Clinical, radiological and ultrasound study of clicky hips in neonates

ABSTRACT

32 full term newly born Saudi babies, 25 females and 7 males. The study comprised 15 cases as control. 17 cases were referred to the orthopaedic department due to clicky hips; 7 of the latter were bilateral. Barlows and Ortolain tests were used for examination of the hips. Radiological Plain X-rays of the pelvis and hips were done in all cases. Ultrasound Coronal section was obtained for each hip joint, alpha and beta angles were measured as well as the femoral head diameter, containment of the femoral head, cartilage covering, labrum and ligamentum teres and also shape of promontory. t-student test, F ratio, chi square and r test were used. Monthly clinical and ultrasound follow up examinations were performed. showed that the ultrasound examination of the hips proved valuable and superior to the other methods and is considered a sensitive tool in detecting any changes in the neonatal hips