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Corresponding author: Wen-juan Wu, Department of Radiology, The Third Hospital of Hebei Medical University, No.139, Ziqiang Road, Shijiazhuang, 050051, China.
It is important that the ultrasound findings are correlated with the clinical assessment of the stability of the hip joints.
The ultrasound can appear normal when the hip is clinically assessed as being unstable and requiring treatment, or the ultrasound might show an abnormality requiring treatment when the hip is clinically normal.
The issue is to balance the benefit of early detection with the risk of overtreatment. Ultrasound gel is easily cleaned off the child, who can immediately return to usual activities.
In older infants, femoral ossification, which limits visualisation of the acetabulum, is more commonly a problem in girls who tend to ossify their femoral heads at a slightly younger age than boys. Hip ultrasound is the imaging investigation of choice.