Hip Dysplasia, Subluxation, and Dislocation in Cerebral Palsy: An Arthrographic Analysis

Heinrich, Stephen D.; Gd, MacEwen; Zembo, M.

doi:10.1097/01241398-199107000-00013

Cited by 26 publications

(9 citation statements)

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“…Patients of more than 30 years of age are in less pain than the patients under 30 years. We expected the opposite result because if pain is a consequence of cartilage erosion, one would expect more pain with time (Heinrich 1991, Lundy 1998. It is difficult to interpret this result because of a selected survival bias in this cross-sectional study as the patients with the most severe disabilities (those who are most in pain) are likely to die younger (Maudsley 1999, Schwartz 1999.…”

Section: Discussionmentioning

confidence: 91%

Hip pain in 234 non-ambulatory adolescents and young adults with cerebral palsy: a cross-sectional multicentre study

Hodgkinson¹,

Jindrich²,

Duhaut³

et al. 2001

Dev Med Child Neurol

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In orthopaedic clinical practice hip pain is the main complaint of adults with cerebral palsy (CP). The aim of this descriptive study was to specify prevalence of hip pain and to propose methods of care other than surgery. The study was a cross sectional multicentre one based in the Rhĵne-Alpes region. Patients over 15 years of age, with CP who were non-ambulatory were included. Two hundred and thirty-four patients were questioned. Mean age of the patients was 27 years 10 months, median 26 years 1 month, with 59.3% males and 40.7% females. Patients were questioned about pain with precise information about the circumstances of pain, tolerance, and treatment. Pain was judged to be intolerable if it prevented usual activities. Prevalence of hip pain was 47.2%. Pain was judged to be tolerable in 35.6% of the 234 patients, i.e. in 75.5% of patients with hip pain. There were three types of pain: provoked pain, pain linked to position, and spontaneous pain. Medical treatment was given to only 13.6% of patients with hip pain. The first treatment for hip pain is to avoid circumstances where pain occurs; medical treatment is reserved for when daily life cannot be adapted sufficiently to prevent pain. Medical treatment must be appropriate with doses of adequate strength before proposing surgery.

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Section: Discussionmentioning

confidence: 91%

Hip pain in 234 non-ambulatory adolescents and young adults with cerebral palsy: a cross-sectional multicentre study

Hodgkinson¹,

Jindrich²,

Duhaut³

et al. 2001

Dev Med Child Neurol

View full text Add to dashboard Cite

show abstract

“…We expected the opposite result because if pain is a consequence of cartilage erosion, one would expect more pain with time (Heinrich 1991, Lundy 1998. It is difficult to interpret this result because of a selected survival bias in this cross-sectional study as the patients with the most severe disabilities (those who are most in pain) are likely to die younger (Maudsley 1999, Schwartz 1999.…”

Section: Discussionmentioning

confidence: 91%

Hip pain in 234 non‐ambulatory adolescents and young adults with cerebral palsy: a cross‐sectional multicentre study

Hodgkinson

Jindrich

Duhaut

et al. 2001

Develop Med Child Neuro

View full text Add to dashboard Cite

In orthopaedic clinical practice hip pain is the main complaint of adults with cerebral palsy (CP). The aim of this descriptive study was to specify prevalence of hip pain and to propose methods of care other than surgery. The study was a cross sectional multicentre one based in the Rhône‐Alpes region. Patients over 15 years of age, with CP who were non‐ambulatory were included. Two hundred and thirty‐four patients were questioned. Mean age of the patients was 27 years 10 months, median 26 years 1 month, with 59.3% males and 40.7% females. Patients were questioned about pain with precise information about the circumstances of pain, tolerance, and treatment. Pain was judged to be intolerable if it prevented usual activities. Prevalence of hip pain was 47.2%. Pain was judged to be tolerable in 35.6% of the 234 patients, i.e. in 75.5% of patients with hip pain. There were three types of pain: provoked pain, pain linked to position, and spontaneous pain. Medical treatment was given to only 13.6% of patients with hip pain. The first treatment for hip pain is to avoid circumstances where pain occurs; medical treatment is reserved for when daily life cannot be adapted sufficiently to prevent pain. Medical treatment must be appropriate with doses of adequate strength before proposing surgery.

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“…A consensus-building session involving four orthopaedic surgeons with 15, 13, 11, and 10 years of orthopaedic experience took place to define radiographic measurements and determine the typically developing comparison group. Previous studies were reviewed, 8,13,18,19,[25][26][27][28] and one of the authors pooled three items relevant to measuring hip displacement: migration percentage, acetabular index, and centre-edge angle on hip anterior-posterior radiography. Reliability and validity were considered important when choosing the radiographic index, and migration percentage was selected by consensus on that basis.…”

Section: Consensus Building For Radiographic Measurementsmentioning

confidence: 99%

Functional status and amount of hip displacement independently affect acetabular dysplasia in cerebral palsy

Chung

Zulkarnain

Lee

et al. 2017

Develop Med Child Neuro

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Hip Dysplasia, Subluxation, and Dislocation in Cerebral Palsy: An Arthrographic Analysis

Cited by 26 publications

References 0 publications

Hip pain in 234 non-ambulatory adolescents and young adults with cerebral palsy: a cross-sectional multicentre study

Hip pain in 234 non-ambulatory adolescents and young adults with cerebral palsy: a cross-sectional multicentre study

Hip pain in 234 non‐ambulatory adolescents and young adults with cerebral palsy: a cross‐sectional multicentre study

Functional status and amount of hip displacement independently affect acetabular dysplasia in cerebral palsy

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