Graf method for ultrasound classification of developmental dysplasia of the hip

Changed by Matt A. Morgan, 26 Nov 2014

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Sonographic Classificationclassification of development dysplasia of the hip (DDH)
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Ultrasound classification of developmental dysplasia of the hip (DDH)
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An ultrasound classification system for developmental dysplasia dysplasia of the hipship (DDH) in infants, combining both alpha and beta angles, has been proposed by Graf et al. There are a number of additional subdivisions, which are often not used clinically. 

As a general rule, the alpha angle determines the type and in some instances the beta angle is used to determine subtype:

  • type I: alpha angle >60 degrees  (normal)
    • type Ia: beta angle <55 degrees
    • type Ib: beta angle >55 degrees
  • type II 
    • type IIa: alpha angle 50-59 degrees
    • type IIb: alpha angle 50-59 degrees 
    • type IIc
      • alpha angle 43-49 degrees
      • beta angle <77 degrees
  • type D ("about to decenter")
    • alpha angle 43-49 degrees
    • beta angle >77 degrees
  • type III: alpha angle <43 degrees
    • type IIIa and IIIb distinguished on the grounds of structural alteration of the cartilaginous roof
  • type IV
    • alpha angle < 43 degrees
    • dislocated with labrum interposed between femoral head and acetabulum
  • -<p>An <strong>ultrasound classification system for developmental dysplasia of the hips</strong> in infants, combining both <a href="/articles/alpha-angle">alpha </a>and <a href="/articles/beta-angle-ddh">beta </a>angles has been proposed by Graf et al. There are a number of additional subdivisions, which are often not used clinically. </p><p>As a general rule, the <a href="/articles/alpha-angle">alpha angle</a> determines the type and in some instances the <a href="/articles/beta-angle-ddh">beta angle</a> is used to determine subtype:</p><ul>
  • -<li>type I: <a href="/articles/alpha-angle">alpha angle</a> &gt;60 degrees  (normal)<ul>
  • +<p>An <strong>ultrasound classification system for developmental dysplasia of the hip (DDH) </strong>in infants, combining both <a href="/articles/alpha-angle-ddh-1">alpha </a>and <a href="/articles/beta-angle-ddh">beta </a>angles, has been proposed by Graf et al. There are a number of additional subdivisions, which are often not used clinically. </p><p>As a general rule, the <a href="/articles/alpha-angle-ddh-1">alpha angle</a> determines the type and in some instances the <a href="/articles/beta-angle-ddh">beta angle</a> is used to determine subtype:</p><ul>
  • +<li>type I: <a href="/articles/alpha-angle-ddh-1">alpha angle</a> &gt;60 degrees  (normal)<ul>

Tags changed:

  • ultrasound

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