• Pediatric emergency care · Sep 2024

    Creation and Validation of a Novel 3-Dimensional Pediatric Hip Ultrasound Model.

    • Francesca R Nichols, Justin R Ryan, John A Skinner, Jonathan M Morris, Mylinh T Nguyen, Atim Ekpenyong, and Kathryn H Pade.
    • Department of Radiology, Mayo Clinic, Rochester, MN.
    • Pediatr Emerg Care. 2024 Sep 1; 40 (9): e216e220e216-e220.

    ObjectivesThe aim of this study was to create and validate a 3-dimensional (3D) ultrasound model with normal and abnormal pediatric hip joint anatomy that is comparable to a pediatric hip joint in appearance and anatomy and replicates sonographic characteristics of a pediatric hip joint.MethodsA 3D rendering of the bone and soft tissue was created from a computed tomography pelvic scan of a pediatric patient. This rendering was modified to include a unilateral joint effusion. The bone was 3D printed with a photopolymer plastic, whereas the soft tissue was cast with a silicone mixture in a 3D-printed mold. The effusion was simulated by injecting saline into the soft tissue cavity surrounding the bone. The ultrasound model was validated by pediatric point-of-care ultrasonographers at an international pediatric ultrasound conference.ResultsA pediatric hip ultrasound model was developed that simulates both normal and abnormal pediatric hip joint anatomy, each with an appropriately sized, measurable joint effusion. Validation by pediatric point-of-care ultrasonographers showed that the key aspects of a normal pediatric hip joint (femoral physis, sloped femoral neck, and adequate soft tissue) with an identifiable and measurable effusion were included in the ultrasound model.ConclusionsIn this study, we successfully created a cost-effective, reusable, and reproducible 3D pediatric hip ultrasound model. The majority of pediatric point-of-care ultrasonographers who evaluated the model agreed that this model is comparable to a pediatric patient for the purpose of teaching ultrasound skills and joint space measurement.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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