Is experience alone sufficient to diagnose developmental dysplasia of the hip without the bony roof (alpha angle) and the cartilage roof (beta angle) measurements?: A diagnostic accuracy study
In the Graf method of hip ultrasonography, the diagnosis of the infantile hip with developmental dysplasia of the hip (DDH) is strictly dependent on the bony roof (alpha angle) and the cartilage roof (beta angle) measurements. In this study, we investigated whether the infant hip could be diagnosed...
Gespeichert in:
Veröffentlicht in: | Medicine (Baltimore) 2020-04, Vol.99 (14), p.e19677-e19677 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | e19677 |
---|---|
container_issue | 14 |
container_start_page | e19677 |
container_title | Medicine (Baltimore) |
container_volume | 99 |
creator | Sari, Ahmet Sinan Karakus, Ozgun |
description | In the Graf method of hip ultrasonography, the diagnosis of the infantile hip with developmental dysplasia of the hip (DDH) is strictly dependent on the bony roof (alpha angle) and the cartilage roof (beta angle) measurements. In this study, we investigated whether the infant hip could be diagnosed with DDH solely by evaluating ultrasound images obtained in the standard plane, without bony roof and cartilage roof measurements, in respect to different professional experience levels.Two hundred ten hip ultrasounds were randomly selected from patients who presented to our hospital for DDH screening. A total of 6 ultrasound images were obtained for each hip. The hip morphology evaluations were made without the bony roof and the cartilage roof measurements by 2 orthopedic surgery residents; 2 orthopedic surgery specialists, trained in the diagnosis and the treatment of the DDH; and 2 pediatric orthopedic surgery professors, highly experienced in the diagnosis and treatment of DDH. After hip morphology evaluations, the bony roof and the cartilage roof measurements were obtained and hip type evaluations were made by the same raters, according to the Graf method of hip ultrasonography.The highest intraobserver agreements between the hip maturity evaluation before and the hip type evaluation after measurements were .676 (P |
doi_str_mv | 10.1097/MD.0000000000019677 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7440180</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2386288918</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3558-a89add76156ee31d042550206903d51f31d1c094a9af05540b08a8eab78a914a3</originalsourceid><addsrcrecordid>eNpdkU1v1DAQhiMEokvhFyAhH8shxY7txOZAVbV8VGrFBc7RrDPZGLxxsJ2W_Xf8NNzd7fLhy8jvPPPOaKYoXjJ6yqhu3txcntI_j-m6aR4VCyZ5XUpdi8fFgtJKlo1uxFHxLMZvGeJNJZ4WR7yqBBeUL4pfV5HgzwmDxdEgAedHJHHue2uykkjypLOwGn1E0uEtOj-tsw6OdJs4OYgWiO9JGpAMdiJ3Ng1-Ttv_0o8bEnzOnoCbBiAwrhy-zqHb5g2EZB2scA8tMR2YNUKcA963imdvyfnDEMkaAsbMAcyGxDR3m-fFkx5cxBf7eFx8_fD-y8Wn8vrzx6uL8-vScClVCUpD1zU1kzUiZx0VlZS0orWmvJOszxIzVAvQ0FMpBV1SBQph2SjQTAA_Lt7tfKd5ucbO5MkCuHYKdg1h03qw7b-Z0Q7tyt-2jRCUKZoNTvYGwf-YMaZ2baNB52BEP8e24qqulNJMZZTvUBN8jAH7QxtG2_vbtzeX7f-3z1Wv_p7wUPNw7AyIHXDnXcIQv7v5DkM7ILg0bP1ko6uyymuhmadlVoTivwFyLr1-</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2386288918</pqid></control><display><type>article</type><title>Is experience alone sufficient to diagnose developmental dysplasia of the hip without the bony roof (alpha angle) and the cartilage roof (beta angle) measurements?: A diagnostic accuracy study</title><source>Wolters Kluwer Open Health</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>IngentaConnect Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Sari, Ahmet Sinan ; Karakus, Ozgun</creator><creatorcontrib>Sari, Ahmet Sinan ; Karakus, Ozgun</creatorcontrib><description>In the Graf method of hip ultrasonography, the diagnosis of the infantile hip with developmental dysplasia of the hip (DDH) is strictly dependent on the bony roof (alpha angle) and the cartilage roof (beta angle) measurements. In this study, we investigated whether the infant hip could be diagnosed with DDH solely by evaluating ultrasound images obtained in the standard plane, without bony roof and cartilage roof measurements, in respect to different professional experience levels.Two hundred ten hip ultrasounds were randomly selected from patients who presented to our hospital for DDH screening. A total of 6 ultrasound images were obtained for each hip. The hip morphology evaluations were made without the bony roof and the cartilage roof measurements by 2 orthopedic surgery residents; 2 orthopedic surgery specialists, trained in the diagnosis and the treatment of the DDH; and 2 pediatric orthopedic surgery professors, highly experienced in the diagnosis and treatment of DDH. After hip morphology evaluations, the bony roof and the cartilage roof measurements were obtained and hip type evaluations were made by the same raters, according to the Graf method of hip ultrasonography.The highest intraobserver agreements between the hip maturity evaluation before and the hip type evaluation after measurements were .676 (P < .001) and .577 (P < .001) in professors 2 and 1, respectively, and the lowest agreements were .185 (P < .01) and .289 (P < .001) in specialist 1 and resident 2, respectively.The diagnosis of the infant hip as DDH could not be made solely by evaluation of the ultrasound images obtained in the standard plane without the bony roof and the cartilage roof measurements. The bony roof and the cartilage roof measurements were obligatory for the diagnosis of the infant hip as DDH, even in the very experienced pediatric orthopedic surgeons.Level of evidence: 2.