title: Hip joint development in children with type IIb developmental dysplasia.
abstract: OBJECTIVE
  The aim of this study was to analyse the results of treatment of sonographically diagnosed type IIb developmental hip dysplasia and to identify residual hip dysplasia using clinical and radiological assessment.
  
  
  METHODS
  We retrospectively reviewed the data of 49 children (59 type IIb and 39 type I hips, according to Graf's monographic classification) treated in abduction braces. The mean age was 9.1 years (range 4-15) at latest follow-up.
  
  
  RESULTS
  According to the clinical classification of Mckay in Barrett's modification, all the type I and type IIb hips had very good results. No statistical differences were found between type I and IIb hips when comparing both measured radiological parameters and radiological results according to the Severin classification at latest follow-up. Using our criteria (two or more radiological parameters were outside of their normal range), 12 out of 49 type IIb hips demonstrated persistent dysplasia. Of the 12 hips, eight sonograms were normal at the end of treatment and four patients failed to normalise. No type I hips demonstrated two or more abnormal radiographic parameters at latest follow-up.
  
  
  CONCLUSIONS
  Despite obtaining normal sonograms at the end of treatment, some children with type IIb dysplasia may demonstrate radiographic evidence of persistent hip dysplasia over a longer follow-up period. Our results suggest that these children should be monitored until skeletal maturity.
authors.affiliation: Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Lodz, Drewnowska 75, 91-002, Łódź, Poland. sibinek@poczta.onet.pl
authors.forename: Marcin
authors.initials: M
authors.lastname: Sibiński
authors.forename: Emil
authors.initials: E
authors.lastname: Adamczyk
authors.forename: Zoe C J
authors.initials: ZC
authors.lastname: Higgs
authors.forename: Marek
authors.initials: M
authors.lastname: Synder
mesh_terms: D000293:Adolescent; D001175:Arthrography; D001846:Bone Development / Q000502:physiology*; D001915:Braces; D002648:Child; D002675:Child, Preschool; D005260:Female; D006618:Hip Dislocation, Congenital / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000254:growth & development* / Q000503:physiopathology; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D012016:Reference Values; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography