Developmental dysplasia of the hip (DDH) is the designation given to a spectrum of structural changes in the developing hip. Ultrasound is the preferred imaging method for screening this condition in newborns and children under 1 year old. Pubofemoral distance (PFD) has been proposed as a new screening method for developmental dysplasia of the hip. The aim of this study is to assess the accuracy of PFD for developmental dysplasia of the hip using the Graf method as reference standard. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Motta Giovanna, Chiovatto Alessandra, Chiovatto Eduardo, Rocha Lucas, Abdala João, Iared Wagner

Keywords: Ultrasound, Hip dysplasia, Pubofemoral distance

Girls with congenital adrenal hyperplasia can present with a wide variety of urogenital malformations. Understanding these malformations and the anatomical relations between the pelvic structures is paramount for surgical planning. Imaging of these patients can be done by various methods such as genitography, magnetic resonance or endoscopy. More recently some authors have begun to propose perineal ultrasound as an alternative for imaging of these patients for pre-operative planning. In this educational poster we will use perineal ultrasound images and detailed illustrations to: 1) Review the spectrum of genital and lower urinary tract malformations related to congenital adrenal hyperplasia in girls. 2) Explain the transperineal ultrasound technique and normal anatomy. 3) Explain the transperineal ultrasound findings and utility in girls with congenital adrenal hyperplasia. Contents: Normal anatomy Pathologic changes in congenital adrenal hyperplasia Review of what is relevant to the referring surgeon. Ultrasound technique Ultrasound findings in normal patients Ultrasound findings in congenital adrenal hyperplasia. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Takahashi Marcelo, Moreira Marcia, Motta Giovanna, Gual Fabiana, Soares Juliana, Davaus Taisa

Keywords: congenital adrenal hyperplasia, ultrasound, perineum

Hip ultrasonography is now considered the main method for screening, diagnosing and monitoring the treatment of development dysplasia of hip (DDH) in children, considering the advantages of the method and the excellent characterization of the anatomical elements of the infant hip which, at this stage of life, consists largely of cartilage. In 1980, Reinhard Graf, an Austrian pediatric orthopedist published child hip study work from about 20,000 stillbirths. He evaluated and studied through hip ultrasound the hip joint and determined in a single coronal section the hip classification. The purpose of this article is to explain in a didactic and detailed way the method of Graf, focusing on the reference points for its realization and proper interpretation. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Motta Giovanna, Chiovatto Alessandra, Chiovatto Eduardo, Rocha Lucas, Abdala João, Iared Wagner

Keywords: Hip Dysplasia, Ultrasonography, Graf Method