Schüle B, Wissel H, Neumann W, Merk H
Orthopädische Klinik und Poliklinik Heinrich-Heine-Universität Düsseldorf.
Ultraschall Med. 1999 Aug;20(4):161-4. doi: 10.1055/s-1999-8899.
1656 newborns were examined by ultrasound for early diagnosis of CDH in a screening program. In 2.5% of the cases, dysplasia or dislocation of the hip was diagnosed and required treatment. In all cases the final outcome after adequate treatment showed a hip joint without any abnormalities. 11.3% of type IIa-hips (using Graf's classification) did not reach an alpha-angle of 60 degrees until the 12th week. They were then therefore classified as type IIb. 97% of all hip joints were judged as normal in the course of the 4th month. This study emphasizes the necessity of a general ultrasound screening program. It also demonstrated that early and adequate treatment leads to a normal development of the joint.
在一项筛查项目中,对1656名新生儿进行了超声检查以早期诊断先天性髋关节发育不良(CDH)。在2.5%的病例中,诊断出髋关节发育异常或脱位,需要进行治疗。在所有病例中,经过适当治疗后的最终结果显示髋关节无任何异常。IIa型髋关节(采用Graf分类法)中有11.3%直到第12周时α角仍未达到60度。因此,这些髋关节随后被归类为IIb型。在第4个月时,所有髋关节中有97%被判定为正常。这项研究强调了全面超声筛查项目的必要性。它还表明,早期且适当的治疗可使关节正常发育。