HIP DISLOCATION AND SUBLUXATION IN CEREBRAL-PALSY
HIP DISLOCATION AND SUBLUXATION IN CEREBRAL-PALSY
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DOI：
10.1097/01241398-198609000-00001
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发表时间：
1986-01-01
影响因子：
1.7
通讯作者：
BECK, K
中科院分区：
文献类型：
--
作者：
LONSTEIN, JE;BECK, K
464例脑性瘫痪患者进行了审查。他们被分为四个功能组：独立行走者（n = 76），依赖行走者（n = 43），独立坐姿者（n = 41），和依赖坐姿者（n = 304）。髋关节半脱位或脱位的百分比从独立行走者的7%增加到依赖坐姿者的60%。在依赖坐姿者中，骨盆水平或不同程度的骨盆弯曲与髋关节是否定位、半脱位或脱位无关。髋关节半脱位或脱位与骨盆偏高或骨盆弯曲程度无关。髋关节半脱位或脱位的原因是髋关节周围肌肉的不平衡，而不是骨盆的不平衡。
Four hundred sixty-four patients with cerebral palsy were reviewed. They were placed in four function groups: independent ambulators (n = 76), dependent ambulators (n = 43), independent sitters (n = 41), and dependent sitters (n = 304). The percentage of subluxated or dislocated hips increased from 7% for independent ambulators to 60% for dependent sitters. In the dependent sitters, a level pelvis or different degrees of pelvic obliquity did not correlate with whether the hip was located, subluxated, or dislocated. The subluxated or dislocated hip did not correlate with the high side or the amount of pelvic obliquity. Muscle imbalance around the hip and not the pelvic obliquity is the cause of the hip subluxation or dislocation.