Recurrent dislocation of the hip in adult paraplegics
| Autor: | Evans Pd, Dent Cm, McKibbin B, G.P. Graham |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Recurrence medicine Spastic Hip Dislocation Humans Spinal cord injury Paraplegia business.industry General Medicine Middle Aged medicine.disease Spinal cord Acetabulum Surgery Radiography medicine.anatomical_structure Neurology Autonomic dysreflexia Female Hip Joint Neurology (clinical) Contracture medicine.symptom Complication business |
| Zdroj: | Paraplegia. 30(8) |
| ISSN: | 0031-1758 |
| Popis: | Recurrent dislocation of the hip is rare and has not previously been reported in adult paraplegics. This paper describes 3 cases. In one patient it was spontaneous, occurring 16 years after the original injury and was associated with a flexion-adduction contracture of the hip and a shallow acetabulum. One case occurred after minor trauma in a patient who experienced flexion-adduction spasms of the hip. In the third patient the condition was secondary to posterior acetabular deficiency following a conservatively treated fracture dislocation. All 3 patients experienced symptoms of disabling autonomic dysreflexia during the episodes of dislocation. The importance of recognising and adequately treating hip injuries in patients presenting with paraplegia secondary to spinal cord injury is stressed. In patients with spastic paraplegia presenting with recurrent dislocation of the hip, operative treatment combining a soft tissue repair and a bone block to augment the acetabulum is recommended. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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