scholarly journals Clinical evaluation of ultrasound screening in follow-up visits of infants with cerebral palsy at high risk for developmental dysplasia of the hip

2016 ◽  
Vol 12 (4) ◽  
pp. 2431-2434
Author(s):  
Aizhen Qiu ◽  
Zhongxiu Yang ◽  
Jiping Wang ◽  
Taotao Wang
Keyword(s):  
Cerebral Palsy ◽  
High Risk ◽  
Clinical Evaluation ◽  
Developmental Dysplasia ◽  
Ultrasound Screening ◽  
Dysplasia Of The Hip

THE CHIARI PELVIC OSTEOTOMY

1999 ◽  
Vol 03 (01) ◽  
pp. 1-10
Author(s):  
I. Y. Ok ◽  
C. H. Jeong ◽  
H. Y. Lee
Keyword(s):  
Cerebral Palsy ◽  
Hip Dysplasia ◽  
Pelvic Osteotomy ◽  
Delayed Union ◽  
Developmental Dysplasia ◽  
Painful Hip ◽  
Good Coverage ◽  
Dysplasia Of The Hip ◽  
Chiari Pelvic Osteotomy

The result of 27 Chiari pelvic osteotomy were analyzed to determine the efficacy of the operation in the treatment of subluxated and/or painful dysplastic hips. The length of follow-up ranged from 2 to 14 years. Eighteen patients had had developmental dysplasia of the hip; four sequelae of the septic hip; two, cerebral palsy and one had had poliomyelitis. The osteotomy can be done by power saw and osteotome. A large threaded K-wire was used for internal fixation. Bone graft was necessary even with the displacement of more than 50%. The overall result were: 12, excellent; 8, good; 5, fair; and 2 poor. In 11 patients, the osteotomy had to be displaced more than 50% to provide good coverage of the femoral head. There were no major complications such as sciatic nerve injury or delayed union. This procedure is most suited for the patient with painful hip dysplasia in whom a concentric reduction is not possible.

scholarly journals Ultrasound screening for developmental dysplasia of the hip after 4 weeks increases exam accuracy and decreases follow-up visits

2019 ◽  
Vol 60 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Eric Carle Lussier ◽  
Yi-Ting Sun ◽  
Hui-Wen Chen ◽  
Tung-Yao Chang ◽  
Chia-Hsieh Chang
Keyword(s):  
Developmental Dysplasia ◽  
Ultrasound Screening ◽  
Dysplasia Of The Hip

scholarly journals Should We Continue to Screen for Developmental Dysplasia of the Hip in Clubfoot? Our Experience and Review of the Literature

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Clinical Examination ◽  
Hip Dysplasia ◽  
Screening Programme ◽  
Developmental Dysplasia ◽  
The Other ◽  
Idiopathic Clubfoot ◽  
Ultrasound Screening ◽  
Review Of The Literature ◽  
Targeted Ultrasound ◽  
Dysplasia Of The Hip

Objective: The association between clubfoot and developmental dysplasia of the hip (DDH) remains uncertain, with only a few studies linking both. However, clubfoot is considered as a risk factor for DDH. The aim of this study was to determine the incidence of DDH and evaluate the need for routine hip imaging in our population of children with clubfoot. Methods: Retrospective analysis of all patients treated for clubfoot in our center between 2010 and 2019. We included patients with hip imaging for DDH in the first 12 months of life. Results: There were 108 children with clubfoot who underwent DDH screening. 92 had idiopathic clubfoot and 16 had syndromic clubfoot. Of the patients with idiopathic clubfoot, 2 (2.2%) had DDH; one had a clinically unstable hip and the other patient underwent hip screening on account of the clubfoot alone. Among patients with syndromic clubfoot, 3 (18.8%) had developmental dysplasia of the hip. Two of them had an abnormal hip examination while the other had normal hip clinical examination but other established risk factors for DDH. Conclusion: A targeted ultrasound or radiological screening programme for DDH in idiopathic clubfoot diagnosed hip dysplasia in only 1 child that would have otherwise been missed by clinical examination alone. We conclude that hip imaging is not warranted in children with idiopathic clubfoot and regular clinical screening may suffice. In syndromic clubfoot, due to the higher incidence of DDH, we recommend specific ultrasound screening even in the presence of a normal hip examination. Keywords: Clubfoot, Screening, Developmental dysplasia of the hip.

Outcomes of closed reduction in patients with developmental dysplasia of the hip incorporating open psoas and adductor release and using short leg cast

2021 ◽  
Vol 15 (5) ◽  
pp. 1529-1532
Author(s):  
M. S. Abdulqader ◽  
L. J. Khorsheed ◽  
Hwaizi .
Keyword(s):  
Soft Tissue ◽  
Closed Reduction ◽  
Case Series ◽  
Developmental Dysplasia ◽  
Soft Tissue Release ◽  
Plaster Of Paris ◽  
Dysplasia Of The Hip ◽  
Mid Term Results ◽  
Tönnis Grade

Background and objectives: Closed reduction and short leg spica casting are the preferred treatment options for children with developmental dysplasia of the hip. This study aimed to show the efficacy behind a standardized closed reduction for managing patients with developmental dysplasia of the hip with concomitant soft tissue releases when indicated and using a short leg plaster of Paris cast to maintain reduction and reporting mid-term results. Methods: A case series of 95 hips in 84 children aged 6-18 months who had closed reduction, with five years follow up or until next operation, involved in this study. The protocol defines acceptable concentric reduction criteria and the indications for an associated soft tissue release. All the patients were immobilized in a short leg cast for three months. Multiple follow-up radiographs were taken to assess Tönnis grade, Severin grade, acetabular index, and osteonecrosis signs. Results: A total of 48 hips were Tönnis grade 3/4 hips. At one year, 15 reductions couldn’t be maintained, and these patients needed open reduction. Of these 15 failed reductions, 7 patients were Severin 1; others were Severin 2. Of the 80 successful closed reductions, 70 hips were Severin 1. Surgical management for residual dysplasia was offered for 8 hips. Osteonecrosis was seen in 23 hips but was transient in 20. Bilateral hip dislocations and most Tönnis 4 hips were more likely to fail. Two children had severe osteonecrosis. Conclusions: Closed reduction, with subsequent adductor and psoas releases, when indicated and using a short leg plaster of Paris cast for three months, brings about good mid-term results in children with developmental dysplasia of the hip aged 6-18 months. Keywords: Developmental dysplasia of the hip, closed hip reduction, open psoas release, short leg cast.

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