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000019677</identifier><identifier>PMID: 32243403</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Adult ; Cartilage - diagnostic imaging ; Clinical Competence - statistics & numerical data ; Female ; Hip Dislocation, Congenital - diagnostic imaging ; Humans ; Infant ; Male ; Middle Aged ; Observational Study ; Observer Variation ; Orthopedic Surgeons - statistics & numerical data ; Pelvic Bones - diagnostic imaging ; Reproducibility of Results ; Ultrasonography - methods ; Ultrasonography - statistics & numerical data</subject><ispartof>Medicine (Baltimore), 2020-04, Vol.99 (14), p.e19677-e19677</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3558-a89add76156ee31d042550206903d51f31d1c094a9af05540b08a8eab78a914a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440180/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440180/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32243403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sari, Ahmet Sinan</creatorcontrib><creatorcontrib>Karakus, Ozgun</creatorcontrib><title>Is experience alone sufficient to diagnose developmental dysplasia of the hip without the bony roof (alpha angle) and the cartilage roof (beta angle) measurements?: A diagnostic accuracy study</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>In the Graf method of hip ultrasonography, the diagnosis of the infantile hip with developmental dysplasia of the hip (DDH) is strictly dependent on the bony roof (alpha angle) and the cartilage roof (beta angle) measurements. In this study, we investigated whether the infant hip could be diagnosed with DDH solely by evaluating ultrasound images obtained in the standard plane, without bony roof and cartilage roof measurements, in respect to different professional experience levels.Two hundred ten hip ultrasounds were randomly selected from patients who presented to our hospital for DDH screening. A total of 6 ultrasound images were obtained for each hip. The hip morphology evaluations were made without the bony roof and the cartilage roof measurements by 2 orthopedic surgery residents; 2 orthopedic surgery specialists, trained in the diagnosis and the treatment of the DDH; and 2 pediatric orthopedic surgery professors, highly experienced in the diagnosis and treatment of DDH. After hip morphology evaluations, the bony roof and the cartilage roof measurements were obtained and hip type evaluations were made by the same raters, according to the Graf method of hip ultrasonography.The highest intraobserver agreements between the hip maturity evaluation before and the hip type evaluation after measurements were .676 (P < .001) and .577 (P < .001) in professors 2 and 1, respectively, and the lowest agreements were .185 (P < .01) and .289 (P < .001) in specialist 1 and resident 2, respectively.The diagnosis of the infant hip as DDH could not be made solely by evaluation of the ultrasound images obtained in the standard plane without the bony roof and the cartilage roof measurements. The bony roof and the cartilage roof measurements were obligatory for the diagnosis of the infant hip as DDH, even in the very experienced pediatric orthopedic surgeons.Level of evidence: 2.</description><subject>Adult</subject><subject>Cartilage - diagnostic imaging</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Female</subject><subject>Hip Dislocation, Congenital - diagnostic imaging</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observational Study</subject><subject>Observer Variation</subject><subject>Orthopedic Surgeons - statistics & numerical data</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Reproducibility of Results</subject><subject>Ultrasonography - methods</subject><subject>Ultrasonography - statistics & numerical data</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhiMEokvhFyAhH8shxY7txOZAVbV8VGrFBc7RrDPZGLxxsJ2W_Xf8NNzd7fLhy8jvPPPOaKYoXjJ6yqhu3txcntI_j-m6aR4VCyZ5XUpdi8fFgtJKlo1uxFHxLMZvGeJNJZ4WR7yqBBeUL4pfV5HgzwmDxdEgAedHJHHue2uykkjypLOwGn1E0uEtOj-tsw6OdJs4OYgWiO9JGpAMdiJ3Ng1-Ttv_0o8bEnzOnoCbBiAwrhy-zqHb5g2EZB2scA8tMR2YNUKcA963imdvyfnDEMkaAsbMAcyGxDR3m-fFkx5cxBf7eFx8_fD-y8Wn8vrzx6uL8-vScClVCUpD1zU1kzUiZx0VlZS0orWmvJOszxIzVAvQ0FMpBV1SBQph2SjQTAA_Lt7tfKd5ucbO5MkCuHYKdg1h03qw7b-Z0Q7tyt-2jRCUKZoNTvYGwf-YMaZ2baNB52BEP8e24qqulNJMZZTvUBN8jAH7QxtG2_vbtzeX7f-3z1Wv_p7wUPNw7AyIHXDnXcIQv7v5DkM7ILg0bP1ko6uyymuhmadlVoTivwFyLr1-</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Sari, Ahmet Sinan</creator><creator>Karakus, Ozgun</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200401</creationdate><title>Is experience alone sufficient to diagnose developmental dysplasia of the hip without