Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access

Original Research

Ann Med Res. 2016; 23(3): 276-280

MRI clasification in developmental dysplasia of the hip with reference to soft tissue changes

Ozhan Pazarci, Okay Bulut, Seyran Kilinc, Umut Hatay Golge, Zekeriya Oztemur.

Objective: Purpose of the presented prospective study is to assess the pathological soft tissues together and examine their effect on the continuation of reduction in DDH cases treated with closed or open reduction by using MRI technique.
Materials and Methods: 46 hips of 34 cases treated between 2003 and 2012 were prospectively studied. MRI was performed on all children after reduction. Kashiwagi MRI classification was made according to the posterior acetabular rim on axial images at the level of triradiate cartilage. As different from Kashiwagi, the group of patientes were divided two subgroups (2A and 2B) according to pathological soft tissue changes on MRI.
Results: 27 hips with sharp posterior acetabular rims were involved in Kashiwagi group 1. Sixteen hips with rounded and dysplastic posterior acetabular rims were involved in group 2. In these cases, 9 hips of 6 cases not diagnosed with pathological soft tissue changes obstructing reduction on MRI were included in group 2A. In addition to rounded posterior acetabular rims, 7 hips of 6 cases having at least one of the soft tissue changes such as pulvinar, transverse acetabular ligament, labrum and hypertrophy of ligamentum teres were involved in group 2B. Redislocation was observed after plaster cast in all cases in group 2B and open reduction and salter osteotomy were applied. Three hips with inverted labrum were involved in group 3.
Conclusion: Presented study provides more useful information on the course of treatment in cases where Kashiwagi's classification modification and closed/open reduction and immobilization were conducted by taking soft tissue factors obstructing reduction into consideration.

Key words: DDH, MRI, Kashiwagi, Hip.

Share this Article

Journal of Molecular Pathophysiology


ScopeMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons