Agashe Mandar Vikas, Mehta Rujuta, Aroojis Alaric John
Bai Jerbai Wadia Hospital for Children, Parel, Mumbai, Maharashtra, India.
J Pediatr Orthop B. 2012 May;21(3):248-51. doi: 10.1097/BPB.0b013e328349ef18.
Habitual anterior dislocation of the hip joint is extremely rare. We believe this is the first case reported of a habitual anterior dislocation of the hip occurring in a child with cerebral palsy. The dislocation was painless, voluntary and used to occur every time the child would extend and externally rotate the limb. Operative intervention in the form of a varus derotation femoral osteotomy and anterior capsulorraphy was planned, but the caregivers of the patient were unwilling for the same. Hence, the patient was given an adduction and internal rotation brace and was counselled not to perform the activity needed to dislocate the hip. This case report calls attention to a unique problem previously not reported in cerebral palsy.
习惯性髋关节前脱位极为罕见。我们认为这是首例报道的发生于脑瘫患儿的习惯性髋关节前脱位病例。该脱位无痛、为自主性，且每当患儿伸展和外旋肢体时就会发生。原计划采用内翻旋转股骨截骨术和前方关节囊缝合术进行手术干预，但患者的照料者对此不愿意接受。因此，给患者佩戴了内收和内旋支具，并建议其不要进行导致髋关节脱位所需的活动。本病例报告提醒人们注意一个此前在脑瘫中未被报道过的独特问题。
