Beruflich Dokumente
Kultur Dokumente
Protocol
Exam is performed to detect developmental dysplasia of the hip (DDH)
Optimal imaging is obtained between 3 weeks and 6 months of age
Use warm gel and a 7.5 MHz or higher linear transducer
Patient Position
o Supine or lateral decubitus
o Neutral position is with the hip flexed 15-20
o Flexed position is with the hip flexed 90
Sonographer Position
o Use one hand to hold the leg in position and the other to scan
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Pediatric Hip
TX W/O Hip flexed, with knee rotated
STRESS toward the midline
ADDUCTION
TX WITH With knee rotated toward the
STRESS midline push knee toward the hip
ADDUCTION joint- Barlow Test
Anatomical/Image Correlation
Tips
DDH describes a range of hip dysplasias including instability, subluxation and dislocation
Do not perform stress maneuvers on infants in Pavlik harness or splint devices
Associations/ Risk Factors for DDH
o Caucasians
o Females
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Pediatric Hip
o Breech presentations at birth ( especially Frank breechrump first with legs above
head)
o Oligohydramnios while in utero
o Family history of DDH
Clinical Indications
Instability in the joint
Hip clicks
Limited range of motion of the affected limb
Positive Galeazzi (Allis) test
Abnormal Barlow or Ortolani maneuver
**Only for infants 3 months or older.
Asymmetric skin folds If one knee is lower than the other, there
may be a dislocated hip on the lower side
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