoral head.CONCLUSION:
Consequently, standard radiographic documentation is no longer used as a standard in our clinic. MRI and CT are reserved for special cases. We recommend transinguinal ultrasound as a standard diagnostic method to determine the position of the femoral head in hip spica casts safely and reliably.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
J Child Orthop
Ano de publicação:
2009
Tipo de documento:
Article