Developmental dysplasia of the hip and ultrasound reading by pediatric orthopedic surgeons: a pilot study.

Document Type

Article

Publication Date

1-1-2024

Identifier

DOI: 10.1097/BPB.0000000000001070

Abstract

Ultrasound is an imaging modality utilized for early detection and follow-up of developmental dysplasia of the hip (DDH) in infants. Traditionally, pediatric orthopedic surgeons have relied on radiologists to perform ultrasound examinations and interpret the imaging. Today, however, many orthopedic surgeons are performing and interpreting ultrasound themselves. The purpose of this paper was to evaluate the reliability of pediatric orthopedic surgeons in interpreting ultrasound imaging of infant hips. This was a prospective observational pilot study. After reading an instructional handout about the Graf method of hip ultrasonography, eight pediatric orthopedic surgeons measured 28 hip ultrasound images to determine the alpha angle and percent femoral head coverage. On the basis of cited intraclass correlation coefficient cutoff values, interrater reliability was found to be 'good' for percent femoral head coverage and 'fair' for alpha angle. These findings are equivalent to findings of similar studies using radiologists as examiners. Pediatric orthopedic surgeons can interpret ultrasound exams for diagnosing DDH.

Journal Title

Journal of pediatric orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America

Volume

33

Issue

1

First Page

16

Last Page

20

MeSH Keywords

Infant; Humans; Child; Pilot Projects; Hip Dislocation, Congenital; Orthopedic Surgeons; Prospective Studies; Reproducibility of Results; Developmental Dysplasia of the Hip; Reading; Ultrasonography

Keywords

Pilot Projects; Congenital Hip Dislocation; Orthopedic Surgeons; Prospective Studies; Reproducibility of Results; Developmental Dysplasia of the Hip; Reading; Ultrasonography

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