Difference between revisions of "Template:Hip dysplasia - choice of modality"

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*'''Ultrasonography of hip dysplasia''' is generally the investigation of choice at up to 4 months due to limited ossification of the skeleton.<ref name=acr/><ref group="notes" name=surveillance/>
Hip dysplasia diagnosed by ultrasound<ref name="Ultrasound detection of DDH">{{cite web|title=Ultrasound Detection of DDH - International Hip Dysplasia Institute|url=http://www.hipdysplasia.org/developmental-dysplasia-of-the-hip/infant-diagnosis/ultrasound/}}</ref> or [[projectional radiography]] (see '''[[X-ray of hip dysplasia]]'''.<ref name="X-Ray Screening">{{cite web|title=X-Ray Screening for Developmental Dysplasia of the Hip - International Hip Dysplasia Institute|url=http://www.hipdysplasia.org/developmental-dysplasia-of-the-hip/infant-diagnosis/x-ray-screening/}}</ref> Ultrasound imaging is generally preferred at up to 4 months due to limited ossification of the skeleton.<ref name=acr/><ref group="notes" name=surveillance/><noinclude>{{Bottom}}</noinclude>
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*'''[[X-ray of hip dysplasia]]''' is generally the initial imaging of choice thereafter.<ref name=acr/><ref group="notes" name=surveillance/>
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</ref> <noinclude>{{Bottom}}</noinclude>

Revision as of 16:05, 4 July 2019

Author: Mikael Häggström [notes 1]

Choice of modality

ACR Appropriateness Criteria for hip dysplasia[1]
Age Scenario Usual appropriate initial imaging
<4 weeks Equivocal physical examination or risk factors No imaging
Physical findings of DDH Ultrasonography
4 weeks - 4 months Equivocal physical examination or risk factors Ultrasonography
4 - 6 months Concern for DDH X-ray. Ultrasonography may be appropriate[notes 2]
>6 months X-ray
  • Ultrasonography of hip dysplasia is generally the investigation of choice at up to 4 months due to limited ossification of the skeleton.[1][notes 2]
  • X-ray of hip dysplasia is generally the initial imaging of choice thereafter.[1][notes 2]

</ref> ==Notes==

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
  2. 2.0 2.1 2.2 Ultrasonography is the imaging method of choice up to 6 months for the nonoperative surveillance imaging in harness of known diagnosis of DDH.
    - . ACR Appropriateness Criteria - Developmental Dysplasia of the Hip (DDH)–Child. American College of Radiology. Revised 2018

References