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Objective: To analyze the diagnostic value of Doppler ultrasound in pediatric hip dysplasia. Methods: A total of 70 cases of suspected developmental dysplasia of the hip (DDH) from March 2022 to March 2024 were selected. Three-dimensional CT was used as the diagnostic standard to evaluate the effectiveness of Doppler ultrasound. Results: Among the 70 subjects, 50 were confirmed to have DDH by three-dimensional CT. The sensitivity of ultrasound diagnosis was 94.00% (47/50), the specificity was 80.00% (16/20), and the accuracy was 90.00% (63/70). The anteroposterior, lateral, and vertical diameters in the DDH group were significantly lower than those in the normal group (P < 0.05). There was no significant difference in femoral head cartilage H/W ratio between the two groups, but the height and width of femoral head cartilage in the DDH group were significantly lower than in the normal group (P < 0.05). The detection rates of rounded or defective acetabular edges, shallow acetabular fossa, labrum located between the femoral head and acetabulum, blurred contours, and poor coverage of the femoral head by the acetabular roof were significantly higher in the DDH group than in the normal group (P < 0.05). Conclusion: Doppler ultrasound has high sensitivity and accuracy in diagnosing pediatric hip dysplasia, with key diagnostic indicators being the morphology of the femoral head cartilage and the ossification center of the femoral head.
[1] Jiang RH. Observation on the diagnostic value of Doppler ultrasound in pediatric hip dysplasia. Chinese Journal of Disability Medicine. 2022;30(1):16-19.
[2] Wang J, Song HP. Diagnostic value analysis of grayscale ultrasound and color Doppler blood flow grading in the clinical staging of transient synovitis of the hip in children. China Medical Guide. 2024;26(3):264-269.
[3] Lin RD, Niu Y, Peng Q, et al. Clinical analysis of ultrasound screening for developmental dysplasia of the hip in infants and toddlers. Journal of Medical Imaging. 2023;33(2):351-354.
[4] Hurley RJ, Davey MS, Davey MG, et al. Age as a predictor of additional surgeries following initial closed reduction for children with developmental dysplasia of the hip: the 10-year experience of a national paediatric orthopaedic unit. Hip International. 2023;33(3):539-543.
[5] Liu FN, Li WL, Sun KM. Clinical significance of Graf ultrasound in the diagnosis of developmental dysplasia of the hip in infants aged 0-6 months. Journal of Mathematical Medicine. 2023;36(4):295-300.
[6] Chen M, Hu YF, Wang L, et al. Analysis of ultrasound screening results of 1534 infants aged 4 to 6 weeks for developmental dysplasia of the hip. Journal of Practical Clinical Medicine. 2022;26(4):80-83.
[7] Zhang WT, Wang HF. The application value of Graf and Harcke methods in the diagnosis of developmental dysplasia of the hip in children. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine. 2022;32(16):54-56.
[8] Hu MQ, Fu YM, Chen JF, et al. Clinical application of high-frequency ultrasound in the diagnosis of developmental dysplasia of the hip in children. Modern Medical Imaging. 2022;31(1):186-195.
[9] Zhao DQ, Zhang HQ, Wang B. Value of high-frequency ultrasound in the diagnosis of developmental dysplasia of the hip in children. Sino-Foreign Women’s Health Research. 2022;1(18):168-169.
[10] Mo TT, Zhu YS, Zhang JN, et al. Clinical effect of trochanteric slide osteotomy combined with cementless femoral conical stem in total hip replacement for the treatment of Crowe type IV developmental dysplasia of the hip. Technology and Health Care. 2023;31(2):553-563.
Observation of the Application Value of Doppler Ultrasound in the Diagnosis of Pediatric Hip Dysplasia
How to cite this paper: Guangda Mi, Ao Hong. (2024) Observation of the Application Value of Doppler Ultrasound in the Diagnosis of Pediatric Hip Dysplasia. International Journal of Clinical and Experimental Medicine Research, 8(4), 621-625.
DOI: https://dx.doi.org/10.26855/ijcemr.2024.10.014