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Michael A. Di Pietro, MD, FAIUM
Sonography of the Pediatric Hip
Michael A. Di Pietro, MD, FAIUM
09/03/2012 | Time : 34 min
About This Lecture:

A review of Sonography of the Pediatric Hip.

Topics mentioned in this video : Title, Disclosures, DDH, Painful hip – joint effusion, DDH, Static and dynamic, DDH, Coronal scanning, Coronal view, Coronal US orientation, Ball in a socket, Key concept, Normal, Slightly subluxed, Subluxing right hip, Dislocated right hip, Coronal dislocated hip, Coronal – acetabulum immature, Coronal – posterior cartilaginous acetabulum, Newborn – bilateral dislocated “teratologic” hips, Coronal – dislocated, Transverse – dislocated, Image, Key concept, Axial CT, Key concept, Axial CT, Sonographic image, Subluxing left hip, Subluxed hip, Coronal – posterior acetabular cartilage, Transverse - posterior acetabular cartilage, Trans normal cine, Trans normal abd/add – cine, Barlow maneuver, Dynamic case studies, Coronal normal - cine, Cine cases, Missed DDH, Good judgement comes from experience, DDH ultrasound, Some pitfalls, Transducer misalignment, Coronal false abnormal - true normal – cine, Older patient, Coronal, 14 month normal coronal – cine, Impressions, Hip flexion contracture or bowing, Right hip – in and out, Error, Arthrogram, DDH, New topic, Hips, Painful hip – joint effusion, The child with a painful hip, Question septic hip, "In a nutshell” hip effusion, Anterior longitudinal hip US, Right hip effusion, Hip joint fluid, Septic, Septic right hip, Septic arthritis, Septic left hip, Septic arthritis, Septic knee, Pediatric musculoskeletal ultrasound, Septic?, Clinical predictors, Papers on hip effusion – septic arthritis vs. transient synovitis, Clinical criteria, Good judgement comes from experience, Sonographic and clinical criteria, Alignment for aspiration, Animation – hip effusion aspiration, Needle placement 1, Needle placement 2, Painful left hip, Caveat regarding hypoechoic cartilage, Normal right hip, Case, XR- neg, US rt hip, Also overlying right soft tissues are abnormal, Antero-lateral RT thigh, Antero-lateral normal left thigh, Sonographic image, US cine loop, Taken to OR, Possibilities, Other diagnoses, Differential diagnosis, Psoas abscess, Long axis anterior to femoral head/neck, CT at femoral heads, CT at groin, US at groin, CT at ilia, CT detail of rt psoas abscess, Comparable transverse US, Another hip pain case, Differential diagnosis, 10 yo right hip pain X 3 days, RLQ neuroblastoma met causing hip pain, Other cases, Differential diagnosis, 13 yo swollen right knee, What next?, US tissue layers – normal reference, US - thigh, US with power Doppler, Distal tibia sub-periosteal fluid US long axis, Distal tibia sub-periosteal fluid US short axis, Sonography in osteomyelitis, In conclusion, End

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Keywords : acetabulum, arthrogryposis, aspiration of joint effusion, Barlow maneuver, coxa vara, DDH, developmental dysplasia of hip, dislocated pediatric hip, femoral head, femoral neck, femoral shaft, greater trochanter, hip abduction, hip adduction, hip joint fluid, joint effusion, Osteomyelitis, pediatric hip sonography, pediatric hip, pediatric ultrasound, PEDIATRIC, pediatrics, PFFD, posterior acetabular cartilage, posterior cartilaginous acetabulum, power Doppler, proximal femoral focal deficiency, psoas abscess, septic arthritis, septic hip, subluxation of hip, subluxed hip, transient synovitis, ultrasound guided aspiration of joint effusion

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