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The Journal of Bone and Joint Surgery (American) 82:426-32 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Total Hip Arthroplasty in Patients with Neuromuscular Disease*{dagger}

M. E. CABANELA, M.D.{ddagger}, ROCHESTER, MINNESOTA and MARTIN WEBER, M.D.§, BERN, SWITZERLAND

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The first 150 words of the full text of this article appear below.


   Introduction
 
Patients who have neuromuscular disease may need a hip replacement for two general reasons: either the disease process (for example, cerebral palsy or myelomeningocele) has led to dysplasia of the hip, which in turn has evolved into degenerative joint disease, or the degenerative joint disease has developed independently of the neurological condition (for example, Parkinson disease).

In general terms, neuromuscular conditions can be divided into two categories: (1) those that are accompanied by decreased muscle tone and (2) those that are associated with increased muscle tone as well as contractures or movement disorders. The first category includes conditions such as poliomyelitis, Down syndrome, and myelomeningocele, and the second group includes conditions such as cerebral palsy, Parkinson disease, and stroke.


   Patients with Decreased Muscle Tone
 
Poliomyelitis
We are not aware of any reports of hip replacement being performed in the involved extremity of a patient who had residuals from poliomyelitis and major paralysis. This might be related . . . [Full Text of this Article]


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