Mistakes during supersonic examinations of hip joints in young children

Authors

  • Oleksandr Korolkov
  • Stanislav Shevchenko
  • Tatyana Spiliotina
  • Tatyana Ermak

DOI:

https://doi.org/10.15674/0030-59872010223-27

Keywords:

hip joints, supersonic examinations, young children

Abstract

The study is based on a retrospective analysis of supersonic examinations of 2,260 children aged from 1 month to 1 year; 1,836 of the above children were examined in the conditions of the Children’s Consultation-Diagnosis Department of Sytenko Institute of Spine and Joint Pathology (Academy of Medical Sciences of Ukraine), and materials of the examination and treatment of 424 children were received from polyclinics and hospitals of almost the whole Ukraine. The article describes certain demands and conditions for supersonic examinations of the hip joints I children. The causes of typical mistakes were analysed. It was revealed that the appearance of mistakes during supersonic examinations of the hip joints in young children was facilitated by the following factors: violations in the supersonic performance procedure (according to our data, these are observed in 39 % of cases), mistakes in the process of interpretation of the sonograms obtained (according to our data, these are observed in 61 % of cases). Conclusions were drawn about a necessity to develop and introduce clear measures for a strict control over fulfilling all required conditions for supersonic examinations of children (licensing of all private and state-owned establishments; periodical checkups of all the specialists, who perform supersonic examinations of the hip joints, concerning their fulfillment of the examination procedure; combined publication of methodological recommendations by pediatric orthopaedists and specialists in supersonic diagnosis; holding of combined trainings, symposia, conferences at the state and regional levels for working out unified approaches to the interpretation of the data, which are obtained with help of supersonic examinations).

References

  1. Куценок Я.Б. Врожденная дисплазия тазобедренного сустава, врожденный подвывих и вывих бедра [Текст] / Я.Б. Куценок, Э.А. Рулла, В.В. Мельник. — Киев: Здоровье, 1992. — 184 с.
  2. Вовченко Г.Я. Раннє виявлення порушень формування кульшового суглоба. Клініко-сонографічне дослідження [Текст]: автореф. дис… канд. мед. наук. 14.01.21 / Г.Я. Вовченко. –Київ, 1995. — 23 с.
  3. Graf R. New possibilities for the diagnosis of congenital hip joint dislocation by ultrasonography [Text] / R. Graf // J. Pediatr. Orthop. — 1983. — Vol. 3. — P. 354–360.
  4. Tonnis D. Congenital Dysplasia and Dislocation of the Hip in Children and Adult [Text] / D. Tonnis. — New York: Springer, 1987. — 461 p.
  5. Еськин Н.А. Ультрасонографическая оценка состояния тазобедренных суставов у новорожденных [Текст] / Н.А. Еськин, Л.К. Михайлова // Вестн. травматол. и ортопед. им. Н.Н. Приорова. — 2003. — № 4. — С. 23–28.
  6. Кадыров М. Ультразвуковое исследование тазобедренных суставов у детей грудного возраста [Текст] / М. Кадыров, А.М. Дусмуратов, А. Ахтамов // Ортопед. травматол. — 1990. — № 4. — С. 18–22.
  7. Выявление, консервативное лечение и диспансеризация детей с врожденным вивихом бедра и дисплазией тазобедренного сустава [Текст]: методические рекомендации / И.И. Талько, С.Д. Шевченко и др. — Киев, 1991. — 24 с.
  8. Gerscovich E.O. A radiologist’s guide to the imaging in the diagnosis and treatment of developmental dysplasia of the hip. II. Ultrasonography: anatomy, technique, acetabular angle measurements, acetabular coverage of femoral head, acetabular cartilage thickness, three-dimensional technique, screening of newborns, study of older children [Text] / E.O. Gerscovich // Skeletal Radiol. — 1997. — Vol. 26(8). — P. 447–456.
  9. Harcke H.T. Pediatric hip sonography. Diagnosis and differential diagnosis / H.T. Harcke, L.E. Grissom // Radiol Clin North Am. — 1999. — Vol. 37(4). — P. 787–796.
  10. Маркс В.О. Ортопедическая диагностика: руководство-справочник [Текст] / В.О. Маркс. — Минск: «Наука и техника», 1978. — 510 с.
  11. Wientroub S. Ultrasonography in Developmental Dysplasia of the Hip [Text] / S. Wientroub, F. Grill // J Bone Joint Surg. — 2000. — Vol. 82. — P. 1004.
  12. Мак Нелли Ю. Ультразвуковые исследования костно-мышечной системы [Текст]: практическое руководство / Ю. Мак Нелли; пер. с англ. под ред. Г.И. Назаренко, И.Б. Героевой. — М.: Изд. дом «Видар», 2007. — 400 с.
  13. Terjesen T. Ultrasound for hip assessment in the newborn [Text] / T. Terjesen, T. Bredland, V. Berg // The J.of Bone and J. Surgery. — 1989. — Vol. 71-B. — P. 767–773.
  14. Сотникова Е.А. Сравнение информативности рентгенографии и ультрасонографии в оценке формирования анатомических структур тазобедренных суставов у детей первого года жизни [Текст] / Е.А. Сотникова, В.Г. Мазур, С.Н. Бондарева: материалы Всероссийской научно-практической конференции «Актуальные вопросы лучевой диагностики заболеваний костно-суставной системы», Барнаул, 22–23 сентября 2005 г. — 2005. — С. 202–205.

How to Cite

Korolkov, O., Shevchenko, S., Spiliotina, T., & Ermak, T. (2010). Mistakes during supersonic examinations of hip joints in young children. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 23–27. https://doi.org/10.15674/0030-59872010223-27

Issue

Section

ORIGINAL ARTICLES