TY - JOUR
T1 - Is reassessment of radiographs taken from pediatric patients useful for detecting unrecognised hip dysplasia?
AU - Sevimli, Reşit
AU - Ceylan, Mehmet Fethi
AU - Yıldırım, Emrah
AU - Aslan, Mehmet
AU - Görmeli, Gökay
N1 - Publisher Copyright:
© 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
PY - 2017
Y1 - 2017
N2 - Developmental Dysplasia of the Hip (DDH) is an entity that may be congenital as well as develop ing during infancy or childhood and include anatomic disorders of the hips. Moreover, DDH is of great importance with the possibility of being diagnosed late and causing disabilities in patients. Despite the fact that there wasn’t any not a patient with complaints of hip dislocation in this study, the unrecognized cases that admitted to the clinics due to other complaints were also presented. Hip and pelvic radiographs taken from 10.000 children who were referred to emergency and pediatric outpatient clinics of our department with other complaints between 2009-2016 were evaluated. Six patients who had high acetabular index according to the measurements calculated from 4.000 radiographs that were appropriate for evaluation and who were thought to have unrecognized were recalled and their hip radiographs were evaluated. Six patients with suspected hip dysplasia detected from 4000 radiographs, which were suitable for the measurement techniques, were called to the control examination. In the physical examinations and radiographs, abnormal radiographic views of a patient with complete dislocation and two patients with dysplastic hip according to t heir first radiographs were completely resolved. When treatment of DDH can be performed with simple instrumentation or limited surgical interventions in the early infancy, complicated surgical interventions are required during age of walking and after this period, which reduce the success rate. Therefore, we think that every child under one year old who has referred to the clinics for other reasons and those with hip or pelvis graphs are required to be examined in terms of DDH.
AB - Developmental Dysplasia of the Hip (DDH) is an entity that may be congenital as well as develop ing during infancy or childhood and include anatomic disorders of the hips. Moreover, DDH is of great importance with the possibility of being diagnosed late and causing disabilities in patients. Despite the fact that there wasn’t any not a patient with complaints of hip dislocation in this study, the unrecognized cases that admitted to the clinics due to other complaints were also presented. Hip and pelvic radiographs taken from 10.000 children who were referred to emergency and pediatric outpatient clinics of our department with other complaints between 2009-2016 were evaluated. Six patients who had high acetabular index according to the measurements calculated from 4.000 radiographs that were appropriate for evaluation and who were thought to have unrecognized were recalled and their hip radiographs were evaluated. Six patients with suspected hip dysplasia detected from 4000 radiographs, which were suitable for the measurement techniques, were called to the control examination. In the physical examinations and radiographs, abnormal radiographic views of a patient with complete dislocation and two patients with dysplastic hip according to t heir first radiographs were completely resolved. When treatment of DDH can be performed with simple instrumentation or limited surgical interventions in the early infancy, complicated surgical interventions are required during age of walking and after this period, which reduce the success rate. Therefore, we think that every child under one year old who has referred to the clinics for other reasons and those with hip or pelvis graphs are required to be examined in terms of DDH.
KW - Emergency polyclinic
KW - Hip dysplasia
KW - Pelvis graphy
UR - http://www.scopus.com/inward/record.url?scp=85040790985&partnerID=8YFLogxK
U2 - 10.5505/ejm.2017.78941
DO - 10.5505/ejm.2017.78941
M3 - Article
AN - SCOPUS:85040790985
SN - 1301-0883
VL - 22
SP - 83
EP - 180
JO - Eastern Journal of Medicine
JF - Eastern Journal of Medicine
IS - 4
ER -