Four decades of developmental dysplastic hip screening according to Graf: What have we learned?
PurposeSonographic hip examination according to Graf is widely accepted standard for diagnosing developmental dysplastic hips (DDH) but it is criticized for alleged intra- and interobserver variations. This review was conducted to evaluate whether objective quality criteria according to the Graf met...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.990806/full |
| _version_ | 1818050206147543040 |
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| author | Sebastian G. Walter Robert Ossendorff Ayla Yagdiran Jan Hockmann Rahel Bornemann Sonja Placzek |
| author_facet | Sebastian G. Walter Robert Ossendorff Ayla Yagdiran Jan Hockmann Rahel Bornemann Sonja Placzek |
| author_sort | Sebastian G. Walter |
| collection | DOAJ |
| description | PurposeSonographic hip examination according to Graf is widely accepted standard for diagnosing developmental dysplastic hips (DDH) but it is criticized for alleged intra- and interobserver variations. This review was conducted to evaluate whether objective quality criteria according to the Graf method are fulfilled within scientific literature.MethodsA systematic literature search on Pubmed was performed using the search string: [(DDH) OR (Hip dysplasia)] AND (Graf). Studies suitable by title, abstract, manuscript, containing an image of sonographic hip examination and online accessibility were included into analysis.Results131 studies were included into final analysis. Only 68 (51.9%) presented correct sonographic images according Graf’s criteria. 98 (74.8%) studies plotted alpha-angles (angle between bony roof line and base line) but only 85 (64.8%) studies beta-angles (angle between cartilage roof line and base line). Studies were contributed from 25 countries.ConclusionAssumingly, skepticism regarding the Graf method is based on user errors and insufficient application of the Graf quality assessment algorithm resulting in high intra- and interobserver variations. When performed correctly, the Graf method is of high diagnostic value. |
| first_indexed | 2024-12-10T10:49:47Z |
| format | Article |
| id | doaj.art-6c52e811e0024407ad016b8e46749333 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-10T10:49:47Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-6c52e811e0024407ad016b8e467493332022-12-22T01:52:02ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.990806990806Four decades of developmental dysplastic hip screening according to Graf: What have we learned?Sebastian G. Walter0Robert Ossendorff1Ayla Yagdiran2Jan Hockmann3Rahel Bornemann4Sonja Placzek5Department for Orthopedic Surgery and Traumatology, University Hospital Cologne, Cologne, GermanyDepartment for Orthopedic Surgery and Traumatology, University Hospital Bonn, Bonn, GermanyDepartment for Orthopedic Surgery and Traumatology, University Hospital Cologne, Cologne, GermanyDepartment for Orthopedic Surgery and Traumatology, University Hospital Cologne, Cologne, GermanyDepartment for Orthopedic Surgery and Traumatology, University Hospital Bonn, Bonn, GermanyMedical Service of the Health Funds (MDK), Cologne, GermanyPurposeSonographic hip examination according to Graf is widely accepted standard for diagnosing developmental dysplastic hips (DDH) but it is criticized for alleged intra- and interobserver variations. This review was conducted to evaluate whether objective quality criteria according to the Graf method are fulfilled within scientific literature.MethodsA systematic literature search on Pubmed was performed using the search string: [(DDH) OR (Hip dysplasia)] AND (Graf). Studies suitable by title, abstract, manuscript, containing an image of sonographic hip examination and online accessibility were included into analysis.Results131 studies were included into final analysis. Only 68 (51.9%) presented correct sonographic images according Graf’s criteria. 98 (74.8%) studies plotted alpha-angles (angle between bony roof line and base line) but only 85 (64.8%) studies beta-angles (angle between cartilage roof line and base line). Studies were contributed from 25 countries.ConclusionAssumingly, skepticism regarding the Graf method is based on user errors and insufficient application of the Graf quality assessment algorithm resulting in high intra- and interobserver variations. When performed correctly, the Graf method is of high diagnostic value.https://www.frontiersin.org/articles/10.3389/fped.2022.990806/fullGrafDDHhipultrasounddysplasia |
| spellingShingle | Sebastian G. Walter Robert Ossendorff Ayla Yagdiran Jan Hockmann Rahel Bornemann Sonja Placzek Four decades of developmental dysplastic hip screening according to Graf: What have we learned? Frontiers in Pediatrics Graf DDH hip ultrasound dysplasia |
| title | Four decades of developmental dysplastic hip screening according to Graf: What have we learned? |
| title_full | Four decades of developmental dysplastic hip screening according to Graf: What have we learned? |
| title_fullStr | Four decades of developmental dysplastic hip screening according to Graf: What have we learned? |
| title_full_unstemmed | Four decades of developmental dysplastic hip screening according to Graf: What have we learned? |
| title_short | Four decades of developmental dysplastic hip screening according to Graf: What have we learned? |
| title_sort | four decades of developmental dysplastic hip screening according to graf what have we learned |
| topic | Graf DDH hip ultrasound dysplasia |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.990806/full |
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