Spiegel David A, Flynn John M
Division of Orthopaedic Surgery, Children's Hospital of Philadelphia, 2nd Floor Wood Building, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.
Orthop Clin North Am. 2006 Apr;37(2):185-96, vi. doi: 10.1016/j.ocl.2005.11.001.
Hip problems, including progressive subluxation, dislocation, and pain, are common in patients with cerebral palsy, particularly those who are nonambulatory with a large degree of spasticity. Clinical and radiographic screening facilitates early detection, and surgery is indicated to prevent progressive dysplasia. Although an early soft tissue release may prevent progressive subluxation in a subset of cases, bony reconstructive surgery is indicated for patients with established bony deformity. Salvage procedures are recommended to treat chronic pain caused by established subluxation or dislocation.
髋关节问题，包括进行性半脱位、脱位和疼痛，在脑瘫患者中很常见，尤其是那些非行走型且伴有严重痉挛的患者。临床和影像学筛查有助于早期发现，手术可用于预防进行性发育不良。虽然早期软组织松解在部分病例中可能预防进行性半脱位，但对于已出现骨性畸形的患者则需进行骨性重建手术。建议采用挽救手术挽救性手术用于治疗由已存在的半脱位或脱位引起的慢性疼痛。
