脑瘫患儿髋关节脱位的监测与处理
Hip surveillance and management of the displaced hip in cerebral palsy.
作者信息
Robb J E, Hägglund G
机构信息
School of Medicine, University of St Andrews, St Andrews, KY16 9TF Scotland, UK.
Department of Orthopaedics, University Hospital, SE-221 85 Lund, Sweden.
出版信息
J Child Orthop. 2013 Nov;7(5):407-13. doi: 10.1007/s11832-013-0515-6. Epub 2013 Aug 18.
Abstract
INTRODUCTION
This article provides an overview of the management of a displaced hip in children with cerebral palsy and considers surveillance programmes, principles of surgical reconstruction and options for the salvage of an unreconstructable hip in these children.
CONCLUSION
Hip dislocation in CP is potentially preventable if children are included from an early age in a surveillance programme that includes repeat radiographic and clinical examinations, and preventive treatment for hips that are displacing. A surveillance programme should be based on the child's age, GMFCS level and migration percentage (MP), and surgical prevention may be considered in children with a MP exceeding 33 %.
摘要
引言
本文概述了脑瘫患儿髋关节脱位的管理，并探讨了监测方案、手术重建原则以及这些患儿中不可重建髋关节的挽救方案。
结论
如果儿童从幼年起就纳入一个包括重复影像学和临床检查以及对正在脱位的髋关节进行预防性治疗的监测方案，那么脑瘫患儿的髋关节脱位有可能预防。监测方案应基于儿童的年龄、粗大运动功能分级系统（GMFCS）水平和移位百分比（MP），对于MP超过33%的儿童可考虑进行手术预防。
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