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Do we need to follow up an early normal ultrasound with a later plain radiograph in children with a family history of developmental dysplasia of the hip?

  • Suhayl TafazalEmail author
  • Mark J. Flowers
Original Article • HIP - PAEDIATRICS

Abstract

Background

We routinely perform a pelvic radiograph between 6 and 12 months of age for children with a family history of developmental dysplasia of hip (DDH). We conducted this study to determine whether children with a family history of DDH and a normal hip ultrasound after birth require any further radiological follow-up.

Methods

We identified all children referred to our hip-screening clinic in a 3-year period between August 2008 and August 2011 with a family history of DDH and a normal hip ultrasound after birth. A total of 119 patients with a normal hip ultrasound after birth had a pelvic radiograph at a median age of 6.6 months.

Results

Six patients had residual dysplasia (acetabular index >30°) on the initial radiograph; five of these had resolved spontaneously by age 12 months, and the remaining patient had a normal radiograph at 21 months of age and was discharged.

Conclusion

We have found no cases of residual hip dysplasia requiring treatment in children with a family history of DDH and a normal hip ultrasound after birth. We have therefore changed our practice accordingly and no longer routinely followed up such cases.

Level of evidence

Diagnostic study, Level II.

Keywords

Developmental dysplasia hip Family history Ultrasound Radiograph 

Notes

Acknowledgments

We would like to acknowledge Andrew Yesudian, our ultrasonographer, who performed the ultrasound scans on all of the patients in this study.

Compliance with Ethical Standards

Conflict of interest

None.

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Copyright information

© Springer-Verlag France 2015

Authors and Affiliations

  1. 1.Royal Derby HospitalDerbyUK
  2. 2.Sheffield Children’s HospitalSheffieldUK

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