ABSTRACT
PURPOSE: To determine the value of US screening for detection of developmental dysplasia (DDH) in girls in the setting of a multi-disciplinary program in pediatric orthopedics. MATERIALS AND METHODS: Systematic US evaluation of the hips using the Couture technique was performed at 1 month in all girls with normal physical examination at birth over a 1 year period. The examinations were classified as normal or abnormal (DDH [acetabular depth> 6], asymmetrical pelvis, borderline hips). Results were correlated with risk factors and clinical outcome. Girls with abnormal hips were immediately treated. RESULTS: One thousand one hundred and sixty-six girls were screened. A total of 4.7% of ultrasound examinations were abnormal. The rate of pathological hip was 3.7% in the absence of risk factors and 8.9% in the presence of risk factors. A total of 63.6% of girls with abnormal ultrasound examination had no risk factor. Two risk factors were correlated to the presence of DDH: family history (RR=3.12) and clinical abnormalities (RR=2.55). The rate of pathological hip that were referred for treatment was 3.1%. All hips were normal at 5 months. CONCLUSION: Ultrasound screening evaluation of the hip in girls at 1 month, in the setting of a multi-disciplinary program in pediatric orthepedics clinic, is feasible. A total of 74 abnormal hips undetected at the initial clinical evaluation in girls without risk factor were detected and treated. Systematic screening of girls for DDH must be further assessed to better determine its impact on the incidence of delayed diagnosis of DDH.
Subject(s)
Hip Dislocation, Congenital/diagnostic imaging , Mass Screening , Age Factors , Child , Cooperative Behavior , Cross-Sectional Studies , Female , France , Hip Dislocation, Congenital/epidemiology , Hip Dislocation, Congenital/etiology , Hip Dislocation, Congenital/therapy , Hip Joint/diagnostic imaging , Humans , Infant , Infant, Newborn , Interdisciplinary Communication , Predictive Value of Tests , Risk Factors , UltrasonographySubject(s)
Ectromelia/diagnostic imaging , Adult , Female , Humans , Infant, Newborn , Male , Pregnancy , Prenatal Diagnosis , RadiographyABSTRACT
Infants with myelomeningocele very often present cranio-cerebral anomalies such as Arnold Chiari malformation. Cranial ultrasonography allows early evaluation of these malformations and helps to detect complications in surgically treated children.
Subject(s)
Echoencephalography , Meningomyelocele/diagnosis , Arnold-Chiari Malformation/diagnosis , Diagnosis, Differential , Humans , Hydrocephalus/diagnosis , Infant, NewbornABSTRACT
Infants with myelomeningocele very often present cranio-cerebral anomalies such as Arnold Chiari malformation. Cranial ultrasonography allows early evaluation of these malformations and helps to detect complications in surgically treated children.
Subject(s)
Brain/abnormalities , Meningomyelocele/diagnostic imaging , Arnold-Chiari Malformation/diagnostic imaging , Humans , Hydrocephalus/diagnostic imaging , Infant, Newborn , Lumbosacral Region , Septum Pellucidum/abnormalities , UltrasonographyABSTRACT
Colonic atresia it's a rare congenital pathology. Urgent intestinal derivation it's a safety surgical procedure that could defer definitive surgical intervention with all security. In type I Colonic Atresia, plastic enlargement with diaphragm's resection can be an alternative surgical procedure. Authors report the treatment and the evolution in two newborns that underwent this intervention with two and seven years follow-up.
Subject(s)
Colon/abnormalities , Intestinal Atresia/surgery , Surgical Flaps , Cecum/abnormalities , Child, Preschool , Colon/surgery , Colon, Sigmoid/abnormalities , Dilatation , Female , Humans , Infant , Infant, Newborn , MaleSubject(s)
Gases , Radiography, Abdominal , Salpingitis/complications , Adult , Female , Humans , Suppuration/complicationsABSTRACT
A case of thoracic ganglioneuroma is described because of the intraspinal extension of the lesion without any neurological features.
Subject(s)
Ganglioneuroma/diagnostic imaging , Mediastinal Neoplasms/diagnostic imaging , Spinal Neoplasms/diagnostic imaging , Child , Female , Humans , RadiographyABSTRACT
A child aged 4 1/2 years was found to have secondarily infected retained secretions in the vagina from a vaginal membrane. The authors underline the value of intravenous urography coupled with rectal insufflation, which is essential in order to confirm the diagnosis of colpos and to eliminate any associated urinary malformation.
Subject(s)
Vagina/abnormalities , Vaginal Diseases/etiology , Child, Preschool , Female , Humans , Hymen/abnormalities , Suppuration , Urography , Vaginal Diseases/diagnostic imagingABSTRACT
The author's present a case of left retroperitoneal haemangiopericytoma with a malignant potential. They emphasise the value of angiography in the assessment of this rare disorder.
