FRCS Paediatric Ortho — improved notes
FRCS Paediatric Ortho — visual inline notes
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004. DDH ultrasound assessment

visual-inline rebuild3 extracted figuresspeaker notes XML27 study lines3 Q&A

Individual slide images have been cropped from the rendered slide and inserted beside the matching note section. The full slide remains below only for layout/audit.

Clean FRCS notes with inline figures

What is the use of USG?

Ultrasound image - ultrasound
Fig 1. Ultrasound image - ultrasoundtop centre
Ultrasound image - ultrasound
Fig 2. Ultrasound image - ultrasoundtop centre
Ultrasound image - ultrasound
Fig 3. Ultrasound image - ultrasoundtop left
•Confirm reduction
•Baseline of alpha and beta angle
•Perform within 2 weeks of Pavlik harness
•Assess capsular laxity in hip clicks
•Interpretation of USG
•Identify landmark
•Ilium
•Bony acetabulum
•Labrum / abductor muscle
•Femoral head
•Confirm concentric reduction

Assess coverage:

•>50% in
•Labrum pointing upwards
•Labrum pointing inwards
•Measure alpha and beta angle
•Alpha angle: between ilium and bony acetabulum (Normal >60)
•Beta angle: between ilium and labrum (normal <55)
•Graf hip angle measurement
Type / groupDefinition / note
Ialpha >60
IIalpha 43-60
IIIalpha <43
IValpha<43 + interposed labrum
•Harcke dynamic USG measurement
•Bony coverage
•50% rule for femoral head coverage (Harcke)

Direct Q&A

Q1 What diagnostic or radiographic findings support DDH ultrasound assessment?

What is the use of USG?

•Confirm reduction
•Baseline of alpha and beta angle
•Perform within 2 weeks of Pavlik harness
•Assess capsular laxity in hip clicks
•Interpretation of USG
•Identify landmark
•Ilium
•Bony acetabulum
•Labrum / abductor muscle
Q2 What is the use of USG?

Confirm reduction

•Baseline of alpha and beta angle
•Perform within 2 weeks of Pavlik harness
•Assess capsular laxity in hip clicks

Interpretation of USG

•Identify landmark
•Ilium
•Bony acetabulum
•Labrum / abductor muscle
•Femoral head
•Confirm concentric reduction
Q3 How is DDH ultrasound assessment managed?

What is the use of USG?

•Confirm reduction
•Baseline of alpha and beta angle
•Perform within 2 weeks of Pavlik harness
•Assess capsular laxity in hip clicks
•Interpretation of USG
•Identify landmark
•Ilium
•Bony acetabulum
•Labrum / abductor muscle
•Femoral head
•Confirm concentric reduction

Assess coverage:

•>50% in
•Labrum pointing upwards
•Labrum pointing inwards

Raw speaker-note hierarchy audit

#lvlmarLindentlogicaloriginal note line
10NoneNone0What is the use of USG?
20171450-1714501Confirm reduction
30171450-1714501Baseline of alpha and beta angle
40171450-1714501Perform within 2 weeks of Pavlik harness
50171450-1714501Assess capsular laxity in hip clicks
60NoneNone0Interpretation of USG
70228600-2286001Identify landmark
81628650-1714502Ilium
91628650-1714502Bony acetabulum
101628650-1714502Labrum / abductor muscle
111628650-1714502Femoral head
120228600-2286001Confirm concentric reduction
130228600-2286001Assess coverage:
141685800-2286002>50% in
151685800-2286002<50% in
161685800-2286002Labrum pointing upwards
171685800-2286002Labrum pointing inwards
180228600-2286001Measure alpha and beta angle
191685800-2286002Alpha angle: between ilium and bony acetabulum (Normal >60)
201685800-2286002Beta angle: between ilium and labrum (normal <55)
210000Graf hip angle measurement
220000I- alpha >60
230000II- alpha 43-60
240000III- alpha <43
250000IV- alpha<43 + interposed labrum
260000Harcke dynamic USG measurement
270000Bony coverage
28000050% rule for femoral head coverage (Harcke)

Improved semantic hierarchy used for the study notes

#semantic levelsection?rewritten line
10yesWhat is the use of USG?
21Confirm reduction
31Baseline of alpha and beta angle
41Perform within 2 weeks of Pavlik harness
51Assess capsular laxity in hip clicks
61Interpretation of USG
71Identify landmark
82Ilium
92Bony acetabulum
102Labrum / abductor muscle
112Femoral head
121Confirm concentric reduction
130yesAssess coverage:
142>50% in
152Labrum pointing upwards
162Labrum pointing inwards
171Measure alpha and beta angle
182Alpha angle: between ilium and bony acetabulum (Normal >60)
192Beta angle: between ilium and labrum (normal <55)
201Graf hip angle measurement
211I- alpha >60
221II- alpha 43-60
231III- alpha <43
241IV- alpha<43 + interposed labrum
251Harcke dynamic USG measurement
261Bony coverage
27150% rule for femoral head coverage (Harcke)
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