Document Detail

Untreated hip dislocation in cerebral palsy.
MedLine Citation:
PMID:  12198472     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to evaluate the problems associated with hip dislocation in adults with cerebral palsy. Twenty-nine subjects with dislocated hips and no prior hip surgery were identified. There were a total of 38 dislocated hips. Age range was 21 to 52 years (average 34). Seven dislocated hips (18%) were definitely painful and four hips (11%) produced only mild or intermittent pain. Twenty-seven hips (71%) were not painful. The seven painful hips underwent proximal femoral resection, resulting in excellent range of motion and no pain. In conclusion, for established nonpainful hip dislocation in the severely involved spastic quadriplegic patient, aggressive surgical treatment should be undertaken only after careful consideration of the natural history. If a dislocated hip becomes painful in adulthood or develops an adduction contracture interfering with perineal care, a proximal femoral resection can be performed with reliably good success.
D Raymond Knapp; Hector Cortes
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  22     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-08-28     Completed Date:  2002-10-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  668-71     Citation Subset:  IM    
Nemours Children's Clinic, Orlando, Florida 32806, USA.
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MeSH Terms
Cerebral Palsy / complications*
Hip Dislocation* / etiology
Middle Aged
Ossification, Heterotopic / complications
Retrospective Studies
Scoliosis / complications

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