Document Detail


Unilateral dislocation of the hip in spina bifida. A long-term follow-up.
MedLine Citation:
PMID:  7615608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed 16 patients with spina bifida and unilateral dislocation of the hip at an average age of 17 years. Nine had a high neurological level (thoracic to L3) and seven a low lesion (L4 to sacral). We assessed the influence of unilateral dislocation of the hip on leg-length discrepancy, hip pain, hip stiffness and pressure sores of the ischial tuberosity. In non-walking patients with high-level lesions, unilateral dislocation gave little functional disability and did not appear to require reduction. In walking patients with low-level lesions, leg-length discrepancy led to a poor gait and functional problems which could be prevented by reduction of the dislocation. In all patients with low lesions, surgery was successful in maintaining reduction; in two of five patients with high lesions it was unsuccessful.
Authors:
R K Fraser; H M Bourke; N S Broughton; M B Menelaus
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  77     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-08-23     Completed Date:  1995-08-23     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  615-9     Citation Subset:  AIM; IM    
Affiliation:
Royal Children's Hospital, Parkville, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child, Preschool
Female
Follow-Up Studies
Hip Dislocation / complications*,  surgery
Humans
Infant
Leg Length Inequality / etiology
Male
Spinal Dysraphism / complications*,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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