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严重髋关节脱位患儿髋关节疼痛更为常见:一项基于77例脑瘫患儿的人群研究。

Hip pain is more frequent in severe hip displacement: a population-based study of 77 children with cerebral palsy.

作者信息

Ramstad Kjersti, Terjesen Terje

机构信息

Departments of aClinical Neurosciences for Children bOrthopaedic Surgery, Oslo University Hospital, Rikshospitalet and University of Oslo, Norway.

出版信息

J Pediatr Orthop B. 2016 May;25(3):217-21. doi: 10.1097/BPB.0000000000000282.

Abstract

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.

摘要

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。

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