Game-Changing Advances in Infant Hip Dysplasia Evaluation With Ultrasound.

Journal: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
Published Date: Dec 30, 2025

Abstract

Developmental dysplasia of the hip (DDH) causes preventable morbidity when diagnosis is delayed. We review advances that address screening gaps: 3-dimensional (3D) ultrasound for volumetric visualization with retrospective plane selection; artificial intelligence (AI)-assisted 2-dimensional (2D) cine sweeps that add automated quality control and classification for lightly trained operators; and open-source software and datasets that enable external validation and standardization. A pragmatic pathway is universal newborn screening using brief AI-assisted 2D sweeps, with abnormal or indeterminate results referred for confirmatory 3D ultrasound to define dysplasia patterns and guide care. Implementation studies and consensus standards for acquisition and reporting are priorities.

Authors

  • Michael Fadell
    Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA.
  • Aryan Azmi
    Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, USA.
  • Adam McArthur
    Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, USA.
  • Wudbhav Woody N Sankar
    Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Sukhdeep Dulai
    Department of Surgery, University of Alberta, Edmonton, Alberta, USA.
  • Jacob L Jaremko
    Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada.

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