Evaluation and treatment of hip dysplasia in cerebral palsy

Orthop Clin North Am. 2006 Apr;37(2):185-96, vi. doi: 10.1016/j.ocl.2005.11.001.

Abstract

Hip problems, including progressive subluxation, dislocation, and pain, are common in patients with cerebral palsy, particularly those who are nonambulatory with a large degree of spasticity. Clinical and radiographic screening facilitates early detection, and surgery is indicated to prevent progressive dysplasia. Although an early soft tissue release may prevent progressive subluxation in a subset of cases, bony reconstructive surgery is indicated for patients with established bony deformity. Salvage procedures are recommended to treat chronic pain caused by established subluxation or dislocation.

Publication types

  • Review

MeSH terms

  • Acetabulum / surgery
  • Arthrodesis
  • Arthroplasty
  • Bone Diseases, Developmental / diagnosis
  • Bone Diseases, Developmental / etiology*
  • Bone Diseases, Developmental / physiopathology
  • Bone Diseases, Developmental / therapy
  • Botulinum Toxins, Type A / therapeutic use
  • Cerebral Palsy / complications*
  • Cerebral Palsy / physiopathology
  • Child
  • Disease Progression
  • Femur / surgery
  • Hip Joint* / physiopathology
  • Humans
  • Muscle Spasticity
  • Neuromuscular Agents / therapeutic use
  • Osteotomy
  • Physical Examination
  • Range of Motion, Articular

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A