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Purpose: The American Academy of Pediatrics (AAP) guidelines recommend an ultrasound exam for all female infants born in breech position. The purpose of this paper is to determine the availability of U.S. for examining infants for developmental dysplasia of the hip (DDH) in the state of Pennsylvania (PA). Methods: A questionnaire was mailed to 744 members of the PA chapter of the American Academy of Pediatrics and to 100 Pennsylvania hospital radiology department directors, and results statistically analyzed. Results: 15% of pediatricians and 24% of radiologists returned a completed questionnaire. Only 67% of pediatricians had access to U.S. at their hospital for infants with possible DDH. Of those with access, 85% were satisfied with the U.S. service that was available. When U.S. was not available locally, 86% of pediatricians sent their patients to another hospital for the U.S. study at an average distance of 30 miles and a range up to 130 miles. Fourteen percent of pediatricians utilized radiographs when U.S. was not available. 67% of the radiology directors provided U.S. for infants with DDH. 94% were satisfied with their service. 33% of radiology directors did not offer U.S. services. In cases in which U.S. was not offered, 62% of infants were referred to another hospital with U.S. services. Conclusion: U.S. for DDH is not universally available or obtained conveniently in the state of Pennsylvania.

The Availability of Ultrasound for Infants with Developmental Dysplasia of the Hip in Pennsylvania