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Hip dislocation cerebral palsy

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https://www.readbyqxmd.com/read/27892801/stability-and-migration-across-femoral-varus-derotation-osteotomies-in-children-with-neuromuscular-disorders
#1
Peter Buxbom, Stig Sonne-Holm, Niels Ellitsgaard, Christian Wong
Background and purpose - Studies have indicated that one-third of children with cerebral palsy (CP) develop dislocation of the hip that needs surgical intervention. When hip dislocation occurs during childhood surgical treatment consists of tenotomies, femoral varus derotation osteotomy (VDRO), and acetabuloplasty. Relapse is observed in one-fifth of cases during adolescence. In this prospective cohort study, we performed a descriptive evaluation of translation and rotation across VDROs in children with neuromuscular disorders and syndromes by radiostereometric analysis (RSA)...
November 28, 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27787761/proximal-femur-prosthetic-interposition-arthroplasty-for-painful-dislocated-hips-in-children-with-cerebral-palsy
#2
Anthony L Silverio, Shawn V Nguyen, John A Schlechter, Samuel R Rosenfeld
PURPOSE: Children with cerebral palsy often have musculoskeletal disorders involving the hip. There are several procedures that are commonly used to treat these disorders. Proximal femur prosthetic interposition arthroplasty (PFIA) is an option for non-ambulatory children with cerebral palsy who have a painful, spastic dislocated hip. The purpose of our study was to evaluate the results of PFIA by examining treatment outcomes, complications, and overall effects on the child and their caregiver...
December 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27698744/clinical-evaluation-of-ultrasound-screening-in-follow-up-visits-of-infants-with-cerebral-palsy-at-high-risk-for-developmental-dysplasia-of-the-hip
#3
Aizhen Qiu, Zhongxiu Yang, Jiping Wang, Taotao Wang
The aim of the study was to assess the clinical value of ultrasound screenings for the developmental dysplasia of the hip (DDH) and explore its etiology in high-risk infants with cerebral palsy in follow-up visits. A group of 98 cases of infants at high-risk of cerebral palsy who received rehabilitation treatment between July, 2009 and July, 2010 were selected. Infants included 58 men and 40 women, aged <6 months and not lost to follow-up visits. Ultrasound (using Graf static inspection) screening of hips was performed and the infants with abnormalities were given clinical intervention, and 1- to 2-year-old infants were given outpatient follow-ups...
October 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27628762/-modified-pembersal-osteotomy-technique-with-lyophilized-human-allograft
#4
C Druschel, K Heck, C Kraft, R Placzek
OBJECTIVE: PemberSal osteotomy to improve femoral head coverage by rotating the acetabular roof ventrally and laterally. INDICATIONS: Insufficient coverage of the femoral head, and can be combined with other surgical procedures such as femoral intertrochanteric varus-derotation osteotomy and open reduction for developmental dysplasia and dislocation of the hip or to improve sphericity and containment in Legg-Calvé-Perthes disease. This specific acetabuloplasty can only be performed in patients with an open epiphyseal growth-plate...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27379781/treatment-of-the-dislocated-hip-in-infants-with-spasticity
#5
Christian A Refakis, Keith D Baldwin, David A Spiegel, Wudbhav N Sankar
BACKGROUND: Although many studies have separately investigated the treatment of developmental dysplasia of the hip and spastic hip disease, little data exist regarding the treatment of infants with dislocated hips and underlying spasticity. The purpose of this study was to review our results after the surgical treatment of these infants. METHODS: We retrospectively reviewed all children below 3 years of age who underwent hip reconstruction for dislocated hips in the setting of cerebral palsy or other spastic/high-tone neuromuscular disease...
July 2, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27349432/a-balanced-approach-for-stable-hips-in-children-with-cerebral-palsy-a-combination-of-moderate-vdro-and-pelvic-osteotomy
#6
Kerstin Reidy, Christoph Heidt, Stefan Dierauer, Hanspeter Huber
BACKGROUND: Hip reconstructive surgery in cerebral palsy (CP) patients necessitates either femoral varus derotational osteotomy (VDRO) or pelvic osteotomy, or both. The purpose of this study is to review the results of a moderate varisation [planned neck shaft angle (NSA) of 130°] in combination with pelvic osteotomy for a consecutive series of patients. METHODS: Patients with CP who had been treated at our institution for hip dysplasia, subluxation or dislocation with VDRO in combination with pelvic osteotomy between 2005 and 2010 were reviewed...
August 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27318818/windswept-hip-deformity-in-children-with-cerebral-palsy-a-population-based-prospective-follow-up
#7
Gunnar Hägglund, Henrik Lauge-Pedersen, Måns Persson Bunke, Elisabet Rodby-Bousquet
PURPOSE: To analyze the development of windswept hip deformity (WS) in a total population of children with cerebral palsy (CP) up to 20 years of age, the association between WS and hip dislocation, and femoral varus osteotomy and scoliosis, and the impact of a hip surveillance program on the subsequent incidence of WS. METHODS: This is a prospective study on children with CP in southern Sweden included in the Swedish follow-up programme and registry for CP (CPUP)...
