Natural history of the dislocated hip in spastic cerebral palsy / Marc MOREAU in Developmental Medicine & Child Neurology, 21-6 (December 1979)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 21-6 (December 1979) . - p.749-753 Titre : Natural history of the dislocated hip in spastic cerebral palsy Type de document : Texte imprimé et/ou numérique Auteurs : Marc MOREAU, Auteur ; Denis S. DRUMMOND, Auteur ; Eugene ROGALA, Auteur ; A. ASHWORTH, Auteur ; T. PORTER, Auteur Année de publication : 1979 Article en page(s) : p.749-753 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : A review was made of 88 adult institutionalized patients with spastic cerebral palsy and contractural deformity of the hips. 21 were untreated for dislocated hip, and 11 of these suffered from hip pain. The degree of pain was directly related to neurological maturity and to the coexistence of athetosis and spasticity. Decubitus ulcers and perineal care problems were more associated with contractures than with dislocation alone. It is concluded that dislocation and subluxation should be prevented by surgical means, but that surgical treatment of the already dislocated hip should be reserved for the neurologically mature and athetoid patient. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=502 [article] Natural history of the dislocated hip in spastic cerebral palsy [Texte imprimé et/ou numérique] / Marc MOREAU, Auteur ; Denis S. DRUMMOND, Auteur ; Eugene ROGALA, Auteur ; A. ASHWORTH, Auteur ; T. PORTER, Auteur . - 1979 . - p.749-753. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 21-6 (December 1979) . - p.749-753 Index. décimale : PER Périodiques Résumé : A review was made of 88 adult institutionalized patients with spastic cerebral palsy and contractural deformity of the hips. 21 were untreated for dislocated hip, and 11 of these suffered from hip pain. The degree of pain was directly related to neurological maturity and to the coexistence of athetosis and spasticity. Decubitus ulcers and perineal care problems were more associated with contractures than with dislocation alone. It is concluded that dislocation and subluxation should be prevented by surgical means, but that surgical treatment of the already dislocated hip should be reserved for the neurologically mature and athetoid patient. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=502

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