4/11/2024 0 Comments Normal hip xray male![]() ![]() ![]() Level III-this is a case-control study investigating the outcomes of infants on data drawn from the electronic medical record. A more practical, cost-effective strategy would be to skip the US if the physical exam is normal and simply obtain an AP pelvis x-ray at 4 months. The decision to perform an US should be done on a case-by-case basis by the examining physician. Not all pediatricians are following the AAP guidelines. The decision by the AAP to recommend US screening at 6 weeks of age for infants with a normal physical exam but breech position was based on an extensive literature review and expert opinion. A pediatric orthopaedic surgeon followed those with subtle US findings and no laxity until normal. These 2 patients were the only infants treated in a Pavlik harness. Two patients had a normal physical exam but laxity on US. Of the 151 infants that had an US, 140 (93%) were read as normal. Eighty-six breech infants (35%) did not have an US and were followed clinically. About 151 breech infants (64%) with a normal Barlow and Ortolani exam had a precautionary hip US as recommended by the AAP performed at an average of 7 weeks of age. Of the infants, 55% were male and 45% female. Data were analyzed for sex, birth weight, breech position, birth order, ethnicity, US and x-ray results, follow-up, and cost.Ī total of 237 infants were born breech with a normal physical examination, all delivered by cesarean section. The normal value was slightly over 4 mm, scattered between 3 and 5 mm, except for elderly men in whom values of 6 mm or more may be normal. The electronic medical record for children born at 1 hospital from 2008 to 2011 was reviewed. To obtain the frog-leg lateral view, the patient should be positioned supine on the x-ray table with the hip of interest abducted 45 degrees, the ipsilateral knee flexed 30 to 40 degrees, and the ipsilateral heel resting against the contralateral knee ( Fig. The purpose of this study is to report US results and follow-up of infants born breech with a normal physical exam. Because of the risk of developmental dysplasia of the hip in infants born breech-despite a normal physical exam-the American Academy of Pediatrics (AAP) guidelines recommend ultrasound (US) hip imaging at 6 weeks of age for breech females and optional imaging for breech males. ![]()
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