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Hip sonograph

Jessica Garrison, Margaret Nguyen, Jennifer R Marin
We present a case of an 11-year-old girl with eye swelling and hip pain and the use of point-of-care hip ultrasound (US) to facilitate diagnosis of a septic hip. We review the US technique, sonographic findings, and relevant literature regarding point-of-care hip US.
August 2016: Pediatric Emergency Care
B Ün, K S Dolapçıoğlu, A Güler Okyay, H Şahin, A Beyazıt
AIM: In this study, we aimed to evaluate two cardiovascular risk markers, hs-CRP and visseral adiposity index, in patients with policystic ovary syndrome in association with clinical and laboratory findings. MATERIAL AND METHOD: Study group included 75 patients who were diagnosed as PCOS according to the criteria of AE-PCOS 2006 and control group included 75 non-PCOS patients who were subsequently admitted to outpatient clinic for smear control, with urinary or vaginal symptoms...
September 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Bong Soo Kyung, Soon Hyuck Lee, Woong Kyo Jeong, Si Young Park
BACKGROUND: For early detection of developmental dysplasia of the hip (DDH), neonatal hip screening using clinical examination and/or ultrasound has been recommended. Although there have been many studies on the reliability of both screening techniques, there is still controversy in the screening strategies; clinical vs. selective or universal ultrasound screening. To determine the screening strategy, we assessed the agreement among the methods; clinical examination by an experienced pediatric orthopedic surgeon, sonographic morphology, and sonographic stability...
June 2016: Clinics in Orthopedic Surgery
Bülent Çekiç, İclal Erdem-Toslak, Ömer Sertkaya, Serkan Filiz, Yıldız Kılar, Mert Köroğlu, Özkan Köse
The aim of our study was to determine the incidence of developmental hip dysplasia (DHD) in the Western Mediterranean Region of Turkey and evaluate follow-up results of physiologically immature hips classified as type 2 according to Graf classification. Ultrasononographic examinations of the hips were performed using Graf's technique on 1162 infants (2324 hips) referred to our clinic for hip ultrasounds between March 2013 and March 2014. DHD was detected in 1.36% of 1162 infants. Among infants who were brought into repetitive follow-ups, 191 out of type 2a hip displasias of 201 infants were improved to type 1 and 10 type 2a hip dysplasias worsened...
July 2015: Turkish Journal of Pediatrics
Chen-Yu Hung, Ming-Yen Hsiao, Levent Özçakar, Ke-Vin Chang, Chueh-Hung Wu, Tyng-Guey Wang, Wen-Shiang Chen
Compared with the upper limbs, sonographic tracking of peripheral nerves in the lower limbs is more challenging. The overlying muscles are larger, hindering visualization of the deeply embedded nerves by using a linear transducer. The use of a curvilinear transducer-providing an extended view with better penetration for the field of interest-may be useful for scanning the nerves in the hip and thigh. Application of the Doppler mode helps localization of the target nerve by identifying the accompanying vessels...
September 2016: American Journal of Physical Medicine & Rehabilitation
Mohammad Ebrahim Ghamarchehreh, Nematollah Jonaidi-Jafari, Mohammad Bigdeli, Hossein Khedmat, Amin Saburi
BACKGROUND A hypothesis has been presented about the role of serum iron, ferritin and transferrin saturation among patients with non-alcoholic fatty liver disease (NAFLD) and resistance to insulin (metabolic syndrome [MetS]), but there is much controversy. This study aimed at investigating the level of serum iron and demographic characteristics in patients with NAFLD with or without MetS. METHODS A case-control study was conducted on patients with elevated liver enzymes referring to Baqiyatallah clinic, Tehran, Iran during 2010-2011...
January 2016: Middle East Journal of Digestive Diseases
Sandra Utzschneider, Claudia Chita, Alexander C Paulus, Christian Guenther, Volkmar Jansson, Bernhard Heimkes
INTRODUCTION: The purpose of the study was to examine the accordance between the actually used sonographic and radiographic standard values after ultrasound-monitored treatment of developmental dysplasia of the hip (DDH). MATERIAL AND METHODS: One hundred and fifty-three (119 children) ultrasound-monitored treated hips (initial staging according to Graf: type IIc-IV) which attained normal ultrasound findings (type I according to Graf) during treatment and underwent an anteroposterior radiograph of the pelvis at the time of starting walking (mean age 18...
