Teot L, Deschamps F, Rodière M, Daures J P, Sarda P, Hedon B
Service d'Orthopédie, Hôpital Lapeyronie, Montpellier.
Ann Pediatr (Paris). 1990 Jan;37(1):30-8.
We studied the value of ultrasound examination combined with conventional clinical evaluation in screening for congenital defects of the hip in a study including more than 3,000 neonates. We used two kinds of ultrasound methods, i.e. the morphological method, that is highly standardized and seeks to identify several well-defined anatomic landmarks (Graf's technique), and the dynamic method, that uses transverse flexion, frontal flexion or medial sections to determine the degree of stability of the hip. We describe these sections in detail so that pediatricians may correctly appreciate the images obtained. The respective indications of each section depend on the findings made as the investigation advances. Rigorous adherence to precise rules is now possible and is the only means for ensuring that these techniques will be used rationally in a way that can be expected to significantly reduce the still considerable number of dislocations and dysplasias of the hip discovered beyond three months of age.
我们在一项纳入3000多名新生儿的研究中，探讨了超声检查联合传统临床评估在筛查先天性髋关节缺陷方面的价值。我们使用了两种超声方法，即形态学方法，该方法高度标准化，旨在识别几个明确的解剖标志（格拉夫技术），以及动态方法，该方法使用横向屈曲、前向屈曲或内侧切面来确定髋关节的稳定程度。我们详细描述了这些切面，以便儿科医生能够正确理解所获得的图像。每个切面的具体适应症取决于检查过程中的发现。现在严格遵守精确规则是可行的，并且是确保这些技术以有望显著减少三个月龄后仍大量发现的髋关节脱位和发育不良的方式合理使用的唯一方法。
