Development of the hip joints in unoperated children with cerebral palsy: a radiographic study of 76 patients

Acta Orthopaedica
Terje Terjesen

Abstract

The aims of the present study were to assess the development of hip dysplasia in children with bilateral spastic cerebral palsy and to evaluate the factors that influence the progression. 76 children, 42 with spastic quadriplegia and 34 with diplegia, were included in the study. Their mean age at the first radiographic examination was 3.5 (1-11) years. The patients were followed up until operative treatment (54 subjects) or until the most recent radiograph in those who did not undergo hip surgery. The mean length of follow-up was 4.8 (1-13) years. On the initial and most recent radiographs, the migration percentage (MP) was measured, which is the percentage of the femoral head lateral to the acetabular rim. The mean MP of the side with the largest displacement was 25% (-18-66) at the initial radiographic examination and 51% (9-100) at the last follow-up. The mean increase in MP was 7% (-2-33) per year. Linear multiple regression revealed that gait function and age were the most important variables that influenced the rate of MP progression. Children who could not walk had significantly greater MP progression per year (12%) than those who walked with or without support (2%). In the quadriplegics, the maximal yearly increase in M...Continue Reading

References

May 1, 1989·The Journal of Bone and Joint Surgery. British Volume·P H CookeR P Carey
Feb 1, 1985·Developmental Medicine and Child Neurology·V Kalen, E E Bleck
Aug 1, 1985·The Journal of Bone and Joint Surgery. British Volume·C B HowardI Mackie
Jan 1, 1984·Journal of Pediatric Orthopedics·M LettsO Klassen
May 1, 1995·Developmental Medicine and Child Neurology·F Miller, M R Bagg
Aug 22, 2002·The Journal of Bone and Joint Surgery. British Volume·F DobsonH K Graham

❮ Previous
Next ❯

Citations

Mar 21, 2012·Current Reviews in Musculoskeletal Medicine·Benjamin ShoreHk Graham
May 10, 2011·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Caroline Martinsson, Kate Himmelmann
Aug 29, 2009·Journal of Paediatrics and Child Health·Annette ConnellyJanene Oates
Dec 5, 2013·Current Opinion in Pediatrics·Cemil Yildiz, Ismail Demirkale
Nov 26, 2009·Journal of Pediatric Orthopedics·Shinichi GoseKazuomi Sugamoto
Mar 7, 2014·Journal of Children's Orthopaedics·Per LarnertPhilippe Wagner
Nov 11, 2008·Archives of Physical Medicine and Rehabilitation·Eun Joo YangEun Sook Park
Jan 16, 2008·Physical Medicine and Rehabilitation Clinics of North America·Sherilyn W Driscoll, Joline Skinner
Aug 14, 2012·Developmental Medicine and Child Neurology·Terje Terjesen
Apr 8, 2015·Developmental Medicine and Child Neurology·Meredith WynterUNKNOWN National Hip Surveillance Working Group
Aug 1, 2015·Revista Brasileira De Ortopedia·Rafael Carboni de SouzaRodrigo Montezuma César de Assumpção
Jul 2, 2016·Journal of Korean Medical Science·Jae Young ParkMoon Seok Park
Nov 1, 2018·Revista Brasileira De Ortopedia·Frederico Coutinho de Moura VallimMarcio Garcia Cunha
Nov 28, 2017·Acta orthopaedica et traumatologica turcica·Mutlu CobanogluImran Omurlu
Apr 19, 2019·The Journal of the American Academy of Orthopaedic Surgeons·M Wade ShraderRachel Thompson
Jun 7, 2019·Journal of Pediatric Orthopedics·Laura A B LinsBenjamin J Shore
Jun 20, 2015·Journal of Pediatric Orthopedics·Blazej PruszczynskiFreeman Miller
Apr 3, 2009·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·O PiccioliniV Gasparroni
Jun 28, 2014·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Nicola FloeterJulia F Funk
Feb 12, 2021·Indian Journal of Orthopaedics·Alaric AroojisAshok N Johari

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.