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  1. Article ; Online: Pearls and Pitfalls of Hip Ultrasound.

    Grissom, Leslie / Harcke, H Theodore

    Seminars in ultrasound, CT, and MR

    2020  Volume 41, Issue 5, Page(s) 513–517

    Abstract: Failure to appreciate key anatomic features and suboptimal sonographic technique lead to incorrect assessment of the key elements of developmental dysplasia of the hip: position, stability, and morphology. In this article, we address common errors, ... ...

    Abstract Failure to appreciate key anatomic features and suboptimal sonographic technique lead to incorrect assessment of the key elements of developmental dysplasia of the hip: position, stability, and morphology. In this article, we address common errors, identify sonographic features critical for accurate image interpretation, and address measurement variability.
    MeSH term(s) Developmental Dysplasia of the Hip/diagnostic imaging ; Hip Joint/diagnostic imaging ; Humans ; Infant ; Ultrasonography/methods
    Language English
    Publishing date 2020-05-29
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1353113-x
    ISSN 1558-5034 ; 0887-2171
    ISSN (online) 1558-5034
    ISSN 0887-2171
    DOI 10.1053/j.sult.2020.05.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A Sonography-based Decision Model for Use in Treatment of Developmental Dysplasia of the Hip.

    Chen, Brian Po-Jung / Harcke, H Theodore / Rogers, Kenneth J / Bowen, J Richard

    Journal of surgical orthopaedic advances

    2023  Volume 32, Issue 1, Page(s) 47–54

    Abstract: The objective of this study was to delineate a model for management of developmental dysplasia of the hip (DDH) treatment that incorporates hip ultrasound with objective/predicative parameters at key decision-making times. Hip sonograms of 74 infants (59 ...

    Abstract The objective of this study was to delineate a model for management of developmental dysplasia of the hip (DDH) treatment that incorporates hip ultrasound with objective/predicative parameters at key decision-making times. Hip sonograms of 74 infants (59 females, 15 males; 141 hips) with DDH were retrospectively reviewed. Hip sonographic score (HSS; ranges 0-10) was developed to reflect hip status based on sonographic position, stability, and morphology. Analysis on different management groups (i.e., no treatment, successful treatment, and failed treatment) showed that the trend of HSS is helpful in predicting course of the disease and determining effectiveness of treatment. A model for the management of DDH that utilizes an HSS and frequency schedule for hip sonography that is aligned with times of critical treatment decisions is proposed. This model illustrates how hip sonography can bring added value when timed to guide critical treatment decisions. (Journal of Surgical Orthopaedic Advances 32(1):047-054, 2023).
    MeSH term(s) Infant ; Male ; Female ; Humans ; Hip Dislocation, Congenital/diagnostic imaging ; Hip Dislocation, Congenital/therapy ; Retrospective Studies ; Developmental Dysplasia of the Hip ; Ultrasonography
    Language English
    Publishing date 2023-04-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2189157-6
    ISSN 2158-3811 ; 1548-825X ; 1059-1052
    ISSN (online) 2158-3811
    ISSN 1548-825X ; 1059-1052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Current utilization of pediatric postmortem imaging in North America: a questionnaire-based survey.

    Harty, Mary P / Gould, Sharon W / Arthurs, Owen J / Miller, Elka / Harcke, H Theodore

    Pediatric radiology

    2023  Volume 53, Issue 6, Page(s) 1135–1143

    Abstract: Background: Postmortem imaging is used more widely as the number of conventional autopsies has decreased over the last several decades. It is widely accepted in Europe, Asia and Oceania, but there has been a delay in acceptance in North America. ... ...

    Abstract Background: Postmortem imaging is used more widely as the number of conventional autopsies has decreased over the last several decades. It is widely accepted in Europe, Asia and Oceania, but there has been a delay in acceptance in North America. Education, scanning protocols, resourcing and clinical incentives are needed to support this emerging field.
    Objective: To determine the use of postmortem imaging and define perceived barriers to its implementation with the goal of expanding postmortem imaging in the United States and Canada.
    Materials and methods: We sent an online survey to active members of the Society for Pediatric Radiology (SPR) addressing the use of postmortem imaging, indications, readers, practical aspects, anticipated barriers and potential solutions to more widespread use.
    Results: More than 50% of the 50 institutions that returned surveys used postmortem computed tomography; 24% used postmortem magnetic resonance imaging. Most postmortem imaging cases were read by radiologists. Fewer than 50% had formal correlation with autopsy results or an established relationship with the local medical examiner. Seven institutions reported reimbursement for postmortem imaging. Major barriers to postmortem imaging included lack of funding and lack of interest among clinicians. Funding and education were seen as important issues requiring attention.
    Conclusion: While most responding institutions provide pediatric postmortem imaging, the modalities, protocols, reporting procedures and clinical correlation vary widely. A lack of funding and few opportunities for education are limiting factors. Attention to these issues along with active support from the SPR are seen as potential solutions to recognize the value and promote widespread acceptance of postmortem imaging.
    MeSH term(s) Humans ; Child ; Autopsy/methods ; North America ; Tomography, X-Ray Computed ; Magnetic Resonance Imaging/methods ; Surveys and Questionnaires
    Language English
    Publishing date 2023-02-02
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-023-05586-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Hip ultrasound for developmental dysplasia: the 50% rule.

    Harcke, H Theodore / Pruszczynski, B

    Pediatric radiology

    2017  Volume 47, Issue 7, Page(s) 817–821

    MeSH term(s) Hip Dislocation, Congenital/diagnostic imaging ; Humans ; Infant ; Infant, Newborn ; Practice Guidelines as Topic ; Ultrasonography/methods
    Language English
    Publishing date 2017
    Publishing country Germany
    Document type Editorial
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-017-3802-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: G6PD deficiency: An update.

    Harcke, Susan J / Rizzolo, Denise / Harcke, H Theodore

    JAAPA : official journal of the American Academy of Physician Assistants

    2019  Volume 32, Issue 11, Page(s) 21–26

    Abstract: Although glucose-6-phosphate dehydrogenase (G6PD) deficiency is less known in Western countries than in the Middle East and Africa, global migration and immigration are bringing ethnic groups with the highest incidence of this inherited genetic disorder ... ...

    Abstract Although glucose-6-phosphate dehydrogenase (G6PD) deficiency is less known in Western countries than in the Middle East and Africa, global migration and immigration are bringing ethnic groups with the highest incidence of this inherited genetic disorder into the US healthcare system. The G6PD enzyme is critical to protecting erythrocytes against oxidative stress, and deficiency may lead to hemolysis in the presence of certain environmental factors such as infection and some medications and foods. Neonatal jaundice, favism, and hemolysis are associated with exposure to increased oxidative stressors in patients with G6PD deficiency. By recognizing the potential for G6PD deficiency, clinicians can screen for the disorder and teach affected patients how to avoid triggers that result in harmful clinical manifestations.
    MeSH term(s) Glucosephosphate Dehydrogenase ; Glucosephosphate Dehydrogenase Deficiency/epidemiology ; Glucosephosphate Dehydrogenase Deficiency/physiopathology ; Humans ; Oxidative Stress ; United States/epidemiology
    Chemical Substances G6PD protein, human (EC 1.1.1.49) ; Glucosephosphate Dehydrogenase (EC 1.1.1.49)
    Language English
    Publishing date 2019-10-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2415226-2
    ISSN 0893-7400 ; 1547-1896
    ISSN (online) 0893-7400
    ISSN 1547-1896
    DOI 10.1097/01.JAA.0000586304.65429.a7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A Comparison of Lumbar Spine and Lateral Distal Femur Bone Density in Girls With Rett Syndrome.

    Gripp, Emily W / Harcke, H Theodore / Bachrach, Steven J / Kecskemethy, Heidi H

    Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry

    2020  Volume 24, Issue 3, Page(s) 374–382

    Abstract: Introduction/background: Patients with Rett syndrome (RS) are at risk for low bone mineral density (BMD) and femoral fractures. In patients with RS, assessment with lateral distal femur (LDF) dual-energy X-ray absorptiometry (DXA) is recommended and ... ...

    Abstract Introduction/background: Patients with Rett syndrome (RS) are at risk for low bone mineral density (BMD) and femoral fractures. In patients with RS, assessment with lateral distal femur (LDF) dual-energy X-ray absorptiometry (DXA) is recommended and clinically relevant. This study is the first to assess LDF BMD in girls with RS, and to compare LDF BMD results with lumbar spine BMD results in RS. Method Eleven girls (mean age 8.4 yr) with molecularly diagnosed RS and clinical DXA scan(s) were identified; medical charts were retrospectively reviewed. Baseline and serial lumbar spine and LDF BMD Z-scores were evaluated based on patients' ambulation status, presence of epilepsy, and mutation type. Results At the time of first scan, 8 of 11 patients had normal lumbar spine BMD and low LDF BMD Z-scores. Two patients had fracture history. Fully ambulatory (3) patients had higher lumbar spine and LDF BMD than partially (5) and nonambulatory (3) patients. Patients with epilepsy had lower average BMD at all sites. No difference was seen in lumbar spine or LDF BMD in patients with high-risk BMD mutations. Seven patients had serial DXA scans with an average observation of 5.1 yr (range 3.1 yr to 6.2 yr). Lumbar spine BMD over time was variable, while LDF bone mass accrual occurred at a lower rate than typically developing girls. Conclusion Females with RS exhibited lower BMD Z-scores at the LDF than at the lumbar spine. LDF and lumbar spine results were discordant. Ambulatory status and the presence of epilepsy were related to BMD. LDF BMD accrual deviated from normal as patients aged.
    MeSH term(s) Absorptiometry, Photon ; Aged ; Bone Density ; Child ; Female ; Femur/diagnostic imaging ; Humans ; Lumbar Vertebrae/diagnostic imaging ; Retrospective Studies ; Rett Syndrome/diagnostic imaging ; Rett Syndrome/genetics
    Language English
    Publishing date 2020-10-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2040951-5
    ISSN 1094-6950
    ISSN 1094-6950
    DOI 10.1016/j.jocd.2020.10.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Patchy increased echogenicity: a sonographic sign of femoral head necrosis following reduction and casting for developmental dysplasia of the hip.

