![]() Who performs a hip X-ray?Ī radiologic technologist, also known as an X-ray technician, will perform your hip X-ray. They’ll also want you to go in for routine follow-up X-rays afterward to monitor your condition. In addition, if you need a hip replacement, your healthcare provider may want X-rays before the procedure. Hip impingement ( femoroacetabular impingement).Various forms of arthritis including osteoarthritis and rheumatoid arthritis.They can use hip X-rays to diagnose health and medical conditions involving your hips. Healthcare providers can use hip X-rays to find the possible cause of limping or any pain, swelling or tenderness in your hips. X-rays are the oldest and most commonly used type of medical imaging in healthcare. These electromagnetic waves send beams of radiation through your body to produce an image of the inside of your body. X-rays use a special type of radiation called electromagnetic waves. Healthcare providers use hip X-rays to diagnose and treat medical conditions that affect your hips. Soft tissues take in less radiation, so they appear different shades of gray. Calcium in your bones takes in more radiation, so your bones appear white on the X-ray. The picture shows the inner structure ( anatomy) of your hips in black and white. This data supports breech as the most important risk factor for hip dysplasia and we, therefore, recommend careful and longitudinal evaluation of these patients with: a careful newborn physical examination, an ultrasound at age 6 weeks, and an anteroposterior (AP) pelvis and frog lateral radiograph at 6 months, as the risk of subsequent dysplasia is too high to discharge patients after a normal ultrasound.A hip X-ray (radiograph) is a medical imaging test that creates a picture of your hip joints and pelvic bones. In those patients with a normal ultrasound, 29%, at 4–6 months radiographic follow-up, were found to have dysplasia requiring treatment. Conclusions Retrospectively, we found that, at approximately 6 weeks of age, ultrasound screening of breech patients with clinically stable hips produces an incidence of DDH of 27%. The average length of follow-up was 10 months. Of the hips treated with a Pavlik harness, 62% had acetabular indices at least two standard deviations from the age-corrected average versus 26% of patients not treated. The diagnosis of dysplasia following a normal ultrasound was based on both radiographic and clinical parameters. Of the remaining 73% with normal ultrasounds, who were returned per protocol at a mean of 5 months, 29% had evidence of dysplasia and underwent treatment. Twenty-seven percent of these breech patients had abnormal screening ultrasounds and were subsequently treated. Sixty-four percent were female and 36% were male. Thirty-four patients had clinically unstable hips 266 had clinically stable hips and were screened by ultrasound. Results Three hundred patients with the risk factor of breech presentation were included. Acetabular dysplasia was indicated by radiographic parameters-if there was severe blunting of the sourcil, abnormal acetabular index for age, or if there was significant asymmetry of acetabular indices side-to-side-in the setting of clinical parameters-if there was greater than 10° difference in side-to-side abduction or symmetric abduction of less than 60°. As per our protocol, all patients with normal screening ultrasounds were brought back for a final clinical examination and radiographic check at 4–6 months. Ultrasounds were evaluated using the dynamic method as described by Harcke. All patients were examined by a fellowship-trained pediatric orthopedic surgeon and all ultrasounds were done at approximately 6 weeks of age by an experienced ultrasonographer. ![]() ![]() Methods A review of the clinical data and imaging studies of all children with the risk factor of breech presentation that were referred for orthopedic evaluation over a 5-year period was conducted. Purpose To review our incidence of developmental dysplasia of the hip (DDH) in breech infants referred for ultrasound screening and to determine if subsequent follow-up radiographs are necessary in these patients with normal clinical and ultrasound examinations.
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