Hip displacement in children with cerebral palsy in Scotland: A total population study
| Autor: | Mark S. Gaston, James E. Robb, Kate E Bugler |
|---|---|
| Přispěvatelé: | University of St Andrews. University of St Andrews, University of St Andrews. School of Medicine |
| Rok vydání: | 2018 |
| Předmět: |
cerebral palsy
030222 orthopedics medicine.medical_specialty business.industry RJ101 NDAS Total population registry medicine.disease Cerebral palsy 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation children RJ101 Child Health. Child health services Pediatrics Perinatology and Child Health Original Clinical Article medicine Orthopedics and Sports Medicine Displacement (orthopedic surgery) hip displacement hip dislocation business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Children's Orthopaedics |
| ISSN: | 1863-2548 1863-2521 |
| DOI: | 10.1302/1863-2548.12.180106 |
| Popis: | Purpose The purpose of this study is to report the number of children from a total population of children with cerebral palsy (CP) in Scotland who had a displaced or dislocated hip at first registration in a national surveillance programme. Methods Migration percentage (MP), laterality, Gross Motor Function Classification System (GMFCS) level, CP subtype, distribution of CP and age were analyzed in 1171 children. Relative risk was calculated with 95% confidence intervals. Hip displacement and dislocation were defined as a MP of 40 to 99 and > 100 respectively. Results Radiographs were available from the first assessment of 1171 children out of 1933 children registered on the system. In all, 2.5% of children had either one or both hips dislocated (29/1171) and dislocation only occurred in children of GMFCS levels IV and V. A total of 10% of children had a MP 40 to 99 in one or both hips (117/1171). An increasing GMFCS level was strongly associated with an abnormal MP. Hip dislocation was unusual in patients under the age of seven years. A MP of 40 to 99 was not seen in children with isolated dystonia. Displacement was more frequent in children with bilateral involvement and dislocation was only seen in spastic and mixed tone groups. Conclusion This data gives an overview of the number of CP children who have hip displacement/dislocation in Scotland and who will possibly require surgery. Level of Evidence I |
| Databáze: | OpenAIRE |
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