    Chen, Brian Po-Jung / Harcke, H Theodore / Bowen, J Richard

    Pediatric radiology

    2018  Volume 48, Issue 13, Page(s) 1971–1974

    Abstract: A developmental dysplasia of the hip (DDH) case treated by closed reduction and casting and subsequently confirmed to have avascular necrosis (AVN) was retrospectively noted to have an abnormal pattern of echogenicity in the femoral head on sonograms ... ...

    Abstract A developmental dysplasia of the hip (DDH) case treated by closed reduction and casting and subsequently confirmed to have avascular necrosis (AVN) was retrospectively noted to have an abnormal pattern of echogenicity in the femoral head on sonograms obtained within 1.5 months of surgery. Patchy increased echogenicity in parts of the unossified cartilage replaced the normal pattern of central coalescence of vessels described with development of the ossification center. An additional case with similar findings confirms this should be considered a sign of evolving AVN following closed reduction.
    MeSH term(s) Combined Modality Therapy ; Female ; Femur Head Necrosis/diagnostic imaging ; Hip Dislocation, Congenital/therapy ; Humans ; Infant, Newborn ; Ultrasonography/methods
    Language English
    Publishing date 2018-07-28
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-018-4212-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The case for postmortem imaging.

    Harcke, H Theodore

    Pediatric radiology

    2009  Volume 40, Issue 2, Page(s) 138–140

    MeSH term(s) Autopsy/methods ; Diagnostic Imaging/trends ; Pediatrics/trends ; Radiology/trends ; United States
    Language English
    Publishing date 2009-12-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-009-1433-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Assessment of bone health in children with disabilities.

    Kecskemethy, Heidi H / Harcke, H Theodore

    Journal of pediatric rehabilitation medicine

    2014  Volume 7, Issue 2, Page(s) 111–124

    Abstract: Evaluating the bone health of children with disabilities is challenging and requires consideration of many factors in clinical decision-making. Feeding problems and growth deficits, immobility/inability to bear weight, effect of medications, and the ... ...

    Abstract Evaluating the bone health of children with disabilities is challenging and requires consideration of many factors in clinical decision-making. Feeding problems and growth deficits, immobility/inability to bear weight, effect of medications, and the nature of his or her disease can all directly affect a child's overall picture of bone health. Familiarity with the tools available to assess bone health is important for practitioners. The most commonly used method to assess bone density, dual energy x-ray absorptiometry, can be performed effectively when one appreciates the techniques that make scanning patients with disabilities possible. There are specific techniques that are especially useful for measuring bone density in children with disabilities; standard body sites are not always obtainable. Consideration of clinical condition and treatment must be considered when interpreting dual energy x-ray absorptiometry scans. Serial measurements have been shown to be effective in monitoring change in bone content and in providing information on which to base decisions regarding medical treatment.
    MeSH term(s) Absorptiometry, Photon/methods ; Bone Density/drug effects ; Bone Density/physiology ; Bone Development/drug effects ; Bone Development/physiology ; Bone Diseases/diagnostic imaging ; Bone and Bones/diagnostic imaging ; Child ; Disabled Children ; Humans
    Language English
    Publishing date 2014
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2403637-7
    ISSN 1875-8894 ; 1874-5393
    ISSN (online) 1875-8894
    ISSN 1874-5393
    DOI 10.3233/PRM-140280
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Sonographic localization and management of metallic fragments: a report of five cases.

    Harcke, H Theodore / Rooks, Veronica J

    Military medicine

    2012  Volume 177, Issue 8, Page(s) 988–992

    Abstract: Ultrasound was used as adjunct to radiographic imaging in the assessment and management of metallic fragments in five cases encountered in forward-deployed military facilities. Although metallic fragments are usually seen well on radiographs, ultrasound ... ...

    Abstract Ultrasound was used as adjunct to radiographic imaging in the assessment and management of metallic fragments in five cases encountered in forward-deployed military facilities. Although metallic fragments are usually seen well on radiographs, ultrasound can add details of the surrounding soft-tissue structures and clarify location. Portable handheld units are well suited for studies when probe selection and equipment adjustments are correct. In selected cases, ultrasound information can favorably influence case management.
    MeSH term(s) Adult ; Blast Injuries/diagnostic imaging ; Child ; Explosions ; Humans ; Male ; Military Medicine ; Military Personnel ; Radiography ; Ultrasonography ; Wounds, Gunshot/diagnostic imaging ; Wounds, Gunshot/surgery
    Language English
    Publishing date 2012-08-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.7205/milmed-d-11-00450
    Database MEDical Literature Analysis and Retrieval System OnLINE

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