ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Comparison Of Three Different Ultrasonographic Methods In The Evaluation Of Developmental Dysplasia Of The Hip: Morphological Method, Femoral Head Coverage Percentage And Dynamic Method
Öznur Leman Konuş*, Ayşegül Özdemİr*, Nil Tokgöz**
* Yrd.Doç.Dr., Gazi Üniversitesi Tıp Fakültesi Radyoloji AD,
** Dr., Gazi Üniversitesi Tıp Fakültesi Radyoloji AD, ANKARA
Among ultrasonography (US) examinations of developmental dysplasia of the hip (DDH), sensitivities of the dynamic method, morphological method (Graf's method) and femoral head coverage percentage (FHCP) were compared.
This study was performed in Gazi University School of Medicine, Department of Radiology.
Twenty-seven hips in 19 infants diagnosed as DDH in different stages with three different US methods, were included in the study. Ultrasonographic examinations were performed with 7.5 mHz superficial transducer. Graf's method (with angle measurements), FHCP and dynamic method were applied. FHCP was also measured during dynamic examination and this result was compared with the FHCP obtained in neutral position.
In comparison of the methods, concordance rate was low in type 1 and 2 hips, but was high in type 3 and 4 hips. When compared with dynamic method, sensitivity of the morphological method and FHCP were 65 % and 71 %, in order. During the dynamic method, mean 11.7 % decrease was established in the FHCP comparing in the neutral position.
In the dynamic examination, established stages of dysplasia in pathologic hips can be higher than in the morphological examination because of the joint laxity in dysplasic hips during the dynamic method. In the evaluation of DDH, dynamic examination and FHCP must be performed in addition to the morphological examination. FHCP assesses the localisation of the femoral head easily and gives quantitative results.Keywords: Dysplasia, Congenital hip, Hip dislocation,
UltrasonographyTurkiye Klinikleri J Med Sci 2000, 20:341-346
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