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25.05.2017 | Original Article

Age-dependent arthrosonographic reference values of the hip joint in healthy children and adolescents – a cross-sectional multicenter ultrasound study

verfasst von: Ralf Felix Trauzeddel, Hartwig Lehmann, Daniel Windschall, Gerd Ganser, Rainer Berendes, Maria Haller, Manuela Krumrey-Langkammerer, Katharina Palm-Beden, Antje Nimtz-Talaska, Christine Nirschl, Phillip Schoof, Ralf Trauzeddel

Erschienen in: Pediatric Radiology | Ausgabe 10/2017

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Abstract

Background

Musculoskeletal US is a noninvasive imaging method for diagnosing and monitoring inflammatory rheumatic diseases.

Objectives

To develop age- and gender-related arthrosonographic reference intervals for the hip joint of healthy children and adolescents.

Materials and methods

In a cross-sectional US study, we examined both hip joints of 445 children and adolescents with an age range of 1 year to 18 years. We measured the distance between the bone surface and the outer margin of the joint capsule to define the bone-capsule distance, the joint capsule and cartilage thickness, and the capsule layer thickness. Reference values were calculated. The shape of the joint capsule and bone-capsule junction zone were analyzed qualitatively. An intraobserver analysis was performed.

Results

Bone-capsule distance, capsule thickness and the anterior capsule layer increase with age. In contrast, joint cartilage decreases. The posterior capsule layer exhibited constant thickness across all age groups. The difference between both body sides and gender was collectively less than 0.5 mm. The intraobserver variations were within the calculated reference intervals. The insertion of the capsule to the bone was mostly a peaked one. The capsule shape had a convex or straight configuration in a neutral position and a concave position during outward rotation. The intraobserver analysis revealed good to very good concordance.

Conclusion

We propose age- and gender-related reference intervals for the bone-capsule distance, joint capsule and cartilage thickness of the hip.

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Titel: Age-dependent arthrosonographic reference values of the hip joint in healthy children and adolescents – a cross-sectional multicenter ultrasound study
verfasst von: Ralf Felix Trauzeddel
Hartwig Lehmann
Daniel Windschall
Gerd Ganser
Rainer Berendes
Maria Haller
Manuela Krumrey-Langkammerer
Katharina Palm-Beden
Antje Nimtz-Talaska
Christine Nirschl
Phillip Schoof
Ralf Trauzeddel
Publikationsdatum: 25.05.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Radiology / Ausgabe 10/2017
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-017-3862-5

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Age-dependent arthrosonographic reference values of the hip joint in healthy children and adolescents – a cross-sectional multicenter ultrasound study