8.8 Conclusions
DDH is a multifactorial condition with a spectrum of abnormalities that can very from mild changes that spontaneously resolve to severe changes that are incapacitating later in life. It may present at birth or become apparent months or years later. Imaging has an important role in both diagnosis and follow up of patients undergoing treatment. Goals of treatment are to achieve congruency of the femoral head and acetabulum and normalise the distribution of biomechanical forces about the joint. The ultimate aim of treatment is to reduce the incidence of symptoms and secondary degeneration later in life.
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References
Aliabadi P, Baker ND, Jaramillo D (1998) Hip arthrography, aspiration, block and bursography. Radiol Clin North Am 36:673–690
American Academy of Pediatrics (2000) Clinical practice guideline: early detection of developmental dysplasia of the hip. Pediatrics 105:896–905
Barlow TG (1962) Early diagnosis and treatment of congenital dislocation of the hip. J Bone Joint Surg Br 44:292–301
Bar-On E, Meyer S, Harari G et al (1998) Ultrasonography of the hip in developmental hip dysplasia. J Bone Joint Surg Br 80:321–324
Bellah R (2001) Ultrasound in pediatric musculoskeletal disease. Radiol Clin North Am 39:597–618
Boeree NR, Clarke NM (1994) Ultrasound imaging and secondary screening for congenital dislocation of the hip. J Bone Joint Surg Br 76:525–533
Coleman SS (1983) Reconstructive procedures in congenital dislocation of the hip. In: McKibbin B (ed) Recent advances in orthopedics. Churchill Livingstone, Edinburgh, pp 23–44
Coleman SS (1995) The subluxating or wandering femoral head in developmental dysplasia of the hip. J Pediatr Orthop 15:785–788
Cooperman DR, Wallensten R, Stulberg SD (1980) Post-reduction avascular necrosis in congenital dislocation of the hip. J Bone Joint Surg Am 62:247–258
Desateaux C, Godward S (1996) A national survey of screening for congenital dislocation of the hip. Arch Dis Child 74:445–448
Dias JJ, Thomas IH, Lamont AC et al (1993) The reliability of ultrasonographic assessment of neonatal hips. J Bone Joint Surg Br 75:479–482
Donaldson JS, Feinstein KA (1997). Imaging of developmental dysplasia of the hip. Pediatr Clin North Am 44:591–614
Dwek JR, Chung CB, Sartoris DJ (2002) Developmental dysplasia of the hip. In: Resnick D (ed) Diagnosis of bone and joint disorders, 4th edn. Saunders, Philadelphia, pp 4355–4381
Eastwood DM (2003) Neonatal hip screening. Lancet 361:595–97
Eggli KD, King SH, Boal DKB et al (1994) Low-dose CT of developmental dysplasia of the hip after reduction: diagnostic accuracy and dosimetry. Am J Roentgenol 163:1441–1443
Gerscovich EO (1997a) A radiologist’s guide to the imaging in the diagnosis and treatment of developmental dysplasia of the hip I. General considerations, physical examination as applied to real time sonography and radiography. Skeletal Radiol 26:386–397
Gerscovich EO (1997b) A radiologist’s guide to the imaging in the diagnosis and treatment of developmental dysplasia of the hip II. Ultrasonography: anatomy, technique, acetabular angle measurements, acetabular coverage of femoral head, acetabular cartilage thickness, three-dimensional technique, screening of newborns, study of older children. Skeletal Radiol 26:447–456
Gillingham BL, Sanchez AA, Wenger DR (1999) Pelvic osteotomies for the treatment of hip dysplasia in children and young adults. J Am Acad Orthop Surg 7:325–337
Godward S, Desateaux C (1998) On behalf of the MRC Working Party on congenital dislocation of the hip. Surgery for congenital dislocation of the hip in the UK as a measure of outcome of screening. Lancet 351:1149–1152
Graf R (1980) The diagnosis of congenital hip-joint dislocation by the ultrasonic Combound treatment. Arch Orthop Trauma Surg 97:117–133
Graf R (1984) Classification of hip joint dysplasia by means of sonography. Arch Orthop Trauma Surg 102:248–255
Graf R (1987) Guide to sonography of the infant hip. Thieme Medical, New York
Guille JT, Pizzutillo PD, MacEwen GD (2000) Developmental dysplasia of the hip from birth to six month. J Am Acad Orthop Surg 8:232–242
Harcke HT, Grissom LE (1990) Performing dynamic sonography of the infant hip. Am J Roentgenol 155:837–844
Harcke HT, Clarke NM, Lee MS et al (1984) Examination of the infant hip with real-time ultrasonography. J Ultrasound Med 3:131–137
Hernandez RJ, Tachdijian MO, Poznanski AK et al (1981) CT determination of femoral torsion. Am J Roentgenol 137:97–101
