Ultrasound Service at Shriners Children’s Lexington Helps Detect Hip Dysplasia in Infants Sooner

Shriners Children’s Lexington has expanded its diagnostic services to include hip ultrasounds for babies under 6 months old, offering families peace of mind – and early answers – all in one place.
Expanding Access to Early Diagnosis
Sarah Welch, a radiologic technologist at Shriners Children’s Lexington, has been performing ultrasounds to assist with scoliosis care and ganglion cyst diagnoses.
Starting in November 2024, Sarah and the radiology team began offering hip ultrasounds for infants who may be at risk for developmental dysplasia of the hip (DDH), a condition where the hip joint doesn’t form properly in early life.
“We’ve been doing ultrasounds for MAGEC spinal rods and cysts for a while,” Sarah said. “We just recently added the hip dysplasia ultrasound.”
DDH often affects babies who were breech in utero, first-born females, have a family history of the condition or have low fluid levels during pregnancy.
“They don’t know exactly why those specific conditions are risk factors for hip dysplasia, but our physicians keep an eye on children who fall into those categories,” Sarah said.
Why Ultrasounds?
While X-rays are helpful for many orthopedic needs, they don’t always give clear insight into the cartilage of a newborn’s hips.
“When a child is under the age of 6 to 8 months old, their bones have not hardened enough or ossified to make them visible on X-rays,” Sarah said. “Ultrasounds can visualize the cartilage before it turns bony. Then we can confirm if the child has hip dysplasia or not.”
To bring this service to Lexington, Sarah traveled to Texas to train with the team at Scottish Rite for Children, a fellow pediatric orthopedic center of excellence.
“That allowed us to start performing ultrasounds in November of 2024,” she said. “It’s an excellent opportunity for our families to receive care in one location. Before we started doing ultrasounds here, we had to refer the family to an outside facility.”
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