Pritchett J W
Clin Orthop Relat Res. 1983 Mar(173):169-72.
The incidence of pain and other complications associated with the untreated spastic dislocated or subluxed hip was investigated in 80 institutionalized patients. The average patient age was 19 years, and the average length of follow-up study was 12 years. Eighty-five percent of the patients had scoliosis, and 56% had significant pelvic obliquity. A dislocated hip predisposed to lower extremity fractures but did not present problems of pain, decubitus ulcers, or difficulties with perineal hygiene. The loss of sitting balance, scoliosis, and pelvic obliquity are correlated with the severity of neurologic involvement rather than with the mechanics of a dislocated hip.
对80名机构收容患者的未治疗的痉挛性髋关节脱位或半脱位相关疼痛及其他并发症的发生率进行了调查。患者平均年龄为19岁，平均随访研究时长为12年。85%的患者有脊柱侧弯，56%有明显的骨盆倾斜。髋关节脱位易导致下肢骨折，但未出现疼痛、褥疮或会阴卫生问题。坐位平衡丧失、脊柱侧弯和骨盆倾斜与神经受累的严重程度相关，而非与髋关节脱位的力学因素相关。
