Ramstad Kjersti, Terjesen Terje
Departments of aClinical Neurosciences for Children bOrthopaedic Surgery, Oslo University Hospital, Rikshospitalet and University of Oslo, Norway.
J Pediatr Orthop B. 2016 May;25(3):217-21. doi: 10.1097/BPB.0000000000000282.
The aim of this study was to assess whether hip pain was associated with radiographic hip displacement (migration percentage, MP) in a population-based cohort of children with cerebral palsy. Seventy-seven children, mean age 9.5 (SD 1.6) years and Gross Motor Function Classification System level III-V, were assessed. Caregivers responded to the Child Health Questionnaire pain questions and located recurrent pain on a body map. Hip pain was reported in 22 children (29%) and 27 hips (18%). Hip pain was significantly more frequent in hips with MP more than or equal to 50%, in children with spastic quadriplegia, and in those with Gross Motor Function Classification System level V. We conclude that severe hip displacement with MP more than or equal to 50% was associated with hip pain, whereas slight or moderate subluxation did not influence the occurrence of such pain.
本研究的目的是评估在一个基于人群的脑瘫儿童队列中，髋部疼痛是否与髋关节影像学移位（移位百分比，MP）相关。对77名平均年龄为9.5（标准差1.6）岁、粗大运动功能分类系统为III - V级的儿童进行了评估。照料者回答了儿童健康问卷中的疼痛问题，并在身体图上指出反复出现疼痛的部位。报告有髋部疼痛的儿童有22名（29%），髋部有27个（18%）。MP大于或等于50%的髋关节、痉挛性四肢瘫儿童以及粗大运动功能分类系统为V级的儿童中，髋部疼痛明显更常见。我们得出结论，MP大于或等于50%的严重髋关节移位与髋部疼痛相关，而轻度或中度半脱位并不影响此类疼痛的发生。
