Castelein R M, Sauter A J
Department of Orthopaedics, Leyenburg Municipal Hospital of the Hague, The Netherlands.
J Pediatr Orthop. 1988 Nov-Dec;8(6):666-70. doi: 10.1097/01241398-198811000-00007.
Three hundred seven newborns were examined clinically and by ultrasound for congenital dysplasia of the hip (CDH). The purpose of the study was to determine the prevalence of sonographic abnormalities and to discover if sonography could be helpful in detecting cases of CDH that would be missed by clinical diagnosis alone. Eighty-two hips (13.4%) had ultrasound abnormalities despite a normal clinical examination. Of these, three developed definite hip dysplasia. The remaining 79 hips became clinically and sonographically normal within 12 weeks. Ultrasound visualized and recorded the dislocation-reposition maneuver of three other hips that were clinically dislocatable at birth. Dislocation occurred in a craniodorsal direction.
对307名新生儿进行了先天性髋关节发育不良（CDH）的临床检查和超声检查。本研究的目的是确定超声异常的患病率，并探究超声检查是否有助于发现仅通过临床诊断会漏诊的CDH病例。尽管临床检查正常，但仍有82个髋关节（13.4%）存在超声异常。其中，3个发展为明确的髋关节发育不良。其余79个髋关节在12周内临床和超声检查均恢复正常。超声还可视化并记录了另外3个出生时临床可脱位髋关节的脱位-复位操作。脱位方向为颅背侧。
