Niethard F U, Kempf H
Z Orthop Ihre Grenzgeb. 1987 Jan-Feb;125(1):22-7. doi: 10.1055/s-2008-1039671.
Till today the meaning of neuromuscular factors in etiology and treatment of congenital dislocation of the hip is not quite clear. Our observation in 62 children with 78 dislocated hips show that neurophysiological mechanisms play of very important role in the development and upkeep of CDH. The neurological examination in 17 children pointed to the typical asymmetries of the children which correlated with the side of the dislocated hip. The knowledge of neurophysiological disturbances on the dislocated hip is of great value for the diagnosis of CDH and even more for the exercise treatment in hips with severe adduction contracture.
直到今天,神经肌肉因素在先天性髋关节脱位的病因和治疗中的意义仍不完全清楚。我们对62例患有78个脱位髋关节的儿童的观察表明,神经生理机制在先天性髋关节脱位的发生和维持中起着非常重要的作用。对17名儿童的神经学检查发现了与脱位髋关节一侧相关的典型不对称情况。了解脱位髋关节的神经生理紊乱对于先天性髋关节脱位的诊断非常有价值,对于伴有严重内收挛缩的髋关节的运动治疗更是如此。