کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2738405 1148182 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Radiographic assessment of developmental dysplasia of the hip – A novel radiology reporting process and one year review of referrals
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی رادیولوژی و تصویربرداری
پیش نمایش صفحه اول مقاله
Radiographic assessment of developmental dysplasia of the hip – A novel radiology reporting process and one year review of referrals
چکیده انگلیسی

IntroductionDevelopmental dysplasia of the hip (DDH) is the most common musculoskeletal disorder of childhood. Despite the introduction of ultrasound screening radiography remains the most common imaging investigation for children over 4–6 months. The use of picture archive and communications system (PACS) tools to review key measures is standard but annotation of these images supplemented by a radiology report has not been described previously.MethodReferral and demographic data were identified of all children under the age of 2 years attending for a non-trauma pelvic radiograph within a single NHS Trust between January and December 2012. Retrospective review of all radiographs and reports identified the clinical history, co-morbidities and outcome.ResultsA total of 313 referrals were received, 230 initial and 83 follow-up examinations. 37 examinations identified a dysplastic acetabulum (n = 37/230; 16.1%) with the majority being girls (n = 23/37; 62.1%). A total of 25 abnormal findings in relation to the femoral head epiphyses were identified (n = 25/230; 10.9%) with 12 also having acetabular dysplasia. Children with a dysplastic acetabulum were significantly more likely to have a subluxation or dislocation (X2 183.78, 2df, p ≤ 0.001). Children with acetabular dysplasia were significantly more likely to have been born in the autumn or winter months (proportional difference = 11.0%; 95% CI [0.019,0.202]; p = 0.024).ConclusionThis article presents a novel reporting process which is helping to standardise the results in young children undergoing investigation for DDH. The review of referrals confirmed the published evidence that DDH is more prevalent in girls and children born in the autumn and winter months.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Radiography - Volume 19, Issue 4, November 2013, Pages 290–294
نویسندگان
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