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Journals / Journal of Experimental and Clinical Medicine / 2022 / Cilt: 39 - Sayı: 2

Comparison of the interobserver reliability of ultrasonography and radiography in diagnosis of developmental dysplasia of the hip

Fatih CAN
Sacit TURANLI
Atalar HAKAN
Pages
463–466
Publication Date
2022-03-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, the surgeon's practical training and experience significantly affect the reliability in the evaluation of pediatric hip USG and XR.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:We aimed to compare the interobserver reliability of ultrasonography (USG) and x-ray (XR) and to calculate the sensitivity and specificity of these tests in the diagnosis of developmental dysplasia of the hip (DDH).
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Key Findings & Data:This retrospective study was conducted among 150 USG and 300 XR images of infants examined for DDH between January 2013 and June 2015.
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Conclusion & Impact:However, the surgeon's practical training and experience significantly affect the reliability in the evaluation of pediatric hip USG and XR.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:developmental dysplasia of the hip · ultrasonography · plain x-ray

Abstract

We aimed to compare the interobserver reliability of ultrasonography (USG) and x-ray (XR) and to calculate the sensitivity and specificity of these tests in the diagnosis of developmental dysplasia of the hip (DDH). This retrospective study was conducted among 150 USG and 300 XR images of infants examined for DDH between January 2013 and June 2015. The sonographic angle measurements and hip classifications of each USG and XR were carried out by five orthopedic surgeons specialized in pediatric orthopedics. Both USG and XR showed almost perfect agreement between five observers (κUSG=0.936, κXR=0.927, respectively, p<.0001). In patients under the age of 6 months, the interobserver reliability was almost perfect for USG and substantial for XR (κUSG=0.957, κXR=0.809, respectively, p<.0001). In patients older than 6 months, although interobserver agreement of both tests were almost perfect (κ>0.81), XR showed slightly higher agreement than USG (κXR=0.912, κUSG=0.885, respectively, p<.0001). In the diagnosis of DDH, both USG and plain x-rays are effective radiological tests because they offer high interobserver reliability. However, the surgeon's practical training and experience significantly affect the reliability in the evaluation of pediatric hip USG and XR.

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Cite This Article

CAN, F., TURANLI, S., HAKAN, A. (2022). Comparison of the interobserver reliability of ultrasonography and radiography in diagnosis of developmental dysplasia of the hip. Journal of Experimental and Clinical Medicine, Cilt: 39 - Sayı: 2, 463–466. https://ajindex.com/articles/677710

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References (10)

  1. AIUM practice guideline for the performance of an ultrasound examination for detection and assessment of developmental dysplasia of the hip. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine. 2009;28(1):114-9. Bankaoğlu M. Three-dimensional Computerized Tomography and Multiplanar Imaging of Developmental Hip Dysplasia. Sisli Etfal Hastanesi tip bulteni. 2019;53(2):103-9.
  2. Berman L, Klenerman L. Ultrasound screening for hip abnormalities: preliminary findings in 1001 neonates. British medical journal (Clinical research ed). 1986;293(6549):719-22.
  3. Clarke NM, Clegg J, Al-Chalabi AN. Ultrasound screening of hips at risk for CDH. Failure to reduce the incidence of late cases. The Journal of bone and joint surgery British volume. 1989;71(1):9-12.
  4. Copuroglu C, Ozcan M, Aykac B, Tuncer B, Saridogan K. Reliability of ultrasonographic measurements in suspected patients of developmental dysplasia of the hip and correlation with the acetabular index. Indian journal of orthopaedics. 2011;45(6):553-7.
  5. Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet (London, England). 2007;369(9572):1541-52.
  6. Dias JJ, Thomas IH, Lamont AC, Mody BS, Thompson JR. The reliability of ultrasonographic assessment of neonatal hips. The Journal of bone and joint surgery British volume. 1993;75(3):479-82.
  7. Finne PH, Dalen I, Ikonomou N, Ulimoen G, Hansen TW. Diagnosis of congenital hip dysplasia in the newborn. Acta orthopaedica. 2008;79(3):313-20. Graf R. The diagnosis of congenital hip-joint dislocation by the ultrasonic Combound treatment. Archives of orthopaedic and trauma surgery. 1980;97(2):117-33.
  8. Harcke HT, Kumar SJ. The role of ultrasound in the diagnosis and management of congenital dislocation and dysplasia of the hip. The Journal of bone and joint surgery American volume. 1991;73(4):622-8
  9. Ismiarto YD, Agradi P, Helmi ZN. Comparison of Interobserver Reliability between Junior and Senior Resident in Assessment of Developmental Dysplasia of The Hip Severity using Tonnis and International Hip Dysplasia Institute Radiological Classification. Malaysian orthopaedic journal. 2019;13(3):60-5. John Lampignano LEK. Bontrager's Textbook of Radiographic Positioning and Related Anatomy. 2017
  10. Kolb A, Benca E, Willegger M, Puchner SE, Windhager R, Chiari C. Measurement considerations on examiner-dependent factors in the ultrasound assessment of developmental dysplasia of the hip. International orthopaedics. 2017;41(6):1245-50. Le