Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)
CPT4 code
Name of the Procedure:
Ultrasound, infant hips, real-time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation).
- Common Name: Infant Hip Ultrasound
Summary
An infant hip ultrasound is a non-invasive procedure that uses sound waves to create images of a baby's hip joints. This helps to check for developmental issues without the need for physical manipulation.
Purpose
The primary purpose of an infant hip ultrasound is to screen for developmental dysplasia of the hip (DDH), a condition where the hip joint doesn't form properly. The goal is to detect any abnormalities early so that appropriate treatment can be initiated to prevent future mobility issues.
Indications
- Infants born breech or with a family history of hip dysplasia.
- Babies showing symptoms like uneven leg lengths or limited hip movement.
- Infants with physical findings such as hip clicks or asymmetrical skin folds around the thighs.
Preparation
- Generally, no special preparation is needed for the infant.
- Parents may be asked to bring comfort items for the baby, such as a pacifier or blanket.
- Any pertinent medical history should be shared with the technician prior to the examination.
Procedure Description
- The baby is placed on their back or side on an examination table.
- A clear gel is applied to the skin over the hips to help sound waves travel.
- A small handheld device called a transducer is moved gently across the hips.
- Real-time images are captured and documented.
- The process is repeated for both hips.
Duration
The procedure typically takes around 15 to 30 minutes.
Setting
The ultrasound is usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Ultrasound Technician/Sonographer
- Radiologist (to interpret the images)
Risks and Complications
- This is a very low-risk procedure.
- There are no known complications since it is non-invasive and does not use radiation.
Benefits
- Non-invasive and painless.
- Provides detailed images to help diagnose hip problems early.
- Quick recovery with no lasting effects from the procedure.
Recovery
- Post-procedure, the baby can be fed and comforted as usual.
- No restrictions are needed.
- Follow-up appointments may be scheduled based on the results.
Alternatives
- Physical examination (may not be as accurate for diagnosing DDH).
- X-rays (usually avoided in infants due to radiation exposure).
- Observation and regular checks as the baby grows.
Patient Experience
- The baby might feel some discomfort when the gel is applied, but it is typically minimal.
- Most infants tolerate the procedure well and remain calm throughout.
- Pain management is usually not necessary, but comfort measures like feeding or using a pacifier can help soothe the baby.