February 1, 2016: Archives of Medical Science: AMS
J Lee, R M Spinazzola, N Kohn, M Perrin, R L Milanaik
OBJECTIVE: To assess the association between gestational age versus corrected age at the time of hip ultrasound with findings for developmental dysplasia of the hip (DDH) in preterm breech infants. STUDY DESIGN: A retrospective medical chart review was conducted to examine hip ultrasounds of 318 premature breech infants for findings associated with DDH. RESULTS: Positive findings for DDH occurred in 3/135 (2%) of infants <32 weeks gestational age and 17/183 (9%) of infants 32 to <37 weeks gestational age (odds ratio: 0...
July 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Pavel Kotlarsky, Itai Shavit, Imad Kassis, Mark Eidelman
BACKGROUND: A pediatric septic hip is a serious condition that must be recognized and treated as early as possible. We describe the clinical course of children with septic hip that were treated with aspiration of the hip joint in the emergency department (AHED). METHODS: This was a retrospective case series analysis. RESULTS: Between January 1, 2007, and December 31, 2014, 17 children with septic hip were diagnosed by emergency physicians using point-of-care ultrasonography...
March 2016: American Journal of Emergency Medicine
Mehmet Müfit Orak, Tolga Onay, Talat Çağırmaz, Cenk Elibol, Funda Dinç Elibol, Tuncay Centel
BACKGROUND: Developmental dysplasia of the hip (DDH) is the most common skeletal dysplasia. Two principal methods used in early diagnosis of DDH are clinical examination and ultrasonographic investigation. Dogruel et al. found a low specificity of clinical examination in patients with DDH. Additionally, Kamath et al. stated that ultrasonography performed by a radiologist in routine clinical practice is more reliable than physical examination performed by the average clinician. In clinical practice, the application and assessment of hip ultrasonography are completed by a single person...
November 2015: Indian Journal of Orthopaedics
Thomas Fichtner Bendtsen, Teresa Parras, Bernhard Moriggl, Vincent Chan, Lilli Lundby, Steen Buntzen, Karoline Dalgaard, Birgitte Brandsborg, Jens Børglum
BACKGROUND AND OBJECTIVES: Ultrasound-guided techniques for pudendal nerve block have been described at the level of the ischial spine and transperineally. Theoretically, however, blockade of the pudendal nerve inside Alcock canal with a small local anesthetic volume would minimize the risk of sacral plexus blockade and would anesthetize all 3 branches of the pudendal nerve before they ramify in the ischioanal fossa. This technical report describes a new ultrasound-guided technique to block the pudendal nerve...
March 2016: Regional Anesthesia and Pain Medicine
Connie Y Chang, Jeffrey Kreher, Martin Torriani
We report on the dynamic sonographic findings of a 10-year-old avid female dancer who presented with symptoms of abrupt left hip motion and associated painful snapping sensation while performing lateral motions of the pelvis suggesting external snapping hip syndrome. Dynamic sonographic evaluation of both hips demonstrated that symptoms were due to gluteus maximus subluxation over the greater trochanter. This etiology of external snapping hip syndrome is rare with limited imaging descriptions in the literature...
March 2016: Skeletal Radiology
A Kolb, R Windhager, C Chiari
Congenital hip dysplasia and hip dislocation are relatively common pathological conditions of the musculoskeletal system in infants. An early and certain diagnosis can now be achieved by sonographic hip screening within the framework of screening examination programs. This early diagnostic procedure in infants is essential particularly for a conservative treatment strategy. Therefore, apart from possessing in-depth knowledge, training of the examiner in specialist courses is of central importance. This article presents an overview of the entity of congenital hip dysplasia and hip dislocation, the diagnostics and treatment with special emphasis on recent developments...
November 2015: Der Orthopäde
L Özçakar, M Kara, K V Chang, N Akkaya, C Y Hung, F Tok, C H Wu, A B Çarli, M Y Hsiao, L Tekin, T G Wang, A M Ulaşlı, W S Chen, M De Muynck
In this protocol, the patient/probe positionings, anatomical drawings and ultrasound images of commonly scanned hip structures are described. This practical guide is prepared (with an international consensus of several expert physiatrists) to serve as a uniform/standard approach especially for beginner sonographers.
