Document Detail

Hip changes in spastic cerebral palsy.
MedLine Citation:
PMID:  3486566     Owner:  NLM     Status:  MEDLINE    
Radiographs of the hips of 69 patients with cerebral palsy were evaluated for the angle of Wiberg, acetabular angle, degree of subluxation, shape of the femoral head, and, when the appropriate studies had been performed, anteversion and neck-shaft angles. Abnormalities included various degrees of superior lateral subluxation or dislocation, dysplasia of the acetabulum associated with femoral head displacement, flattening of the medial and/or lateral portions of the femoral head, an increase in the anteversion angle, functional increase in the neck-shaft angle, and, in long-standing cases, secondary degenerative joint disease and pseudoarticulation. Neuromuscular imbalances and abnormal ambulation caused by cerebral palsy change the biomechanical forces on the hip and result in characteristic osseous changes. Recognition and proper treatment of these changes can significantly alter the clinical course of the disease.
D D Sauser; R C Hewes; L Root
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  146     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1986 Jun 
Date Detail:
Created Date:  1986-06-13     Completed Date:  1986-06-13     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1219-22     Citation Subset:  AIM; IM    
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MeSH Terms
Cerebral Palsy / complications,  radiography*
Child, Preschool
Femur Head / radiography
Hip Dislocation / radiography
Hip Joint / radiography*
Middle Aged
Muscle Spasticity
Paraplegia / etiology,  radiography
Quadriplegia / etiology,  radiography

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