Patchy increased echogenicity: a sonographic sign of femoral head necrosis following reduction and casting for developmental dysplasia of the hip
A developmental dysplasia of the hip (DDH) case treated by closed reduction and casting and subsequently confirmed to have avascular necrosis (AVN) was retrospectively noted to have an abnormal pattern of echogenicity in the femoral head on sonograms obtained within 1.5 months of surgery. Patchy inc...
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| Veröffentlicht in: | Pediatric radiology 2018-12, Vol.48 (13), p.1971-1974 |
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| container_end_page | 1974 |
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| container_issue | 13 |
| container_start_page | 1971 |
| container_title | Pediatric radiology |
| container_volume | 48 |
| creator | Chen, Brian Po-Jung Harcke, H. Theodore Bowen, J. Richard |
| description | A developmental dysplasia of the hip (DDH) case treated by closed reduction and casting and subsequently confirmed to have avascular necrosis (AVN) was retrospectively noted to have an abnormal pattern of echogenicity in the femoral head on sonograms obtained within 1.5 months of surgery. Patchy increased echogenicity in parts of the unossified cartilage replaced the normal pattern of central coalescence of vessels described with development of the ossification center. An additional case with similar findings confirms this should be considered a sign of evolving AVN following closed reduction. |
| doi_str_mv | 10.1007/s00247-018-4212-y |
| format | Article |
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Theodore</creatorcontrib><creatorcontrib>Bowen, J. Richard</creatorcontrib><title>Patchy increased echogenicity: a sonographic sign of femoral head necrosis following reduction and casting for developmental dysplasia of the hip</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>A developmental dysplasia of the hip (DDH) case treated by closed reduction and casting and subsequently confirmed to have avascular necrosis (AVN) was retrospectively noted to have an abnormal pattern of echogenicity in the femoral head on sonograms obtained within 1.5 months of surgery. Patchy increased echogenicity in parts of the unossified cartilage replaced the normal pattern of central coalescence of vessels described with development of the ossification center. An additional case with similar findings confirms this should be considered a sign of evolving AVN following closed reduction.</description><subject>Avascular necrosis</subject><subject>Biomedical materials</subject><subject>Blood vessels</subject><subject>Cartilage</subject><subject>Case Report</subject><subject>Coalescence</subject><subject>Coalescing</subject><subject>Dysplasia</subject><subject>Femur</subject><subject>Gangrene</subject><subject>Hip</subject><subject>Hip joint</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Musculoskeletal diseases</subject><subject>Necrosis</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Ossification</subject><subject>Pediatrics</subject><subject>Radiology</subject><subject>Reduction</subject><subject>Sonograms</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>Ultrasound</subject><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kcGK1TAUhoMoznX0AdxIwI2b6knS3DTuZFBnYEAXsy9pctJm6E1q0ip9DN_YljsqCK4CJ9__n5CPkJcM3jIA9a4A8FpVwJqq5oxX6yNyYLXgFdO6eUwOIIBVUNf6gjwr5R4AhGTiKbkQAPIoj-JAfn41sx1WGqLNaAo6inZIPcZgw7y-p4aWFFOfzTQES0voI02eejylbEY6oHE0os2phEJ9Gsf0I8SeZnSLnUOK1ERHrSnzPvUpU4ffcUzTCeO85d1aptGUYPbSeUA6hOk5eeLNWPDFw3lJ7j59vLu6rm6_fL65-nBbWaH4XB2Ft866znLVaKmdYNa7GjprFVOy0143UvijFNg16HSnnfYeUMraSeSduCRvzrVTTt8WLHN7CsXiOJqIaSktB6V1rUCwDX39D3qflhy3x-2UUnzT0GwUO1P7b5SMvp1yOJm8tgzaXVd71tVuutpdV7tumVcPzUt3Qvcn8dvPBvAzULar2GP-u_r_rb8Aak-j8A</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Chen, Brian Po-Jung</creator><creator>Harcke, H. 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Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-63fcdcdbc278959d31cfd40bcc7175b9f9853f653eb8ed9b9d9ff0e554d5e2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Avascular necrosis</topic><topic>Biomedical materials</topic><topic>Blood vessels</topic><topic>Cartilage</topic><topic>Case Report</topic><topic>Coalescence</topic><topic>Coalescing</topic><topic>Dysplasia</topic><topic>Femur</topic><topic>Gangrene</topic><topic>Hip</topic><topic>Hip joint</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Musculoskeletal diseases</topic><topic>Necrosis</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Ossification</topic><topic>Pediatrics</topic><topic>Radiology</topic><topic>Reduction</topic><topic>Sonograms</topic><topic>Surgery</topic><topic>Surgical implants</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Brian Po-Jung</creatorcontrib><creatorcontrib>Harcke, H. 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Theodore</au><au>Bowen, J. Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patchy increased echogenicity: a sonographic sign of femoral head necrosis following reduction and casting for developmental dysplasia of the hip</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>48</volume><issue>13</issue><spage>1971</spage><epage>1974</epage><pages>1971-1974</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>A developmental dysplasia of the hip (DDH) case treated by closed reduction and casting and subsequently confirmed to have avascular necrosis (AVN) was retrospectively noted to have an abnormal pattern of echogenicity in the femoral head on sonograms obtained within 1.5 months of surgery. 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| fulltext | fulltext |
| identifier | ISSN: 0301-0449 |
| ispartof | Pediatric radiology, 2018-12, Vol.48 (13), p.1971-1974 |
| issn | 0301-0449 1432-1998 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2079947031 |
| source | SpringerNature Journals |
| subjects | Avascular necrosis Biomedical materials Blood vessels Cartilage Case Report Coalescence Coalescing Dysplasia Femur Gangrene Hip Hip joint Imaging Medicine Medicine & Public Health Musculoskeletal diseases Necrosis Neuroradiology Nuclear Medicine Oncology Ossification Pediatrics Radiology Reduction Sonograms Surgery Surgical implants Ultrasound |
| title | Patchy increased echogenicity: a sonographic sign of femoral head necrosis following reduction and casting for developmental dysplasia of the hip |
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