[quote=TDK;380041]УЗИ тазобедренных суставов на сегодняшний день НЕ является методом диагностики дисплазии тазобедренных суставов. В качестве дополнительного метода диагностики выполняется рентгенография.
QUOTE]
Это умозаключение, уважаемый ТДК, меня повергло в шок при всем уважении к Вам.
Вот подтверждение из ВИЛЛЕСА. УЗИ наиболее достоверный метод, не считая СТ подтверждения DDH детей до 6 месяцев.
Если хотите смогу привести выдержки из последнего КЕМПБЕЛА.
то- Discussion:
- ultrasound allows description of the morphology of the acetabulum and the stability of the joint (dynamic examination);
- ultrasound becomes less useful after 6 months of age because of progressive ossification of the femoral head;
- joint stability:
- femoral and acetabulum are evaluated while performing provative tests (Barlow maneuver);
- transducer is placed over the femoral head transverse to the pelvis while the hip is flexed and
a Barlow maneuver applied;
- morphology:
- describes the cartilaginous and osseous anatomy of the acetabulum (noting depth and shape);
- Graf classification:
- coronal plane is imaged by placing the transducer over the lateral aspect of the hip;
- type I: normal hip:
- type II < 3 mo physiologic immaturity and > 3 mo mild dysplasia:
- type II hip is immature or mildly dysplastic and has a more shallow acetabulum with a round rim;
- in children younger than 3 months, most of these will spontaneously resolve;
- in children older than age 3 months, the deformity is expected to persist without treatment;
- type III: dislocation
- acetabulum is shallow;
- cartilaginous roof is displaced with eversion of labrum;
- type IV: high dislocation
- acetabular cup is flat and has the worse prognosis;
- femoral head is laterally and superiorly displaced;
- labrum is interposed between the femoral head and the lateral wall of the ilium;
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