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Hip sonograph

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https://www.readbyqxmd.com/read/29125399/an-analysis-of-variables-affecting-the-duration-of-pavlik-harness-treatment-is-it-possible-to-predict-the-duration-of-treatment
#1
Ahmet Salduz, Mehmet Demirel, Turgut Akgül, Fuat Bilgili
BACKGROUND: Pavlik harness is the initial treatment for the infants with developmental dysplasia of the hip who have not yet begun walking. OBJECTIVES: The present study evaluates the variables which affect the duration of PH treatment for patients successfully treated. STUDY DESIGN: Cross-sectional study. METHODS: Pavlik harness was employed for 140 hips of 87 patients with developmental dysplasia of the hip in our institution between 2010 and 2013...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29092995/clicky-hip-alone-is-not-a-true-risk-factor-for-developmental-dysplasia-of-the-hip
#2
K Nie, S Rymaruk, R W Paton
AIMS: A clicky hip is a common referral for clinical and sonographic screening for developmental dysplasia of the hip (DDH). There is controversy regarding whether it represents a true risk factor for pathological DDH. Therefore a 20-year prospective, longitudinal, observational study was undertaken to assess the relationship between the presence of a neonatal clicky hip and pathological DDH. PATIENTS AND METHODS: A total of 362 infants from 1997 to 2016 were referred with clicky hips to our 'one-stop' paediatric hip screening clinic...
November 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29080986/use-of-the-t%C3%A3-bingen-splint-for-the-initial-management-of-severely-dysplastic-and-unstable-hips-in-newborns-with-ddh-an-alternative-to-fettweis-plaster-and-pavlik-harness
#3
Hannes Kubo, Hakan Pilge, Kristina Weimann-Stahlschmidt, Karoline Stefanovska, Bettina Westhoff, Ruediger Krauspe
AIM: Hip dysplasia is one of the most common skeletal disorders. As a late consequence 20-25% of the patients are at risk to develop secondary osteoarthritis and may require total hip replacement early in life. The treatment principles of hip dislocation are (1) concentric reposition, (2) retention, i.e., plaster in human post or Pavlik harness and (3) maturation in abduction flexion orthesis. The Tübingen splint was introduced as a further development of abduction devices for the treatment of (residual) hip dysplasia with stable hips...
October 28, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28969236/comparative-study-of-ultrasonographic-and-anthropometric-measurements-of-regional-adiposity-in-metabolic-syndrome
#4
Rudresh Hiremath, Jebin Ibrahim, Krishna Prasanthi, Harish T Reddy, Rushit Sandeep Shah, Ch Haritha
INTRODUCTION: Metabolic syndrome is complex disorder unifying dyslipidemia, insulin resistance and hyper insulinemia. Rising global epidemic of obesity has tremendous impact on metabolic syndrome. Ultrasound is becoming widely utilized modality for measuring the visceral adiposity. AIM: To determine the usefulness of ultrasonographic measurements in the estimation of regional adiposity and to compare them with anthropometric measurements and to correlate ultrasonographic measurements of regional adiposity and metabolic syndrome...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28871598/introducing-universal-ultrasound-screening-for-developmental-dysplasia-of-the-hip-doubled-the-treatment-rate
#5
Stine Feiring Olsen, Hans Christian Blom, Karen Rosendahl
AIM: There is no evidence on the effect of universal ultrasound screening on developmental dysplasia of the hip. We examined the impact of adding an ultrasound examination to a one examiner clinical screening strategy on treatment, follow-up rates and the number of cases detected late in a low-prevalence population. METHODS: All eligible babies born at Kongsberg Hospital, Norway, from 1998-2006 (n=4,245) underwent both clinical and ultrasound hip examinations within three days of life...
September 4, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28726278/color-doppler-sonography-of-merkel-cell-carcinoma
#6
Orlando Catalano, Fernando Alfageme Roldán, Maria Scotto di Santolo, Francesco Maria Solivetti, Ximena Wortsman
We illustrate the color Doppler sonographic findings in primary cutaneous Merkel cell carcinoma. Eight cases (4 female and 4 male; mean age, 75.4 years) were collected. The most common affected regions were the face (63%) and the hip/buttock (25%). The mean transverse diameter and thickness were 21 and 14 mm, respectively. Fifty percent were oval, and 50% were dome shaped. All lesions were hypoechoic, with variable degrees of heterogeneity. All but 2 lesions were poorly defined. An acoustic reinforcement artifact was present in 3 and epidermal thickening in 2...
July 20, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28619546/screening-in-developmental-dysplasia-of-the-hip-ddh
#7
REVIEW
Robin W Paton
Screening for Developmental Dysplasia of the Hip (DDH) is a controversial subject. Screening may be by universal neonatal clinical examination (Ortolani or Barlow manoeuvres) with the addition of sonographic imaging of the hip (selective 'at risk' hips or universal screening in the neonate). In the UK, the NIPE guidelines recommend universal neonatal clinical assessment of the hip joints, a General Practitioner 6-8 week clinical 'hip check' and assessment clinically with sonographic imaging at 4-6 weeks for certain 'at risk' hips for pathological DDH...
