Vidal J, Deguillaume P, Vidal M
Int Orthop. 1985;9(2):105-10. doi: 10.1007/BF00266951.
The development of dysplasia of the hip in cerebral palsy has been studied in 292 hips in children. The rate of migration of the hip has been defined, and gave a very early indication of the prognosis for the dysplasia. A close relationship was also found between the early radiographic changes and the functional locomotor anatomy. By reviewing the initial radiographs the need for early treatment and its adaptation to the future locomotor potential of the child can be assessed. Treatment is usually by musculotendinous releases and is especially effective in early recentering of the femoral head, but this method is ineffective in correcting bone dysplasia, particularly acetabular obliquity, which starts at around the age of 30 months. It is preferable to anticipate its development by early tenotomies which are much better tolerated than pelvic osteotomy in spastic children.
对292例患有脑瘫的儿童髋关节发育异常情况进行了研究。已明确髋关节的移位率，其能非常早期地提示发育异常的预后情况。早期影像学改变与功能性运动解剖结构之间也发现了密切关系。通过回顾初始X线片，可以评估早期治疗的必要性及其与儿童未来运动潜能的适应性。治疗通常采用肌腱松解术，对股骨头早期复位特别有效，但这种方法在纠正骨发育异常方面无效，尤其是髋臼倾斜，髋臼倾斜在30个月左右开始出现。最好通过早期肌腱切断术来预测其发展，在痉挛性儿童中，早期肌腱切断术比骨盆截骨术的耐受性要好得多。
