Bowen J R, MacEwen G D, Mathews P A
Dev Med Child Neurol. 1981 Feb;23(1):23-9. doi: 10.1111/j.1469-8749.1981.tb08443.x.
Twenty patients with cerebral palsy had a total of 35 extension contractures of the hip, resulting from tightness of the gluteus maximus or hamstring muscles, with associated quadricepts muscle spasticity. Associated deformities included anteriorly dislocated hips, patella alta, lumbar lordosis, thoracic kyphosis and calcaneus feet. Active and passive exercises, surgical release of contractures and reduction of anteriorly dislocated hips improved function. Hip flexor or adductor tenotomies must be considered cautiously for patients with spastic hip extensor muscles, because severe extension constricture may develop after either procedure.
20例脑瘫患者共有35处髋部伸展挛缩，原因是臀大肌或腘绳肌紧张，伴有股四头肌痉挛。相关畸形包括髋关节前脱位、高位髌骨、腰椎前凸、胸椎后凸和马蹄足。主动和被动运动、手术松解挛缩以及复位髋关节前脱位可改善功能。对于痉挛性髋伸肌患者，必须谨慎考虑进行髋屈肌或内收肌切断术，因为这两种手术之后都可能出现严重的伸展挛缩。