August 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27312016/hip-health-at-skeletal-maturity-a-population-based-study-of-young-adults-with-cerebral-palsy
#8
Joanna Wawrzuta, Kate L Willoughby, Charlotte Molesworth, Soon Ghee Ang, Benjamin J Shore, Pam Thomason, H Kerr Graham
AIM: We studied 'hip health' in a population-based cohort of adolescents and young adults with cerebral palsy to investigate associations between hip morphology, pain, and gross motor function. METHOD: Ninety-eight young adults (65 males, 33 females) from the birth cohort were identified as having developed hip displacement (migration percentage >30) and were reviewed at a mean age of 18 years 10 months (range 15-24y). Hip morphology was classified using the Melbourne Cerebral Palsy Hip Classification Scale (MCPHCS)...
December 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27280898/outcomes-of-isolated-varus-derotational-osteotomy-in-children-with-cerebral-palsy-hip-dysplasia-and-predictors-of-resubluxation
#9
Frank M Chang, Allison May, Leonard W Faulk, Katherine Flynn, Nancy H Miller, Jason T Rhodes, Pan Zhaoxing, Eduardo N Novais
BACKGROUND: The appropriate intervention for hip subluxation or dislocation in children affected by cerebral palsy (CP) remains controversial. The purpose of this retrospective study was to report radiographic and clinical outcomes following isolated femoral varus derotational osteotomy (VDRO) in children with CP hip dysplasia. Risk factors for resubluxation and avascular necrosis (AVN) were also examined. METHODS: A cohort of 100 patients (199 hips) with CP treated with isolated VDRO between 2003 and 2009 was reviewed...
June 8, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27274487/hip-dislocation-in-cerebral-palsy-evolution-of-the-contralateral-side-after-reconstructive-surgery
#10
João Caetano Munhoz Abdo, Edilson Forlin
OBJECTIVE: To evaluate the progression of the contralateral hip after unilateral reconstruction of hip dislocation in patients classified as GMFCS IV-V; and to identify potential prognostic factors for their evolution. METHODS: This was a retrospective study on 17 patients with spastic cerebral palsy, who were classified on the GMFCS scale (Gross Motor Functional Classification System) as degrees IV and V, and who underwent unilateral reconstruction surgery to treat hip dislocation (adductor release, femoral varus osteotomy and acetabuloplasty)...
May 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27188686/cerebral-palsy
#11
H Kerr Graham, Peter Rosenbaum, Nigel Paneth, Bernard Dan, Jean-Pierre Lin, Diane L Damiano, Jules G Becher, Deborah Gaebler-Spira, Allan Colver, Dinah S Reddihough, Kylie E Crompton, Richard L Lieber
Cerebral palsy is the most common cause of childhood-onset, lifelong physical disability in most countries, affecting about 1 in 500 neonates with an estimated prevalence of 17 million people worldwide. Cerebral palsy is not a disease entity in the traditional sense but a clinical description of children who share features of a non-progressive brain injury or lesion acquired during the antenatal, perinatal or early postnatal period. The clinical manifestations of cerebral palsy vary greatly in the type of movement disorder, the degree of functional ability and limitation and the affected parts of the body...
2016: Nature Reviews. Disease Primers
https://www.readbyqxmd.com/read/27153480/can-we-prevent-hip-dislocation-in-children-with-cp-effects-of-postural-management
#12
Odoardo Picciolini, Michel Le Métayer, Dario Consonni, Massimo Cozzaglio, Matteo Porro, Verusca Gasparroni, Artemisia Panou, Fabio Mosca, Nicola Portinaro
BACKGROUND: Hip dislocation is common in children with cerebral palsy (CP). At birth they don't have musculoskeletal deformities but they develop over time due to the combined effects of the movement disorder and impaired gross motor function. Early detection and treatment of a hip at risk is needed to modify the natural of hip development in CP. AIM: To determine the effect of postural management treatment on hip displacement's progression in children CP. DESIGN: Prospective comparative non-randomized study...
May 6, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26733527/salvage-procedures-for-the-painful-chronically-dislocated-hip-in-cerebral-palsy
#13
J H Hwang, L Varte, H W Kim, D H Lee, H Park
UNLABELLED: The aims of this study were to report functional outcomes of salvage procedures for patients with cerebral palsy (CP) who have chronic dislocation of the hip using validated scoring systems, and to compare the results of three surgical techniques. We reviewed 37 patients retrospectively. The mean age at the time of surgery was 12.2 years (8 to 22) and the mean follow-up was 56 months (24 to 114). Patients were divided into three groups: 14 who underwent proximal femoral resection arthroplasty (PFRA group 1), ten who underwent subtrochanteric valgus osteotomy (SVO group 2), and 13 who underwent subtrochanteric valgus osteotomy with resection of the femoral head (SVO with FHR group 3)...
