■为了研究新生儿/婴儿髋部的Graf“标准平面”超声图像上的线性测量或比率,可以支持I型和II型髋关节之间的临床重要区别。
■总共60个GrafII型臀部和124个随机选择的GrafI型臀部,与分娩时的胎龄相匹配,出生体重,交货方式,以及考试时的年龄,是通过我们的髋关节筛查服务确认的,在两年的时间里。这些图像在诊断上是合适的,在解剖识别和可用性检查之后,根据Graf解剖标志,包括os的下肢,骨缘,osilium的轮廓,唇和股骨头的边界,用于确定量化其相互关系的测量和比率。
■I型和II型臀部之间差异很大的指数包括:(a)“骨顶”的宽度(截止值5.91mm,灵敏度:75%,特异性:70%),(b)“骨顶”的宽度与股骨头的宽度之比(截止值0.40,灵敏度83%,特异性71%),and(c)theratioofthetacknaginousacetabularroof’swidth\’s(includingthelabrum),对股骨头宽度(截断值0.450,灵敏度82%,特异性67%)。
■在“标准平面”超声图像上新引入的测量和计算的比率可以用作区分Graf的“居中臀部”类型的附加指标,从而提高了检查者在临界病例中的诊断确定性,并限制了不必要的重新检查或治疗。
UNASSIGNED: To investigate whether linear measurements or
ratios on the Graf\'s \"standard plane\" ultrasound images of the neonatal/infantile hip, can support the clinically important differentiation between type I and type II hips.
UNASSIGNED: A total of 60 Graf type II hips and 124 randomly selected Graf type I hips, matched to the gestational age at delivery, birth weight, delivery mode, and age at the time of the examination, were identified through our hip screening service, during a period of two years. The images were diagnostically suitable, following anatomical identification and usability check, according to Graf. Anatomical landmarks including the lower limb of the os ilium, the bony rim, the silhouette of the os ilium, the labrum and the femoral head\'s borders, were used to determine the measurements and
ratios which quantified their inter-relationships.
UNASSIGNED: The indices which differed significantly between type I and type II hips included: (a) the width of the \"bony roof\" (cut-off value 5.91 mm, sensitivity: 75%, specificity: 70%), (b) the ratio of the width of the \"bony roof\" to the femoral head\'s width (cut-off value 0.40, sensitivity 83%, specificity 71%), and (c) the ratio of the cartilaginous acetabular roof\'s width (including the labrum), to the width of the femoral head (cut-off value 0.450, sensitivity 82%, specificity 67%).
UNASSIGNED: Newly introduced measurements and calculated
ratios on \"standard plane\" ultrasound images can be used as additional indices in the differentiation between Graf\'s types of \"centered hips\", thus increasing the diagnostic certainty of the examiner in borderline cases and limiting unnecessary re-examinations or treatment.