Diagnostic Value of Contrast Radiologic Examination for Rational Planning of Surgical Treatment of High Congenital Hip Dislocation in Children

Abstract


Diagnostic value of contrast radiologic examination of hip joint was analyzed in 49 children aged from 1 to 12 years with high congenital hip dislocation. Informativeness of 38 standard hip joint arthrograms was studied for the choice of treatment technique and preoperative planning. It was stated that arthrography did not provide sufficient information on the changes in soft tissue and cartilaginous structures of the joint. Experience in joint pathologic changes diagnosis using contrast computed tomography (11 patients) was presented. Potentialities of that examination technique were determined. It was shown that in high dislocation of femoral head it provided real picture of interrelation of all articular structures. That enabled to take objectively substantiated decision on open or closed correction of dislocation and perform an adequate preoperative planning.

References

  1. Зацепин Т.С. Ортопедия детского и подросткового возраста. - М., 1935.
  2. Курбанов А.А. Артрография тазобедренного сустава как метод исследования для выработки показаний к открытому вправлению врожденного вывиха бедра у детей //Ортопед. травматол. - 1972. - N 8. - С. 19-24.
  3. Майоров А.Н., Морозов А.К. Артрография тазобедренного сустава с двойным контрастированием у детей и подростков //Вестн. травматол. ортопед. - 2009. - N 2. - С. 51-56.
  4. Морозов А.К., Огарев Е.В., Малахов О.А. и др. Искусственное контрастирование тазобедренного сустава у детей и подростков (рентгено-анатомическое исследование) //Вестн. рентгенол. - 2004. - N 2. - С. 38-43.
  5. Огарев Е.В. Анатомо-рентгенологические параллели формирования тазобедренного сустава у детей: Дис. ... канд. мед. наук. - М., 2003.
  6. Сипухин Я.М., Базлова Э.С., Чеберяк Н.В. Артрография при врожденном вывихе бедра //Вестн. рентгенол. - 1992. - N 2. - С. 25-28.
  7. Grissom L., Harcke H.T., Thacker M. Imaging in the surgical management of developmental dislocation of the hip //Clin. Orthop. - 2008. - N 466 (4). - P. 791-801.
  8. Kotnis R., Spiteri V., Little C. et al. Hip arthrography in the assessment of children with developmental dysplasia of the hip and Perthes' disease //J. Pediatr. Orthop. Part B. - 2008. - Vol. 17, N 3. - P. 114-119.
  9. Laor T., Roy D.R., Mehlman C.T. Limited magnetic resonance imaging examination after surgical reduction of developmental dysplasia of the hip //J. Pediatr. Orthop. - 2000. - Vol. 20, N 5. - P. 572-574.
  10. Mandel D.M., Loder R.T., Hensinger R.N. The predictive value of computed tomography in the treatment of developmental dysplasia of the hip //J. Pediatr. Orthop. - 1998. - Vol. 18, N 6. - P. 794-798.
  11. Mitani S., Nakatsuka Y., Akazawa H. et al. Treatment of developmental dislocation of the hip in children after walking age. Indications from two-directional arthrography //J. Bone Jt Surg. - 1997. - Vol. 79B, N 5. - P. 710-718.
  12. Petersilge C.A., Haque M.A., Petersilge W.J. et al. Acetabular labral tears: evaluation with MR arthrography //Radiology. - 1996. - Vol. 200, N 1. - P. 231-235.
  13. Tennant S., Kinmont C., Lamb G. et al. The use of dynamic interventional MRI in developmental dysplasia of the hip //J. Bone Jt Surg. - 1999. - Vol. 81B, N 3. - P. 392-397.
  14. Zamzam M.M., Kremli M.K., Khoshhal K.I. et al. Acetabular cartilaginous angle: a new method for predicting acetabular development in developmental dysplasia of the hip in children between 2 and 18 months of age //J. Pediatr. Orthop. - 2008. - Vol. 28, N 5. - P. 518-523.

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Copyright (c) 2010 Kozhevnikov O.V., Morozov A.K., Kralina S.E., Ogarev E.V., Negmatov Z.M., Kozhevnikov O.V., Morozov A.K., Kralina S.E., Ogaryov E.V., Negmatov Z.M.

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