June 12, 2017: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/28606648/reliability-of-sonographic-assessment-of-biceps-femoris-distal-tendon-strain-during-passive-stretching
#8
Eleftherios Kellis, Athanasios Ellinoudis, Konstantina Intziegianni
The purpose of this study was to determine the intra-rater, inter-examiner and inter-observer reliability of biceps femoris long head (BFlh) tendon strain using ultrasound imaging. Nineteen patients (age: 20.4 ± 0.35 y) were tested twice with a 1-wk interval. Each session included passive stretching from three different hip positions. Tests were performed independently by two examiners while BFlh tendon displacement (mm) and strain (%) were manually extracted from ultrasound video footages by two observers...
June 9, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28455719/valgus-slipped-capital-femoral-epiphysis-with-contralateral-pre-slip
#9
Dana E Amiraian, Zahir Sarwar, William R Bireley, Elizabeth Moran
Slipped capital femoral epiphysis (SCFE) is a common hip disorder in older children and adolescents, classically with medial and posterior slippage of the proximal femoral epiphysis. However, valgus SCFE is a very rare entity, where the proximal femoral epiphysis slips laterally and posteriorly. To our knowledge, valgus SCFE with magnetic resonance imaging (MRI) features of contralateral pre-slip has not yet been reported. We present a case of a 9 year old girl with symptomatic valgus SCFE on the left and asymptomatic contralateral pre-slip on the right with concurrent radiographic, sonographic, and MRI findings...
September 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28405809/measurement-considerations-on-examiner-dependent-factors-in-the-ultrasound-assessment-of-developmental-dysplasia-of-the-hip
#10
Alexander Kolb, Emir Benca, Madeleine Willegger, Stephan E Puchner, Reinhard Windhager, Catharina Chiari
PURPOSE: The standardized sonographic hip screening according to Graf has increased reliability and comparability of measurements in the screening of developmental dysplasia of the hip (DDH). However, examiner dependent factors have been discussed to influence sonographic measurements. The objectives of this study were to examine the tolerance of the transducer positioning and to analyse the impact of transducer inclinations on Graf's hip grading system. MATERIALS AND METHODS: Twenty-four hips in consecutive newborns were screened sonographically in combination with an optoelectronic motion capture system to trace transducer positions in space...
June 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28372341/ultrasonography-of-the-pediatric-hip-and-spine
#11
REVIEW
Yeo Ryang Kang, Joonbum Koo
Ultrasonography (US) is a useful screening method for the diagnosis of developmental dysplasia of the hip (DDH) and congenital spinal anomalies in infants. In addition, US is a useful, noninvasive imaging modality for the diagnosis of transient synovitis in children. The early detection of DDH leads to a better prognosis without surgical intervention. Moreover, spinal US allows the detection of congenital malformations and can also demonstrate normal anatomy and normal variants that may resemble disorders. Therefore, radiologists should be familiar with the sonographic anatomy of the normal infant hip, scanning and measurement techniques for DDH, the US features of transient synovitis in children, spinal US techniques, and the US features of normal anatomical structures, normal variants, and congenital spinal anomalies...
July 2017: Ultrasonography
https://www.readbyqxmd.com/read/27490732/emergency-department-point-of-care-hip-ultrasound-and-its-role-in-the-diagnosis-of-septic-hip-arthritis-a-case-report
#12
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
https://www.readbyqxmd.com/read/27479317/evaluation-of-hs-crp-and-visseral-adiposity-index-in-patients-with-policystic-ovary-syndrome-by-clinical-and-laboratory-findings
#13
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
https://www.readbyqxmd.com/read/27247747/disparity-between-clinical-and-ultrasound-examinations-in-neonatal-hip-screening
#14
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
https://www.readbyqxmd.com/read/27186697/incidence-and-follow-up-outcomes-of-developmental-hip-dysplasia-of-newborns-in-the-western-mediterranean-region
#15
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
https://www.readbyqxmd.com/read/26945217/sonographic-tracking-of-the-lower-limb-peripheral-nerves-a-pictorial-essay-and-video-demonstration
#16
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
https://www.readbyqxmd.com/read/26933479/iron-status-and-metabolic-syndrome-in-patients-with-non-alcoholic-fatty-liver-disease
#17
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
https://www.readbyqxmd.com/read/26925130/discrepancy-between-sonographic-and-radiographic-values-after-ultrasound-monitored-treatment-of-developmental-dysplasia-of-the-hip
#18
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
https://www.readbyqxmd.com/read/26914014/sonographic-screening-for-developmental-dysplasia-of-the-hip-in-preterm-breech-infants-do-current-guidelines-address-the-specific-needs-of-premature-infants
#19
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
https://www.readbyqxmd.com/read/26830217/treatment-of-septic-hip-in-a-pediatric-ed-a-retrospective-case-series-analysis
#20
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
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