Abstract
Ultrasound is a mainstay in the diagnostic imaging of the musculoskeletal system in newborns and infants. This chapter focuses on diagnosing hip disorders, particularly developmental dysplasia of the hip in newborns and infants. This is a well-known and familiar challenge for neonatologists as well as paediatricians and paediatric radiologists or paediatric orthopaedics. The chapter gives a brief overview of different approaches and methods of how to assess the neonatal hip—also discussing the different techniques described in the European and the Anglo-American literature. All the respective scanning techniques and findings are described and illustrated in this chapter, with a focus on the Graf method. Additionally, some of the most important disorders of the hip joint in infancy and early childhood are reviewed.
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Further Reading
American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of an ultrasound examination for detection and assessment of developmental dysplasia of the hip. J Ultrasound Med. 2013;32:1307–17, update 2018. https://onlinelibrary.wiley.com/doi/10.1002/jum.14829
Barrera CA, Cohen SA, Sankar WN, et al. Imaging of developmental dysplasia of the hip: ultrasound, radiography and magnetic resonance imaging. Pediatr Radiol. 2019;49:1652–68.
Biedermann R, Eastwood DM. Universal or selective ultrasound screening for developmental dysplasia of the hip? A discussion of the key issues. J Child Orthop. 2018;12:296–301.
De Bruyn R. The musculoskeletal system. In: de Bruyn R, editor. Pediatric ultrasound how, why and when. 2nd ed. Amsterdam: Elsevier; 2010. p. 319–39.
Fröhlich S, Mittelmeier W. Hüftsonografie. In: Robel-Tillig E, editor. Pädiatrische Ultraschalldiagnostik. Ecomed-Storck GmbH; 2021. (In German).
Graf R. The diagnosis of congenital hip joint dislocation by ultrasound compound treatment. Arch Orthop Trauma Surg. 1980;97:117–33.
Graf R. Hip sonography: background; technique and common mistakes; results; debate and politics; challenges. Hip Int. 2017;27(3):215–9.
Graf R, Spiess T. Säuglingshüfte. In: Deeg K-H, Hofmann V, Hoyer PF, editors. Ultraschalldiagnostik in Pädiatrie und Kinderchirurgie. 4th ed; 2014. p. 1076–106. (In German).
Graf R, Lercher K, Baumgartner F, et al. Sonografie der Säuglingshüfte und therapeutische Konsequenzen (In German). 6th ed; 2010.
Graf R, Scott S, Farkas P, et al. Essentials of infant hip sonography according to Graf. Stolzalpe: Edition Stolzalpe Sonocenter; 2014.
Harcke HT. Hip ultrasonography in clinical practice. Pediatr Radiol. 2017;47:1155–9.
Hefti F. Kinderorthopädie. 3rd ed; 2015. p. 216–54; 301–9. (In German).
Merrow AC. Diagnostic imaging pediatrics. 3rd ed; 2017. p. 932–43.
O’Beirne JG, Chlapoutakis K, Alshryda S, et al. International Interdisciplinary Consensus Meeting on the evaluation of developmental dysplasia of the hip. Ultraschall Med. 2019;40:454–64.
OEGUM/DEGUM recommendation: www.OEGUM.at/content/view/506/210 download “Standarddokumentation der Sonografie der Neugeborenen- und Säuglingshüfte” (in German).
Riccabona M, Coley B, Schweintzger G. Small part and hip ultrasound. In: Riccabona M, editor. Pediatric ultrasound. 3rd ed; 2014. p. 397–414.
Rosendahl K, Toma P. Ultrasound in the diagnosis of developmental dysplasia of the hip in newborns. The European approach. A review of methods, accuracy and clinical validity. Eur Radiol. 2007;17:1960–7.
Schwarz Doria A, Babyn P. Arthritis and differential inflammatory joint disorders. In: Coley BD, editor. Caffey’s pediatric diagnostic imaging. 12th ed; 2013. p. 1444–88.
Schweintzger G. Hüftsonografie. In: Feldkamp A, Rech A, editors. Pädiatrische Ultraschalldiagnostik; 2010. (In German).
Schweintzger G. Hüftgelenksdysplasie und postnatales Hüftscreening. In: Hoffman G, Lentze MJ, Spranger J, et al., editors. Pädiatrie. 5th ed; 2020. p. 119–25. (In German).
Servaes S, et al. Developmental dysplasia of the hip. In: Coley BD, editor. Caffey’s pediatric diagnostic imaging. 12th ed; 2013. p. 1437–43.
Siegel MJ. Musculoskeletal system and vascular imaging. In: Siegel MJ, editor. Pediatric sonography. 4th ed; 2011. p. 602–46.
Teixeira SR, Dalto VF, Maranho DA, et al. Comparison between Graf method and pubo-femoral distance in neutral and flexion positions to diagnose developmental dysplasia of the hip. Eur J Radiol. 2015;84:301–6.
Thallinger C, Pospischill R, Ganger R, et al. Long term results of a nationwide general ultrasound screening system for developmental disorders of the hip: the Austrian hip screening Program. J Child Orthop. 2014;8:3–10.
Treguier C, Chapuis M, Branger B, et al. Pubo-femoral distance: an easy sonographic screening test to avoid late diagnosis of developmental dysplasia of the hip. Eur Radiol. 2013;23:836–44.
Tschauner C, Fürntrath F, Saba Y. Developmental dysplasia of the hip: impact of sonographic newborn hip screening on the outcome of early treated decentered hip joints—a single center retrospective comparative cohort study based on Graf’s method of hip ultrasonography. J Child Orthop. 2011;5:415–24.
von Kries R, Ihme N, Oberle D, et al. Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany. Lancet. 2003;362(9399):1883–7.
Waibel P, Maurer K. The pediatric musculoskeletal system. In: Riccabona M, editor. Pediatric imaging essentials. 1st ed; 2014. p. 229–68.
Yeh RW, Valsdottir LR, Yeh MW, et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ. 2018;363:k5094. https://doi.org/10.1136/bmj.k5094.
Acknowledgement
I would like to express my gratitude to my friend and academic teacher Prof. Dr. Reinhard Graf, Stolzalpe, Austria, for the permission to use schematic drawings from his manual, as well as text citations.
I furthermore like to thank Dr. Brian Coley, Cincinnati, Ohio, very much for editing the text and providing some images.
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Schweintzger, G., Riccabona, M. (2023). Imaging the Neonatal (and Paediatric) Hip. In: Riccabona, M. (eds) Imaging in Neonates. Springer, Cham. https://doi.org/10.1007/978-3-031-15729-5_15
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DOI: https://doi.org/10.1007/978-3-031-15729-5_15
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