Hip disorders in cerebral palsy patients: diagnostic and therapeutic approaches

Year 2018, Volume: 4 Issue: 4, 405 - 410, 04.10.2018

Bülent Karslıoğlu Ali Çagrı Tekin Ersin Taşatan Fatih Mehmet Erkin

https://doi.org/10.18621/eurj.350577

Abstract

Cerebral palsy (CP) is a
neurological disorder of central nervous system that can result with
devastating outcomes. Besides all other clinical findings, hip disorders also
are common in children with CP. Clinical hip manifestations include wide
spectrum from hip subluxation or dislocation to dislocation with painful
degeneration. If untreated they may progress to more serious level like painful
hip, severe hip contractures or windswept deformity and cause hygiene problems.
We aimed to present current and widely accepted information about diagnostic
and therapeutic approaches of hip disordes in the patients with CP. 

Keywords

Cerebral palsy, hip, disorder, children, surgery

References

• [1] Cornell MS. The hip in cerebral palsy. Dev Med Child Neurol 1995;37:3-18.
• [2] Dobson F, Boyd RN, Parrott J, Nattrass GR, Graham HK. Hip surveillance in children with cerebral palsy. Impact on the surgical management of spastic hip disease. J Bone Joint Surg Br 2002;84:720-6.
• [3] Flynn JM, Miller F. Management of hip disorders in patients with cerebral palsy. J Am Acad Orthop Surg 2002;10:198-209.
• [4] Portinaro N, Panou A, Gagliano N, Pelillo F. D.D.S.H.: developmental dysplasia of the spastic hip: strategies of management in cerebral palsy. A new suggestive algorithm. Hip Int 2009;19 Suppl 6:S69-74.
• [5] Scrutton D, Baird G. Surveillance measures of the hips of children with bilateral cerebral palsy. Arch Dis Child 1997;76:381-4.
• [6] Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, et al. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. JAMA 2002;288:1357-63.
• [7] Howard CB, McKibbin B, Williams LA, Mackie I. Factors affecting the incidence of hip dislocation in cerebral palsy. J Bone Joint Surg Br 1985;67:530-2.
• [8] Hoffer MM. Management of the hip in cerebral palsy. J Bone Joint Surg Am 1986;68:629-31.
• [9] Heimkes B, Martignoni K, Utzschneider S, Stotz S. Soft tissue release of the spastic hip by psoas-rectus transfer and adductor tenotomy for long-term functional improvement and prevention of hip dislocation. J Pediatr Orthop B 2011;20:212-21.
• [10] Agarwal A, Verma I. Cerebral palsy in children: an overview. J Clin Orthop Trauma 2012;3:77-81.
• [11] Nwaobi OM, Sussman MD. Electromyographic and force patterns of cerebral palsy patients with windblown hip deformity. J Pediatr Orthop 1990;10:382-8.
• [12] Faraj S, Atherton WG, Stott NS. Inter- and intra-measurer error in the measurement of Reimers' hip migration percentage. J Bone Joint Surg Br 2004;86:434-7.
• [13] Parrott J, Boyd RN, Dobson F, Lancaster A, Love S, Oates J, et al. Hip displacement in spastic cerebral palsy: Repeatability of radiologic measurement. J Pediatr Orthop 2002;22:660-7.
• [14] Pountney T MA. Repeatability and limits of agreement in hip migration percentage in children with bilateral cerebral palsy. Physiotherapy 2003:89;276-81.
• [15] Werner C RL. Normal values of Wiberg’s lateral center-edge angle and Lequesne’s acetabular index – a coxometric update. Skeletal Radiol 2012;41:1273-8.
• [16] Ketelaar M, Vermeer A, Hart H, van Petegem-van Beek E, Helders PJ. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther 2001;81:1534-45.
• [17] Gunel MK MA, TarsusluT, Livanelioglu A. Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy. Eur J Pediatr. 2009;168:477-85.
• [18] Anttila H, Autti-Ramo I, Suoranta J, Makela M, Malmivaara A. Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC Pediatr 2008;8:14.
• [19] Mall V, Heinen F, Siebel A, Bertram C, Hafkemeyer U, Wissel J, et al. Treatment of adductor spasticity with BTX-A in children with CP: a randomized, double-blind, placebo-controlled study. Dev Med Child Neurol 2006;48:10-3.
• [20] Graham HK BR, Carlin JB, Dobson F, Lowe K, Nattrass G, et al. Does botulinum toxin a combined with hip bracing prevent hip displacement in children with cerebral palsy and ‘hips at-risk’? A randomized controlled trial. J Bone Joint Surg Am 2008:90;22-33.
• [21] Bialik GM, Pierce R, Dorociak R, Lee TS, Aiona MD, Sussman MD. Iliopsoas tenotomy at the lesser trochanter versus at the pelvic brim in ambulatory children with cerebral palsy. J Pediatr Orthop 2009;29:251-5.
• [22] Koca K, Yildiz C, Yurttas Y, Balaban B, Hazneci B, Bilgiç S, et al. [Outcomes of multilevel orthopedic surgery in children with cerebral palsy]. Eklem Hastalik Cerrahisi 2011;22:69-74. [Article in Turkish]
• [23] Stott NS, Piedrahita L; AACPDM. Effects of surgical adductor releases for hip subluxation in cerebral palsy: an AACPDM evidence report. Dev Med Child Neurol 2004;46:628-45.
• [24] Brunner R, Baumann JU. Long-term effects of intertrochanteric varus-derotation osteotomy on femur and acetabulum in spastic cerebral palsy: an 11- to 18-year follow-up study. J Pediatr Orthop 1997;17:585-91.
• [25] Kim HT, Jang JH, Ahn JM, Lee JS, Kang DJ. Early results of one-stage correction for hip instability in cerebral palsy. Clin Orthop Surg 2012;4:139-48.
• [26] Al-Ghadir M, Masquijo JJ, Guerra LA, Willis B. Combined femoral and pelvic osteotomies versus femoral osteotomy alone in the treatment of hip dysplasia in children with cerebral palsy. J Pediatr Orthop 2009;29:779-83.