October 2015: European Journal of Physical and Rehabilitation Medicine
Isabelle Catelas, Eric A Lehoux, Ian Hurda, Stephen J Baskey, Luca Gala, Ryan Foster, Paul R Kim, Paul E Beaulé
BACKGROUND: Early adverse tissue reactions around metal-on-metal (MoM) hip replacements, especially pseudotumors, are a major concern. Because the causes and pathomechanisms of these pseudotumors remain largely unknown, clinical monitoring of patients with MoM bearings is challenging. QUESTIONS/PURPOSES: The purpose of this study was to compare the lymphocyte subpopulations in peripheral blood from patients with a failed MoM hip implant with and without a pseudotumor and patients with a well-functioning MoM hip implant without a pseudotumor...
December 2015: Clinical Orthopaedics and related Research
Florian D Naal, Francesco Dalla Riva, Thomas H Wuerz, Beat Dubs, Michael Leunig
BACKGROUND: Femoroacetabular impingement (FAI) is a common debilitating condition that is associated with groin pain and limitation in young and active patients. Besides FAI, various disorders such as hernias, adductor tendinopathy, athletic pubalgia, lumbar spine affections, and others can cause similar symptoms. PURPOSE: To determine the prevalence of inguinal and/or femoral herniation and adductor insertion tendinopathy using dynamic ultrasound in a cohort of patients with radiographic evidence of FAI...
September 2015: American Journal of Sports Medicine
Alexander Kolb, Nina Schweiger, Mariella Mailath-Pokorny, Alexandra Kaider, Gerhard Hobusch, Catharina Chiari, Reinhard Windhager
PURPOSE: Different timing and approaches to screening for developmental dysplasia of the hip (DDH) are used in the orthopaedic community. Thus ultrasonographic screening programs and reports based on clinical examinations produced differing incidence rates of DDH. Furthermore different risk factors and a change of incidence of DDH in the last decades were discussed. The purpose of this study was the evaluation of incidence and risk factors of the very early DDH in a modern cohort based on a universal ultrasound screening program...
January 2016: International Orthopaedics
Sevgi Yavuz, Aysel Kıyak, Ali Er, Orhan Korkmaz
UNLABELLED: We aimed to evaluate anthropometric and bioimpedance analysis (BIA) indices of children with nutcracker syndrome (NCS). Eighteen patients and 20 age-gender matched controls were enrolled. Weight, height, body mass index (BMI), mid-arm circumference (MAC), waist circumference (WC), waist/hip ratio measurements, and BIA results were assessed. Laboratory parameters and Doppler sonographic findings were recorded. The weight, BMI, MAC, WC, body fat z scores, and waist/hip ratio were significantly lower in patients than in controls (p < 0...
October 2015: European Journal of Pediatrics
Howard T Harcke, Ali F Karatas, Susan Cummings, James R Bowen
BACKGROUND: The purpose of this single-examination pilot study was to confirm the ability to perform hip sonography while swaddled and to ascertain whether the various swaddling techniques influenced hip position and dynamics. METHODS: Dynamic sonography was used to evaluate 30 infants in both swaddled and unswaddled positions who were being seen in clinic for suspected or documented developmental dysplasia of the hip. A "treatment group" of 16 infants (32 hips) treated in a Pavlik harness and a "nontreatment group" of 14 untreated infants (28 hips) were studied...
April 2016: Journal of Pediatric Orthopedics
Atoosa Adibi, Mahdi Karami, Kaveh Koohi, Mehran Shirahmad
BACKGROUND: Developmental dysplasia of the hip (DDH) is an anatomical abnormality, which needs early detection and treatment. Ultrasound (US) is a sensitive method to study neonatal hip joint and detection of different types of sonographic hip. This study was aimed to determine relative frequency of different types of DDH ultrasonographically. MATERIALS AND METHODS: Ultrasound examination was performed on 380 newborns to determine hip joint status according to the Graf ultrasound classification system for infant hips...
2015: Advanced Biomedical Research
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