Canadian Association of Radiologists Journal
Volume 60, Issue 2 , Pages 79-87 , April 2009

Colour Doppler Ultrasound Assessment of the Normal Neonatal Hip

  • Clara L. Ortiz-Neira, MD

      Affiliations

    • Department of Diagnostic Imaging, Alberta Children's Hospital, Calgary, Alberta, Canada
    • Corresponding Author InformationAddress for correspondence: Clara L. Ortiz-Neira, MD, Department of Diagnostic Imaging, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, Alberta T3B 6A8, Canada.
    • ,
  • Eoghan Laffan, MD

      Affiliations

    • Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada
    • ,
  • Alan Daneman, MD

      Affiliations

    • Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada
    • ,
  • Katherine Fong, MD

      Affiliations

    • Department of Diagnostic Imaging, Mount Sinai Hospital, Toronto, Ontario, Canada
    • ,
  • Andreas Roposch, MD

      Affiliations

    • Department of Orthopedic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada
    • Great Ormond Street Hospital, Institute of Child Health, University College London, London, United Kingdom
    • ,
  • Arne Ohlsson, MD

      Affiliations

    • Department of Neonatology, Mount Sinai Hospital, Toronto, Ontario, Canada
    • ,
  • Jose Jarrin, RDMS, MD

      Affiliations

    • Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada
    • ,
  • Chenghua Wang, MSc

      Affiliations

    • Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada
    • ,
  • John Wedge, MD

      Affiliations

    • Department of Orthopedic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada
    • ,
  • Andrea S. Doria, MD, PhD, MSc

      Affiliations

    • Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada

References 

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  2. Weinstein SL. Developmental hip dysplasia and dislocation. Pediatr Orthop. 2000;2:905–956
  3. Barnewolt CE, Jaramillo D, Taylor GA, et al. Correlation of contrast-enhanced power Doppler sonography and conventional angiography of abduction-induced hip ischemia in piglets. AJR Am J Roentgenol. 2003;180:1731–1735
  4. Jaramillo D, Villegas-Medina OL, Doty DK, et al. Gadolinium-enhanced MR imaging demonstrates abduction-caused hip ischemia and its reversal in piglets. AJR Am J Roentgenol. 1996;166:879–887
  5. Graf R. Hip ultrasonography. Basic principles and current aspects. Orthopade. 1997;26:14–24
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  7. Schwartz DS, Keller MS, Fields JM. Arterial waveforms in the femoral heads of healthy neonates. AJR Am J Roentgenol. 1998;170:465–466
  8. Keller MS. Sonographic detection of femoral head vascularity in neonates. Radiology. 1996;200:28–29
  9. Amodio J, Rivera R, Pinkney L, et al. The relationship between alpha angle and resistive index of the femoral epiphysis in the normal and abnormal infant hip. Pediatr Radiol. 2006;36:841–844
  10. Keener TS. Comparison of conventional color Doppler with power Doppler sonography to depict normal prostatic vasculature. J Diagn Med Sonogr. 1997;13:63–67
  11. Barth RA, Shortliffe LD. Normal pediatric testis: comparison of power Doppler and color Doppler US in the detection of blood flow. Radiology. 1997;204:389–393
  12. Graf R, Fronhofer G. Redefinition of the proximal perichondrium and perichondrial gap in hip ultrasound imaging. Orthopade. 1997;26:1057–1061
  13. Gunderman R, Strain JD, Cohen H, et al. Developmental dysplasia of the hip [online publication]. Reston (VA): American College of Radiology; 2005;8
  14. Rosner B. Hypothesis testing; one-sample inference. In:  Rosner B editors. Fundamentals of biostatistics. Pacific Grove (CA): Duxbury; 2000;p. 211–271
  15. Guerriero S, Alcazar JL, Ajossa S, et al. Comparison of conventional color Doppler imaging and power Doppler imaging for the diagnosis of ovarian cancer: results of a European study. Gynecol Oncol. 2001;83:299–304
  16. Bearcroft PW, Berman LH, Robinson AH, et al. Vascularity of the neonatal femoral head: in vivo demonstration with power Doppler US. Radiology. 1996;200:209–211
  17. Barnewolt CE, Shapiro F, Jaramillo D. Normal gadolinium-enhanced MR images of the developing appendicular skeleton: part I. Cartilaginous epiphysis and physis. AJR Am J Roentgenol. 1997;169:183–189
  18. Graif M, Schweitzer ME, Nazarian L, et al. Color Doppler hemodynamic evaluation of flow to normal hip. J Ultrasound Med. 1998;17:275–280
  19. Tschammler A, Beer M, Hahn D. Differential diagnosis of lymphadenopathy: power Doppler vs color Doppler sonography. Eur Radiol. 2002;12:1794–1799
  20. Chan A, McCaul KA, Cundy PJ, et al. Perinatal risk factors for developmental dysplasia of the hip. Arch Dis Childhood Fetal Neonatal Ed. 1997;76:F94–100
  21. Omeroglu H, Koparal S. Arch Orthop Trauma Surg. 2001;121:7–11
  22. Howe WW, Lacey T, Schwartz RP. A study of the gross anatomy of the arteries supplying the proximal portion of the femur and the acetabulum. J Bone Joint Surg Am. 1950;32:856–866
  23. Ogden JA. Changing patterns of proximal femoral vascularity. J Bone Joint Surg Am. 1974;56:941–950
  24. Chung SM. The arterial supply of the developing proximal end of the human femur. J Bone Joint Surg Am. 1976;58:961–970
  25. Trueta H. The normal vascular anatomy of the human femoral head during growth. J Bone Joint Surg Br. 1957;39:358–394
  26. Weathersby HT. The origin of the artery of the ligamentum teres. J Bone Joint Surg. 1959;41:261–263

 At the time this study was performed, Dr Ortiz-Neira was a member of the Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.

PII: S0846-5371(09)00012-6

doi: 10.1016/j.carj.2009.02.009

Canadian Association of Radiologists Journal
Volume 60, Issue 2 , Pages 79-87 , April 2009

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