LONG-TERM FOLLOW-UP OF HIP SUBLUXATION IN CEREBRAL-PALSY PATIENTS

被引:180
作者
BAGG, MR [1 ]
FARBER, J [1 ]
MILLER, F [1 ]
机构
[1] ALFRED I DUPONT INST,EDITORIAL SERV,POB 269,WILMINGTON,DE 19899
关键词
CEREBRAL PALSY; HIP DISLOCATION; HIP PAIN; HIP SUBLUXATION; HIP VARUS OSTEOTOMY;
D O I
10.1097/01241398-199301000-00007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Spastic subluxation of 64 hips in 45 patients with cerebral palsy (CP) was reviewed in a 19-year follow-up. Varus osteotomy prevented dislocation in all patients. All nine hips that later dislocated were in quadriplegic patients who had not received treatment or who had had muscle releases. Dislocated hips had the most degenerative arthritis, pain, and the least movement. Subluxated hips also had more degenerative arthritis but approximately the same level of pain as reduced hips.
引用
收藏
页码:32 / 36
页数:5
相关论文
共 18 条
[1]  
Bleck E.E., The hip in cerebral palsy, Orthop Clin North Am, 11, pp. 79-104, (1980)
[2]  
Banks H.H., Green W.T., Adductor myotomy and obturator neurectomy for the correction of adduction contracture of the hip in cerebral palsy, J Bone Joint Surg [Am], 42, pp. 111-126, (1960)
[3]  
Cooperman D.R., Bartucci E., Dietrick E., Miller E.A., Hip dislocation in spastic cerebral palsy: Long-term consequences, J Pediatr Orthop, 7, pp. 268-276, (1987)
[4]  
Drummond D.S., Rogala E.J., Cruess R., Moreau M., The paralytic hip and pelvic obliquity in cerebral palsy and myelomeningocele, Instr Course Led, 28, pp. 7-36, (1979)
[5]  
Gamble J.G., Rinsky L.A., Bleck E.E., Established hip dislocations in children with cerebral palsy, Clin Orthop, 253, pp. 90-99, (1990)
[6]  
Hoffer M.M., Management of the hip in cerebral palsy, J Bone Joint Surg [Am], 68, pp. 629-631, (1986)
[7]  
Hoffer M.M., Stein G.A., Koffman M., Prietto M., Femoral varus-derotation osteotomy in spastic cerebral palsy, J Bone Joint Surg [Am], 67, pp. 1229-1235, (1985)
[8]  
Kalen V., Bleck E.E., Prevention of spastic paralytic dislocation of the hip, Dev Med Child Neurol, 27, pp. 17-24, (1985)
[9]  
Lonstein J.E., Beck K., Hip dislocation and subluxation in cerebral palsy, Pediatr Orthop, 6, pp. 521-526, (1986)
[10]  
McCarthy R.E., Simon S., Douglas B., Zawacki R., Reese N., Proximal femoral resection to allow adults who have severe cerebral palsy to sit, J Bone Joint Surg [Am], 70, pp. 1011-1016, (1988)