developmental dysplasia of the hip

The WRIT: DDH discoveries

My first printed edition of Radiography arrived today, so I figured I'd better have a read of it. It’s heavy stuff and my brain’s been elsewhere, so after trying (and failing) to read “Operating within the legal and ethical framework to gain co-operation when imaging paediatric patients”, I just plucked some facts from Snaith and Buckley’s “Radiographic assessment of developmental dysplasia of the hip — A novel radiology process and one year review of referrals”. Here goes:

Developmental dysplasia of the hip (DDH) is the most common MSK abnormality in infants and includes a wide range of hip disorders. Nobody but the Almighty knows its cause, but it is clearly influenced by many factors such as breech delivery and race.

Radiography is very important in recognising it and I’m not gonna go into technical details here. In short: There must be symmetry of the femoral epiphyses regarding their size and location in relation to the surrounding bones. There’s measuring and judgement involved.

The study found, among other things, that DDH is more prevalent in girls and children born in autumn and winter.

There was also an article on paediatric DRLs for cardiac imaging that I’m sure Jamie will be reading (no pressure Jamie).

References:
Harvey-Lloyd JM. Operating within the legal and ethical framework to gain co-operation when imaging paediatric patients. Radiography 2013;19(4): 285-289.
Snaith B, Buckley K. Radiographic assessment of developmental dysplasia of the hip — A novel radiology process and one year review of referrals. Radiography 2013;19(4): 290–294.