Our office is fully equipped with x-ray and ultrasound equipment. Our pediatric radiologist takes patients from newborn age up. We do general screening tests as well as supporting diagnoses with ultrasound and x-ray images at the request of a pediatrician or orthopedist.
Following the initial thorough testing by the pediatrician, hip screening takes place in the 4-6th week (at the age of 4 months, at the latest), which is conducted by a radiologist. This screening test can be supplemented with ultrasound tests of the abdomen and head.
Ultrasound hip exam
After delivery, the pediatrician checks the newborn’s hip movement, the length of the legs, and the symmetry of the thighs and gluteal creases in a physical exam. However, only an ultrasound exam can provide a reliable result in screening for less obvious abnormalities, which is why it is recommended for every newborn.
When is an ultrasound hip screening definitely recommended?
- abnormality in joint of leg symmetry visible during physical exam
- family history of hip dysplasia – then there is a 15% probability of the disorder appearing
- intrauterine situations: breech position, twins, low amniotic fluid level, intrauterine constraint
- underdeveloped hip joint
If the possibility of hip dysplasia comes up after the age of 4-5 months, the ultrasound exam can no longer provide enough information, so we do an x-ray examination.
Abdominal ultrasound test
During this screening we look at the size and structure of the liver, gall bladder, spleen, pancreas, kidneys, adrenals, and urinary bladder. At this age, a significant portion of developmental disorders in the central organs can already be detected, while they may not necessarily produce any symptoms yet.
Cranial ultrasound test
During this screening we check the breadth of the brain ventricles, and extensive abnormalities in the brain matter can be detected, as can some developmental disorders. In the case of clinical symptoms, or if the possibility of brain damage during birth or in the early newborn stage has arisen, there is certainly good reason to perform this test. In later infancy, when the fontanels begin to close, this test is of limited value or cannot be performed at all.
Additional ultrasound tests for diagnostic purposes, at the physician’s request:
- abdominal -(if there is suspected disease of the liver, gall bladder, pancreas, spleen, kidneys, bladder, pelvic organs, and some bowel diseases)
- neck – is there is suspected disease of the lymph glands or thyroid
- joint, muscle – in the case of abnormal amounts of fluid, muscle rupture, or palpable masses
- soft tissue- in the case of palpable masses
- spine – up until the age of 2 months
X-ray tests, at the specialist’s request:
- Bones: breaks, bruises
- Swallowed toys
- Examination of orthopedic problems, developmental disorders, infection, etc.
- Diagnosis of disorders of internal organs
- Abdominal x-ray: e.g. intestinal obstruction, ingested foreign object
- Chest x-ray: e.g. suspected pneumonia