This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tachdjian, M. O.
Right arrow Articles by Minear, W. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tachdjian, M. O.
Right arrow Articles by Minear, W. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1956;38:1358-1364.
© 1956 by The Journal of Bone and Joint Surgery, Inc

Hip Dislocation in Cerebral Palsy

Mihran O. Tachdjian M.D.1 and William L. Minear M.D., Ph.D.1

1 Carrie Tingley Hospital for Crippled Children, Truth or Consequences, New Mexico, and the Department of Bone and Joint Surgery, Northwestern University Medical School, Chicago, Illinois

1. In a series of 590 cerebral palsy patients, twenty-five (4.24 per cent) showed evidence of dislocation or subluxation of the hip. Twenty-three of these had spastic cerebral plasy.

2. The dynamic imbalance of the hip in these patients is shown by muscle study. The pathomechanics of coxa valga and of hip dislocation in cerebral palsy are discussed.

3. The treatment of our patients and the end results are presented, stressing the importance of prophylactic tenotomy of the spastic hip adductors and of strengthening the motor power of the cerebral-zero hip abductors by automatic reflex.

4. Dislocation of the hip in cerebral palsy is preventable. If we are aware of the probabilities and understand the pathomechanics, we will regard every child with spastic lower limbs as having potential subluxation or dislocation of the hip.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
K. G. SHEA, S. S. COLEMAN, K. CARROLL, P. STEVENS, and D. H. VAN BOERUM
Pemberton Pericapsular Osteotomy to Treat a Dysplastic Hip in Cerebral Palsy
J. Bone Joint Surg. Am., September 1, 1997; 79(9): 1342 - 51.
[Abstract] [Full Text]