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Windswept hip deformity in children with cerebral palsy: A population-based prospective follow-up
| Content Provider | SAGE Publishing |
|---|---|
| Author | Hägglund, Gunnar Lauge-Pedersen, Henrik Bunke, Måns Persson Rodby-Bousquet, Elisabet |
| Copyright Year | 2016 |
| Abstract | To analyze the development of windswept hip deformity (WS) in a total population of children with cerebral palsy (CP) up to 20 years of age, the association between WS and hip dislocation, and femoral varus osteotomy and scoliosis, and the impact of a hip surveillance program on the subsequent incidence of WS.MethodsThis is a prospective study on children with CP in southern Sweden included in the Swedish follow-up programme and registry for CP (CPUP). All children born between 1990 and 1995 with CP were included; those born between 1990 and 1991 did not partake in the hip surveillance program until they were older (3–5 years of age) and served as a historic control group. Children born between 1992 and 1995 were included in the hip surveillance program from about 2 years of age and constituted the study group.ResultsIn the control group, 12 of 68 children (18 %) developed WS. In the study group of 139 children, 13 (9 %) developed WS (p = 0.071). Of all 25 children with WS, 21 also developed scoliosis and 5 developed a hip dislocation. The number of children with WS starting in the lower extremities was significantly lower in the study group (p = 0.028). No difference between the two groups was seen regarding WS that started in combination with scoliosis.ConclusionWith early inclusion in a hip surveillance program and early treatment of contractures, it appears possible to reduce the frequency of WS starting in the lower extremities. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1007/s11832-016-0749-1?download=true |
| Starting Page | 275 |
| Ending Page | 279 |
| Page Count | 5 |
| ISSN | 18632521 |
| Issue Number | 4 |
| Volume Number | 10 |
| Journal | Journal of Children's Orthopaedics (CHO) |
| e-ISSN | 18632548 |
| DOI | 10.1007/s11832-016-0749-1 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2016-08-01 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © 2016 European Pediatric Orthopaedic Society (EPOS) |
| Rights License | Llicensed Under Creative Commons Licenses |
| Subject Keyword | Cerebral palsy Hip dislocation Windswept hip deformity Scoliosis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Pediatrics, Perinatology and Child Health |
