[Results of sonographic hip examination of infants in a risk group].

J Szepesi, E Szabó, A Hattyár
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Abstract

During sonographic examination of 770 newborns and infants the diagnostic value and the possibility of valuation of singular risk factors were investigated. According our data an acetabular dysplasia, requiring treatment can be found most frequently in the background of a limitation of abduction motion. Pathologic alterations may be found less frequently in groups with familiar anamnesis and with breech presentation. It could be stated that the aspecific click is a clinical symptom of significance and cannot be neglected whereas we could not prove connections between asymmetry of the folds and the sonographic data. Our results prove that the anamnesis and the clinical symptoms alone do not make a perfect recognition of the dysplasia possible; in consequence it is suggested that sonography should be used as a screening.

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[危险组婴儿髋关节超声检查结果]。
本文对770例新生儿和婴幼儿超声检查的诊断价值和单一危险因素评估的可能性进行了探讨。根据我们的资料,需要治疗的髋臼发育不良最常见的背景是外展活动受限。病理改变可能较少发现与熟悉的记忆组和臀位表现。可以说,特定的咔哒声是一种重要的临床症状,不能被忽视,但我们无法证明褶皱的不对称性与超声数据之间的联系。我们的结果证明,仅凭记忆和临床症状并不能完全识别不典型增生;因此,建议超声检查作为筛查手段。
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