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Archives of orthopaedic and traumatic surgery

, Volume 100, Issue 3, pp 191–195 | Cite as

Early diagnosis of congenital dislocation of the hip

First experimental examinations and results
  • J. Rit
  • W. Küsswetter
Original Works
  • 19 Downloads

Summary

Preliminary trials with computer tomography in the diagnosis and evaluation of dysplastic hips have brought the following results:
  1. (1)

    The figures closely resemble the x-rays and are as easily read, however, the amount of radiation is much less.

     
  2. (2)

    Cartilage form and borders are visible so that diagnosis is possible prior to the age of 3 months.

     
  3. (3)

    Since soft tissue contoures are visible, it is expected that arthrography would be superfluous, thereby resulting not only in less x-ray exposure for the small child or infant but also reduction in risk due to anaesthesia and of joint puncture with its risk of infection (though minimal).

     

As to whether or not the question of cost will be so positively answered, it is not yet clear.

Further evaluation of this technique is presently being undertaken.

Keywords

Public Health Radiation Soft Tissue Early Diagnosis Computer Tomography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

Durch entsprechende Lagerung und Schichttechnik sind für die Diagnostik der Hüftgelenkdysplasie beim Säugling and Kleinkind CT-Bilder zu erzielen, wobei die Strahlenbelastung wesentlich unter der konventionellen Röntgenaufnahme liegt. Mit der Methode sind die Formen and Umrisse der knorpelig angelegten Hüftgelenkabschnitte darzustellen, so daß damit die Chance einer Frühestdiagnose vor dem dritten Lebensmonat besteht. Da auch die Konturen der Weichteile darstellbar sind, ist mit dem verbesserten Auflösungsvermögen der nächsten Generation von Computertomographen eine weitere Verbesserung der diagnostischen Aussage der Computertomogramme zu erwarten. Der invasive Eingriff der Arthrographie könnte dann durch die Computertomographie weitgehend ersetzt werden.

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References

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    Gilula A, Murphy WA, Tailor CC, Patel RB (1979) Computer tomography of the osseous pelvis. Radiology 132:114Google Scholar
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Copyright information

© J. F. Bergmann Verlag 1982

Authors and Affiliations

  • J. Rit
    • 1
  • W. Küsswetter
    • 1
  1. 1.Orthopedic University ClinicWürzburgGermany

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