Jaramillo D, Villegas-Medina O, Laor T et al (1998) Gadolinium enhanced MR imaging of pediatric patients after reduction of dysplastic hips: assessment of femoral head position, factors impeding reduction and femoral head ischemia. Am J Roentgenol 170:1633–1637
Jomha NM, McIvor J, Sterling G (1995) Ultrasonography in developmental hip dysplasia. J Pediatr Orthop 15:101–104
Kahle K, Coleman SS (1992) The value of the acetabular teardrop figure in assessing pediatric hip disorders. J Pediatr Orthop 12:586–591
Keller MS, Weltin GG, Rattner Z et al (1988) Normal instability of the hip in the neonate: US standards. Radiology 169:733–736
Lehmann HP, Hinton R, Morello P et al (2000) In conjunction with the Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Developmental dysplasia of the hip practice guideline: technical report. Pediatrics 105:1–25
Lingg G, von Torklus D, Nebel G (1981) Hip dysplasia and congenital hip dislocation: a roentgenometric study in 110 families. Radiologe 21:538–541
Marks DS, Clegg J, al-Chalabi AN (1994) Routine ultrasound screening for neonatal hip instability: can it abolish latepresenting congenital dislocation of the hip? J Bone Joint Surg Br 76:534–538
Murray KA, Crim JR (2001) Radiographic imaging for treatment and follow-up of developmental dysplasia of the hip. Semin Ultrasound CT MRI 22:306–340
Novacheck (1996) Development dysplasia of the hip. Pediatr Clin North Am 43:829–905
Ortolani M (1937) Un segno poco noto e sua importanza per la diagnosi prococe de prelussazione congenita dell’anca. Pediatr Med Chir 45:129
Ortolani M (1976) The classic: congenital hip dysplasia in the light of early and very early diagnosis. Clin Orthop 119:6–10
Ozonoff MB (1992) The hip. In: Pediatric orthopaedic radiology, 2nd edn. Saunders, Philadelphia, pp 164–303
Patel H (2001) Preventive health care, 2001 update: screening and management of developmental dysplasia of the hip in newborns. Can Med Assoc J 164:1669–1677
Rosendahl K, Aslaken A, Lie RT et al (1995) Reliability of ultrasound in the early diagnosis of developmental dysplasia of the hip. Pediatr Radiol 25:219–224
Rosendahl K, Markestad T, Lie RT (1996) Developmental dysplasia of the hip: a population based comparison of ultrasound and clinical findings. Acta Pediatr 85:64–69
Sebag G, Docou Le Pointe H, Klein I et al (1997) Dynamic gadolinium enhanced subtraction MR imaging — a simple technique for the diagnosis of Legg-Calvé-Perthes disease: preliminary results. Pediatr Radiol 27:216–220
Smith JT, Matan A, Coleman SS et al (1997) The predictive value of the development of the acetabular teardrop figure in developmental dysplasia of the hip. J Pediatr Orthop 17:165–169
Soboleski DA, Babyn P (1993) Sonographic diagnosis of developmental dysplasia of the hip: importance of increased thickness of acetabular cartilage. Am J Roentgenol 161:839–842
Tredwell SJ, Davies L (1989) A prospective study of congenital dislocation of the hip. J Pediatr Orthop 9:386–390
Vitale MG, Skaggs DL (2001) Developmental dysplasia of the hip from six months to four years of age. J Am Acad Orthop Surg 9:401–411
Walsh JJ, Morrissy RT (1998) Torticollis and hip dislocation. J Pediatr Orthop 18:219–221
Weinstein SL (1987) Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop 255:62–76
Weinstein SL (1998) Natural history and treatment outcomes of childhood hip disorders. Clin Orthop 344:227–242
Weintroub S, Green I, Terdiman R, Weissman SL (1979) Growth and development of congenitally dislocated hips reduced in early infancy. J Bone Joint Surg Am 61:125–130
Wenger DR, Bomar JD (2003) Human hip dysplasia: evolution of current treatment concepts. J Orthop Sci 8:264–271
Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint. Acta Chir Scand 58:5
Wynne-Davis R (1970) Acetabular Dysplasia and familial joint laxity: two aetiological factors in CDH. J Bone Joint Surg Br 52:704–716
Yamamuro T, Ishida K (1984). Recent advances in the prevention, early diagnosis and treatment of congenital dislocation of the hip in Japan. Clin Orthop 184:34–40
Zionts LE, MacEwen GD (1986) Treatment of congenital dislocation of the hip in children between the ages of one and three years. J Bone Joint Surg Am 68:829
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Williams, H., Johnson, K.J. (2006). Developmental Dysplasia of the Hip 1: Child. In: Davies, A.M., Johnson, K.J., Whitehouse, R.W. (eds) Imaging of the Hip & Bony Pelvis. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30000-7_8
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