Role of arthrography in assessing the closed reduction in treatment of DDH.

  • Khawar Shahzad Faisalabad Medical University, Faisalabad.
  • Rana Dawood Ahmad Khan Faisalabad Medical University, Faisalabad.
  • Sajjad Iqbal Faisalabad Medical University, Faisalabad.
  • Mazhar Mehmood Faisalabad Medical University, Faisalabad.
  • Beenish Israr University of Agriculture, Faisalabad.
  • Bushra Aslam Independent Medical College, Faisalabad.
Keywords: Arthrography, Closed Reduction, DDH

Abstract

Developmental dysplasia of the hip (DDH) is one of the most common musculoskeletal problems in newborns. It occurs in 1in 1000 live births affecting girls more than boys and more associated with breech presentation and positive family history. Objectives: To evaluate the effectiveness of arthrography in assessing the closed reduction of DDH. Study Design: Clinicial Study. Setting: This study was conducted at Allied Hospital, Faisalabad, Pakistan, Period: From December 2013 to January 2016 and comprised patients of either gender. Material & Methods: DDH was diagnosed with help of clinical examination and radiological investigations. Arthrography was performed and images were taken in different positions of the hip which were evaluated and findings noted. Results: Out of 50 hips, 34 had normal looking head of femur while 16 patients had head of femur which was either smaller than normal or of abnormal shape. Shape of acetabulum was found normal in 41 hips. Normal labrum was present in 44, inverted in 4 and everted in 2 patients. Ligamentum teres was found hypertrophic in 6 patients. Normal head coverage was present in 40 while in 10 hips head of femur was lateralized ≥ 4 mm. No external obstruction to reduction was encountered. In 44 cases reduction was concentric and eccentric reduction was noted in 6 patients. Conclusion: Arthrography is of special help in assessing the reduction of hip in DDH as it provides information about shape of head of femur, shape of acetabulum, labrum, ligamentum teres, containment of the hip, coverage of head and external obstacles to reduction.

Author Biographies

Khawar Shahzad, Faisalabad Medical University, Faisalabad.

MBBS, FCPS

Senior Registrar

Department of Orthopedic and Trauma Surgery

 

Rana Dawood Ahmad Khan, Faisalabad Medical University, Faisalabad.

MBBS, FCPS (Orthopedic)

Associate Professor

Department of Orthopedic and Trauma Surgery

 

Sajjad Iqbal, Faisalabad Medical University, Faisalabad.

MBBS, FCPS

Senior Registrar

Department of Orthopedic and Trauma Surgery

 

Mazhar Mehmood, Faisalabad Medical University, Faisalabad.

MBBS, FCPS (Orthopedic)

Assistant Professor

Department of Orthopedic and Trauma Surgery

 

Beenish Israr, University of Agriculture, Faisalabad.

PhD. Food and Nutritional Sciences

Lecturer

Faculty of Food, Nutrition and Home Sciences

 

Bushra Aslam, Independent Medical College, Faisalabad.

MBBS, M.Phil (Physiology)

Assistant Professor

Department of Physiology

 

Published
2019-12-10