the bony roof (alpha angle) and the cartilage roof (beta angle) measurements?: A diagnostic accuracy study</title><author>Sari, Ahmet Sinan ; Karakus, Ozgun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3558-a89add76156ee31d042550206903d51f31d1c094a9af05540b08a8eab78a914a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Cartilage - diagnostic imaging</topic><topic>Clinical Competence - statistics & numerical data</topic><topic>Female</topic><topic>Hip Dislocation, Congenital - diagnostic imaging</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observational Study</topic><topic>Observer Variation</topic><topic>Orthopedic Surgeons - statistics & numerical data</topic><topic>Pelvic Bones - diagnostic imaging</topic><topic>Reproducibility of Results</topic><topic>Ultrasonography - methods</topic><topic>Ultrasonography - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sari, Ahmet Sinan</creatorcontrib><creatorcontrib>Karakus, Ozgun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sari, Ahmet Sinan</au><au>Karakus, Ozgun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is experience alone sufficient to diagnose developmental dysplasia of the hip without the bony roof (alpha angle) and the cartilage roof (beta angle) measurements?: A diagnostic accuracy study</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>99</volume><issue>14</issue><spage>e19677</spage><epage>e19677</epage><pages>e19677-e19677</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>In the Graf method of hip ultrasonography, the diagnosis of the infantile hip with developmental dysplasia of the hip (DDH) is strictly dependent on the bony roof (alpha angle) and the cartilage roof (beta angle) measurements. In this study, we investigated whether the infant hip could be diagnosed with DDH solely by evaluating ultrasound images obtained in the standard plane, without bony roof and cartilage roof measurements, in respect to different professional experience levels.Two hundred ten hip ultrasounds were randomly selected from patients who presented to our hospital for DDH screening. A total of 6 ultrasound images were obtained for each hip. The hip morphology evaluations were made without the bony roof and the cartilage roof measurements by 2 orthopedic surgery residents; 2 orthopedic surgery specialists, trained in the diagnosis and the treatment of the DDH; and 2 pediatric orthopedic surgery professors, highly experienced in the diagnosis and treatment of DDH. After hip morphology evaluations, the bony roof and the cartilage roof measurements were obtained and hip type evaluations were made by the same raters, according to the Graf method of hip ultrasonography.The highest intraobserver agreements between the hip maturity evaluation before and the hip type evaluation after measurements were .676 (P < .001) and .577 (P < .001) in professors 2 and 1, respectively, and the lowest agreements were .185 (P < .01) and .289 (P < .001) in specialist 1 and resident 2, respectively.The diagnosis of the infant hip as DDH could not be made solely by evaluation of the ultrasound images obtained in the standard plane without the bony roof and the cartilage roof measurements. The bony roof and the cartilage roof measurements were obligatory for the diagnosis of the infant hip as DDH, even in the very experienced pediatric orthopedic surgeons.Level of evidence: 2.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>32243403</pmid><doi>10.1097/MD.0000000000019677</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0025-7974 |
ispartof | Medicine (Baltimore), 2020-04, Vol.99 (14), p.e19677-e19677 |
issn | 0025-7974 1536-5964 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7440180 |
source | Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Adult Cartilage - diagnostic imaging Clinical Competence - statistics & numerical data Female Hip Dislocation, Congenital - diagnostic imaging Humans Infant Male Middle Aged Observational Study Observer Variation Orthopedic Surgeons - statistics & numerical data Pelvic Bones - diagnostic imaging Reproducibility of Results Ultrasonography - methods Ultrasonography - statistics & numerical data |
title | Is experience alone sufficient to diagnose developmental dysplasia of the hip without the bony roof (alpha angle) and the cartilage roof (beta angle) measurements?: A diagnostic accuracy study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T14%3A59%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Is%20experience%20alone%20sufficient%20to%20diagnose%20developmental%20dysplasia%20of%20the%20hip%20without%20the%20bony%20roof%20(alpha%20angle)%20and%20the%20cartilage%20roof%20(beta%20angle)%20measurements?:%20A%20diagnostic%20accuracy%20study&rft.jtitle=Medicine%20(Baltimore)&rft.au=Sari,%20Ahmet%20Sinan&rft.date=2020-04-01&rft.volume=99&rft.issue=14&rft.spage=e19677&rft.epage=e19677&rft.pages=e19677-e19677&rft.issn=0025-7974&rft.eissn=1536-5964&rft_id=info:doi/10.1097/MD.0000000000019677&rft_dat=%3Cproquest_pubme%3E2386288918%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2386288918&rft_id=info:pmid/32243403&rfr_iscdi=true |