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Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age

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Referencias

Additional references

Barlow 1962

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Cashman 2002

Cashman JP, Round J, Taylor G, Clarke NM. The natural history of developmental dysplasia of the hip after early supervised treatment in the Pavlik harness. A prospective, longitudinal follow‐up. Journal of Bone and Joint Surgery. British Volume 2002;84(3):418‐25. [PUBMED: 12002504]

Cooper 2014

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Table 1. Graf classification system1

Graf

Sonographic hip type

Bony roof

Ossific rim

Cartilage rim

Alpha angle

Ia

Mature

Good

Sharp

Long and narrow, extends far over femoral head

> 60

Ib

Mature

Good

Usually blunt

Short and broad, but covers femoral head

> 60

IIa

Physiological delay in ossification > 3 months (physiological immature but stable hips)

Deficient

Rounded

Covers femoral head

50 to 59

IIb

Physiological delay in ossification > 3 months (inherently stable)

Deficient

Rounded

Covers femoral head

50 to 59

IIc

On point of dislocation (unstable, requires immediate treatment)

Deficient

Rounded or flat

Covers femoral head

43 to 49

IId

On point of dislocation

Severley deficient

Rounded or flat

Compressed

43 to 49

IIIa

Dislocated (subluxation)

Poor

Flat

Displaced upwards and echo poor

< 43

IIIb

Dislocated (subluxation)

Poor

Flat

Displaced upwards and more reflective than femoral head

< 43

IV

Dislocated (complete)

Poor

Flat

Interposed

< 43

Figuras y tablas -
Table 1. Graf classification system1