Huser Aaron, Mo Michelle, Hosseinzadeh Pooya
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis Children's Hospital, 1 Children's Place, Suite 4S60, St Louis, MO 63110, USA.
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis Children's Hospital, 1 Children's Place, Suite 4S60, St Louis, MO 63110, USA.
Orthop Clin North Am. 2018 Apr;49(2):181-190. doi: 10.1016/j.ocl.2017.11.006. Epub 2018 Feb 3.
The hip is the second most common involved joint in cerebral palsy. Hip displacement occurs in more than 33% of children with cerebral palsy, with a higher prevalence in nonambulatory children. Hip displacement in this population is typically progressive. Hip dislocation can result in pain and difficulty with sitting and perineal care. Since early stage of hip displacement can be silent, and hip surveillance programs are recommended. Most programs use the degree of hip dysplasia and Growth Motor Function Classification System level for screening recommendations. Treatment depends on the degree of dysplasia, functional status of the patient, and patient's age.
髋关节是脑瘫中第二常见受累关节。超过33%的脑瘫儿童会出现髋关节移位，在非行走儿童中患病率更高。该人群中的髋关节移位通常呈进行性。髋关节脱位可导致疼痛以及坐立和会阴护理困难。由于髋关节移位的早期阶段可能没有症状，因此建议进行髋关节监测。大多数监测方案根据髋关节发育不良程度和生长运动功能分类系统水平进行筛查推荐。治疗取决于发育不良的程度、患者的功能状态以及患者的年龄。
