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Dergiler / The European Research Journal / 2019 / Volume: 5 Issue: 6

Family history in developmental dysplasia of the hip: should we follow-up?

Sonay Aydın(Department of Radiology, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey)0000-0002-3812-6333
Erdem Fatihoğlu(Department of Radiology, Erzincan University School of Medicine, Erzincan, Turkey)0000-0003-4192-6638
Sayfa
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Yayın Tarihi
2019-11-04
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Patients with a normal screening US result and having risk factors can be discharged from follow up safely, so that unnecessary examinations and family anxiety will be reduced.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objectives: Developmental dysplasia of the hip (DDH) is an important problem.
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Temel Bulgular & Veri:Ultrasonography (US) is a proper method before 6 months of age.
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Sonuç & Katkı:Patients with a normal screening US result and having risk factors can be discharged from follow up safely, so that unnecessary examinations and family anxiety will be reduced.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Developmental dysplasia of the hip · Graf method · ultrasound

Abstract

Objectives: Developmental dysplasia of the hip (DDH) is an important problem. Ultrasonography (US) is a proper method before 6 months of age. For older children, plain radiographs can be useful. S ix risk factors are emphasized: breech presentation, female sex, a positive family history, being first-born, left hip affected, and mode of delivery. In some centers, clinicians prefer to perform a control US examination or pelvic radiographs after 6 months of age for the children having a positive family history. We aimed to evaluate the necessity of control US/direct radiography examinations. Methods: A total of 2 05 children with a positive family history for DDH are included. US examinations are performed according to Graf’s method. We have evaluated direct radiographs by using Hilgenreiner, Perkin, and Shenton lines, acetabular angle. Results: Initial US examinations are performed at a median age of 8.3 weeks. Seventy-four patients (36%) had a repeat ultrasound scan at a median age of 7 months; none of them demonstrated abnormal findings. One hundred and thirty-one patients (63.9%) had control radiographs at a median age of 8.2 months. Shenton line is considered as normal, and the upper femoral epiphysis is located in inferomedial quadrant according to Hilgenreiner and Perkin lines. Conclusions: A positive family history for DDH may be a less important reason for performing control US or radiographic examination. Patients with a normal screening US result and having risk factors can be discharged from follow up safely, so that unnecessary examinations and family anxiety will be reduced.

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Bu Makaleye Atıf Yap

Aydın, S., Fatihoğlu, E. (2019). Family history in developmental dysplasia of the hip: should we follow-up?. The European Research Journal, Volume: 5 Issue: 6. https://doi.org/10.18621/eurj.442402

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