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Standard HiP view for DDh

Standard HiP view for DDh


Answer

  1. The two standard views for hip ultrasound for DDH include the coronal view for morphological assessment and the transverse view for dynamic assessment of stability.

    The coronal view is obtained through the centre of the joint with the ileum straight, the lower limb of the acetabulum and triradiate cartilage included. Acetabular angles and coverage are measured on this view.  The transverse view is performed with the leg flexed and mimics the clinical assessment of the Ortolani and Barlow manoeuvres thus allowing the Sonographer to assess stability or to assess for reduction if a hip is dislocated.  

    Assessment of the pulvinar could also be included as a thickening is indicative of an abnormal hip 

    The posterior lip view is not essential however it can be useful to demonstrate the position of the femoral head in relation to the joint when the hip is dislocated   

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