January 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/26633820/the-fate-of-the-neuromuscular-hip-after-spinal-fusion
#14
Lindsay Crawford, Jose Herrera-Soto, John A Ruder, Jonathan Phillips, Raymond Knapp
BACKGROUND: The goals of treatment of neuromuscular scoliosis are to achieve a balanced spine and level pelvis with most constructs including pelvic fixation. However, the pelvis can become a stiff "end vertebra" that prevents compensatory mechanisms to adjust to hip deformities in this patient population. The purpose of this study is to determine the frequency of hip pathology and surgery after spinal fusion in this patient population. METHODS: We performed a retrospective chart and radiographic review of cerebral palsy patients who underwent posterior spinal fusion (PSF) at our institution from 2005 to 2011...
December 2, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26623452/orthopaedic-management-of-spasticity
#15
Tyler S Pidgeon, Jose M Ramirez, Jonathan R Schiller
Spasticity is a common manifestation of many neurological conditions including multiple sclerosis, stroke, cerebral palsy, traumatic brain injury, and spinal cord injuries. Management of spasticity seeks to reduce its burden on patients and to limit secondary complications. Non-operative interventions including stretching/splinting, postural management, physical therapy/strengthening, anti-spasticity medications, and botulinum toxin injections may help patients with spasticity. Surgical management of these conditions, however, is often necessary to improve quality of life and prevent complications...
December 2015: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/26588835/satisfaction-and-pain-levels-after-proximal-femoral-valgus-osteotomy-according-to-schanz-in-patients-with-cerebral-palsy-and-hip-dislocation
#16
Annelieke M K Harmsen, Melinda M E H Witbreuk, Hans J E H Pruijs, Annemieke I Buizer, Johannes A van der Sluijs
Outcome after Schanz osteotomy in the treatment of chronic hip dislocation in children with cerebral palsy was evaluated. Medical charts and questionnaires were used to assess pain, functional outcome and satisfaction. A total of 24 children, with a mean age of 13.8 years (± 8.9), were included in the study, out of which 11 were classified with Gross Motor Function Classification System (GMFCS) level IV and 13 with GMFCS level V. Current pain was comparable to patients without chronic hip dislocation, and satisfaction was intermediate...
May 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/26423268/simultaneous-progression-patterns-of-scoliosis-pelvic-obliquity-and-hip-subluxation-dislocation-in-non-ambulatory-neuromuscular-patients-an-approach-to-deformity-documentation
#17
Janki Patel, Frederic Shapiro
BACKGROUND: A triad of deformities-thoracolumbar scoliosis, pelvic obliquity, and femoral head (hip) subluxation/dislocation-occurs frequently in non-ambulatory neuromuscular patients, but their close inter-relationship is infrequently appreciated or quantified. We propose a deformity documentation approach to assess each component simultaneously. METHODS: The documentation assesses each component for maximal functional level, deformity, and flexibility/rigidity: deformity from antero-posterior radiographs (scoliosis-maximal functional position, pelvic obliquity-sitting, hip position-supine) and flexibility/rigidity from extent of repositioning on supine (spine, pelvis) and frog lateral (hip) radiographs...
October 2015: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/26368855/a-modification-to-the-mchale-procedure-reduces-operative-time-and-blood-loss
#18
Jenna Godfrey, Jessica McGraw, Antony Kallur, Selina Silva, Elizabeth Szalay
BACKGROUND: Treatment of symptomatic spastic hip dislocations in adolescent patients with cerebral palsy includes a variety of described salvage type procedures. In 1990, McHale and colleagues described a technique involving a femoral head resection, valgus-producing proximal femoral osteotomy, and advancement of the lesser trochanter into the acetabulum. We have modified this technique in 3 ways by: performing it in the lateral position with a more posterior approach, not advancing the lesser trochanter into the acetabulum, and closing the capsule over the acetabulum...
September 11, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26300497/childhood-cerebral-palsy-and-the-use-of-positioning-systems-to-control-body-posture-current-practices
#19
S Pérez-de la Cruz
INTRODUCTION: One of the consequences of poor postural control in children with cerebral palsy is hip dislocation. This is due to the lack of weight-bearing in the sitting and standing positions. Orthotic aids can be used to prevent onset and/or progression. OBJECTIVE: The aim of this study is to analyse the effectiveness of positioning systems in achieving postural control in patients with cerebral palsy, and discuss these findings with an emphasis on what may be of interest in the field of neurology...
August 20, 2015: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/26229926/hip-salvage-surgery-in-cerebral-palsy-cases-a-systematic-review
#20
REVIEW
Rafael Carboni de Souza, Marcelo Valentim Mansano, Miguel Bovo, Helder Henzo Yamada, Daniela Regina Rancan, Patricia Maria de Moraes Barros Fucs, Celso Svartman, Rodrigo Montezuma César de Assumpção
Imbalance and muscle spasticity, in association with coxa valga and persistent femoral anteversion, compromises hip development in cases of cerebral palsy and may result in chronic pain and even dislocation. Some of these hips undergo salvage surgery because of the severe impact of their abnormalities in these patients' quality of life. We conducted a systematic review of the literature to compare the results from the main hip salvage techniques applied to these individuals. The literature search focused on studies that evaluated results from hip salvage surgery in cases of cerebral palsy, published from 1970 to 2011, which are present in the Embase, Medline, PubMed, Cochrane Library and SciELO databases...
May 2015: Revista Brasileira de Ortopedia
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