TOTBİD Dergisi

TOTBİD Dergisi

2014, Cilt 13, Sayı, 5     (Sayfalar: 390-395)

Imaging methods in pediatric hip problems

Serhan Ünlü 1, Mehmet Faruk Çatma 1, Yenel Gürkan Bilgetekin 1

1 Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara

DOI: 10.14292/totbid.dergisi.2014.44
Görüntüleme: 486
İndirme : 2084

Imaging techniques, following history taking and physical examination are often needed to evaluate hip problems of children. Thanks to improved technology it has become a simple task to achieve right diagnosis. However use of conventional radiography and ultrasonography still plays an important role for pediatric orthopaedics. Most frequently used conventional radiography is standard antero-posterior pelvis radiography. Pelvis radiography taken in other positions need to be accurately applied to prevent unnecessary radiographic exposure. Ultrasonography is the other technique mostly used for pediatric hip. This technique is applied with ease as well, requires no intervention, and yet demands experience. This method is largely employed especially for the diagnosis of developmental hip dysplasia and for the follow-up after the treatment. As for arthrography it is generally preferred to control the concentric reduction during the operation of developmental hip dysplasia or, accompanied by magnetic resonance imaging, to determine labrum pathologies. Computed tomography is administered to study pelvic structures for the trauma cases, to keep track of long-term complications of the illnesses and to check closed reduction applied for developmental hip dysplasia. Magnetic resonance imaging is quite helpful to detect pathologies within the hip joint and to diagnose avascular necrosis of the femoral head. Scintigraphy assists to discover tumors, osteomyelitis and stress fractures seen in this area. In this review, a summary of imaging methods used for pediatric hip problems is presented.

Anahtar Kelimeler : hip; pediatrics; radiology