Hip range of motion in children: what is the norm?

Journal of Pediatric Orthopedics
Wudbhav N SankarKeith D Baldwin

Abstract

Abnormal range of motion (ROM) is a common sign of pathology in the pediatric hip, yet there are little data in the literature defining what the normal hip ROM is in children. The purpose of this study was to establish normative values for hip ROM in children of varying ages. We performed an Institutional Review Board approved, prospective study of otherwise healthy patients receiving fracture care at our institution. Inclusion criteria were boys and girls aged 2 to 17, who were being treated for an isolated upper extremity injury and who had no underlying musculoskeletal condition, history of lower extremity injury, or other systemic diagnosis. All patients were evaluated with a standard measurement technique using the same double-long-armed goniometer. Supine abduction, adduction, and hip flexion were measured with care taken to stabilize the pelvis. Internal and external rotation in flexion were assessed with both the hip and knee flexed to 90 degrees. In the prone position, hip extension was recorded as was internal and external rotation in extension. Left and right measurements were averaged to produce a single data point for each index. On the basis of a power analysis (to detect a minimal detectable difference of 6 degre...Continue Reading

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Citations

Jul 22, 2016·Journal of Athletic Training·Kelsey J PichaKellie C Huxel Bliven
May 3, 2014·Journal of Child Neurology·Elizabeth A SoucyCourtney M Dunn
Oct 29, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kelly ScaramussaJoão Luiz Ellera Gomes
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Sep 24, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Max ReinhardtAnnemarie Schraml
Dec 12, 2018·Journal of Back and Musculoskeletal Rehabilitation·Ayşe Gül UygurAhmet Hilmi Yücel
Dec 9, 2020·Journal of Sport Rehabilitation·Alex Brun, Michelle A Sandrey
Apr 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Wudbhav N SankarJudson W Karlen
Jan 23, 2021·Journal of Pediatric Orthopedics·Amanda L ReillyColeen S Sabatini
Apr 24, 2018·Journal of Forensic and Legal Medicine·Angela ThompsonCraig Smalley
Nov 7, 2020·BMC Musculoskeletal Disorders·Ahmad El-Harbiti, Yasmin D Hailer
Jun 3, 2021·British Journal of Hospital Medicine·Emile OliverMichael Thilagarajah

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